Frueh B C, Deitsch S E, Santos A B, Gold P B, Johnson M R, Meisler N, Magruder K M, Ballenger J C
Department of Psychiatry and Behavioral Sciences of the Medical University of South Carolina, Charleston, South Carolina, USA.
Psychiatr Serv. 2000 Dec;51(12):1522-7. doi: 10.1176/appi.ps.51.12.1522.
The authors reviewed the literature related to telepsychiatry-applications of videoconferencing technology for mental health care-which offers hope for an affordable means of solving long-standing workforce problems, particularly in geographical areas where specialist providers are not readily available.
To conduct a comprehensive review of the telepsychiatry literature, the authors searched the MEDLINE database (1970 to February 2000), using the keywords telepsychiatry, telemedicine, and videoconferencing. Studies were selected that included the use of videoconferencing technology for the provision of any form of mental health care services.
Psychiatric interviews conducted by telepsychiatry appear to be generally reliable, and patients and clinicians generally report high levels of satisfaction with telepsychiatry. A significant limitation of the literature is the lack of empirical research on telepsychiatry, especially cost analyses and clinical outcome studies. The authors outline a research agenda addressing the procedural and methodological issues that should shape future research: study design, outcome measurement, consideration of patient characteristics, and program design.
作者回顾了与远程精神病学相关的文献，即视频会议技术在精神卫生保健中的应用，该技术为解决长期存在的劳动力问题提供了一种经济实惠的手段，特别是在难以获得专科医疗服务的地区。
为全面回顾远程精神病学文献，作者检索了MEDLINE数据库（1970年至2000年2月），使用关键词远程精神病学、远程医疗和视频会议。入选的研究包括使用视频会议技术提供任何形式的精神卫生保健服务。
通过远程精神病学进行的精神病学访谈总体上似乎是可靠的，患者和临床医生通常对远程精神病学满意度较高。文献的一个重大局限是缺乏对远程精神病学的实证研究，尤其是成本分析和临床结果研究。作者概述了一项研究议程，解决应指导未来研究的程序和方法问题：研究设计、结果测量、患者特征考量和项目设计。
