{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:38:52Z","timestamp":1789486732898,"version":"build-2803163510"},"posted":{"date-parts":[[2026,9,10]]},"group-title":"Psychiatry and Clinical Psychology","reference-count":17,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.medrxiv.org\/about\/FAQ#license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,9,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To compare appointment completion and offered-slot utilization between virtual and in-person outpatient psychiatric care in Peru.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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\u20132026.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>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\u20139.9). Across 30 paired months, slot utilization was 73.0% (SD=8.3) and 90.5% (SD=3.8), respectively; difference \u221217.5 percentage points (95% CI=\u221224.5 to \u221210.4). Sensitivity analyses were similar.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Virtual care had higher completion but lower slot utilization. Attendance and capacity use should be evaluated separately when planning hybrid psychiatric services.<\/jats:p>\n                <\/jats:sec>","DOI":"10.64898\/2026.09.08.26362068","type":"posted-content","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:15:43Z","timestamp":1789143343000},"source":"Crossref","is-referenced-by-count":0,"title":["Virtual and In-Person Psychiatric Care: Appointment Completion and Capacity Use in a Public Mental Health Service in Peru"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8003-5171","authenticated-orcid":false,"given":"Paulo","family":"Ruiz-Grosso","sequence":"first","affiliation":[{"name":"Direcci\u00f3n Ejecutiva de Investigaci\u00f3n, Docencia y Atenci\u00f3n de Adultos y Adultos Mayores, Instituto Nacional de Salud Mental Honorio Delgado \u2013 Hideyo Noguchi, Lima, Peru"},{"name":"Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, 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