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远程精神病学的应用:一项初步研究。

Application of telepsychiatry: a preliminary study.

作者信息

Matsuura S, Hosaka T, Yukiyama T, Ogushi Y, Okada Y, Haruki Y, Nakamura M

机构信息

Department of Psychiatry and Behavioral Science, Tokai University School of Medicine, Kanagawa, Japan.

出版信息

Psychiatry Clin Neurosci. 2000 Feb;54(1):55-8. doi: 10.1046/j.1440-1819.2000.00637.x.

Abstract

Telemedicine is the provision of professional medical services from sites removed from the patient. This study was conducted in order to assess the reliability of psychiatric evaluations via video-consultation. The inter-rater reliability was determined for each interviewing condition by employing the reliability-testing paradigm in which the brief psychiatric rating scale (BPRS) and the interclass correlation coefficient (ICC) are used. The inter-rater reliability scores between face-to-face interviews and interviews conducted by video at two different levels of image qualities were compared by the authors. Reliability was found to be in perfect agreement in each of the interviewing conditions. This study verifies that telepsychiatry is a reliable method of assessing patient conditions. It may be used to provide much needed mental health-care services to patients whose access to them is restricted.

摘要

远程医疗是指在远离患者的地点提供专业医疗服务。本研究旨在评估通过视频会诊进行精神科评估的可靠性。通过采用使用简明精神状态评定量表(BPRS)和组内相关系数(ICC)的可靠性测试范式,确定每种访谈条件下的评分者间信度。作者比较了面对面访谈与在两种不同图像质量水平下通过视频进行的访谈之间的评分者间信度得分。发现在每种访谈条件下信度都完全一致。本研究证实远程精神病学是评估患者病情的可靠方法。它可用于为那些获得心理健康护理服务受限的患者提供急需的此类服务。

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