The present study was conducted to survey the effects of the COVID-19 pandemic on medical services provided by mental health institutions to workers in Osaka. A self-administered questionnaire was sent to 615 mental health institutions in Osaka, and 173 responded (response rate: 28.1%). The results revealed that 9.8% of institutions offered telemedicine services. Among the respondents, 53.8% reported an increase in medical treatment services, while 39.9% reported either no increase or a reduction. A total of 68.8% of institutions provided mental health services for patients with COVID-19. Mental health institutions that expanded their medical treatment services offered a range of services, including counselling and rework assistance. Notably, institutions allowing workplace staff to accompany a sick worker during a doctor visit (odds ratio [OR] = 5.77, 95% confidence interval [CI] = 1.57–21.25) and those providing treatment for patients with COVID-19 (OR = 6.56, 95% CI = 1.51–28.43) were more likely to increase medical treatment services. The availability of rework assistance services was positively associated with the availability of telemedicine services (OR = 4.59, 95% CI = 1.33–15.88). Additionally, the presence of psychological staff was associated with the provision of rework assistance services (OR = 2.79, 95% CI = 1.11–11.52). It has been shown that having physicians with qualifications as industrial physicians can lead to the provision of services related to workplace mental health measures, such as consultations on workplace mental health, responding to ‘information provision documents related to workplace reintegration support,’ contracting for the implementation of stress checks, and addressing high-stress individuals after stress checks. These results suggest that physical facilities, financial stability, and human resources were crucial factors enabling mental health institutions to offer diverse medical services during the COVID-19 pandemic.
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