medRxiv : the preprint server for health sciences · 2026
Virtual and In-Person Psychiatric Care: Appointment Completion and Capacity Use in a Public Mental Health Service in Peru.
СтатьяПрепринтНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ruiz-Grosso Paulo, Macedo-Orrego Luis, Rivera-Encinas María, Carazas-Vera María, Rodríguez-Vargas Diego, Arosemena Alejandra, Sagástegui Abel, Zevallos-Bustamante Sonia
Аннотация
OBJECTIVE: To compare appointment completion and offered-slot utilization between virtual and in-person outpatient psychiatric care in Peru.
METHODS: We conducted a retrospective ecological longitudinal study using routinely collected monthly aggregate administrative indicators from January 2022 through June 2026, with modality-month as the unit. Virtual-minus-in-person differences and 95% confidence intervals were estimated using Newey-West standard errors with 12 lags. June 2026 was partial; slot utilization was restricted to 2024-2026.
RESULTS: Across 54 paired months, mean completion was 90.9% (SD=3.9) for virtual and 83.8% (SD=2.7) for in-person care; difference +7.2 percentage points (95% CI=4.4-9.9). Across 30 paired months, slot utilization was 73.0% (SD=8.3) and 90.5% (SD=3.8), respectively; difference -17.5 percentage points (95% CI=-24.5 to -10.4). Sensitivity analyses were similar.
CONCLUSIONS: Virtual care had higher completion but lower slot utilization. Attendance and capacity use should be evaluated separately when planning hybrid psychiatric services.
METHODS: We conducted a retrospective ecological longitudinal study using routinely collected monthly aggregate administrative indicators from January 2022 through June 2026, with modality-month as the unit. Virtual-minus-in-person differences and 95% confidence intervals were estimated using Newey-West standard errors with 12 lags. June 2026 was partial; slot utilization was restricted to 2024-2026.
RESULTS: Across 54 paired months, mean completion was 90.9% (SD=3.9) for virtual and 83.8% (SD=2.7) for in-person care; difference +7.2 percentage points (95% CI=4.4-9.9). Across 30 paired months, slot utilization was 73.0% (SD=8.3) and 90.5% (SD=3.8), respectively; difference -17.5 percentage points (95% CI=-24.5 to -10.4). Sensitivity analyses were similar.
CONCLUSIONS: Virtual care had higher completion but lower slot utilization. Attendance and capacity use should be evaluated separately when planning hybrid psychiatric services.