Hilty Donald M, Yellowlees Peter M, Cobb Hattie C, Bourgeois James A, Neufeld Jonathan D, Nesbitt Thomas S
Department of Psychiatry and Behavioral Sciences,the Center for Health and Technology, UC-Davis Medical Center, Sacremeto, CA, USA.
Psychosomatics. 2006 Mar-Apr;47(2):152-7. doi: 10.1176/appi.psy.47.2.152.
New models of psychiatric intervention are needed to improve the accessibility of mental health care in the primary-care setting, particularly in rural areas of the United States. Some models of service delivery have been successful in suburban and urban settings, but they do not always apply to rural settings. "E-health" innovations like videoconferencing, telephone, secure messaging (e-mail), and the Internet are increasingly being used to provide consultation--liaison service to primary care. This article briefly reviews successful models used in primary care, their application to rural sites, new models for rural sites, and suggestions for future e-health research.
需要新的精神科干预模式，以提高在初级保健机构，尤其是美国农村地区获得精神卫生保健服务的机会。一些服务提供模式在郊区和城市环境中取得了成功，但它们并不总是适用于农村地区。诸如视频会议、电话、安全消息传递（电子邮件）和互联网等“电子健康”创新正越来越多地被用于为初级保健提供咨询联络服务。本文简要回顾了在初级保健中使用的成功模式、它们在农村地区的应用、针对农村地区的新模式以及对未来电子健康研究的建议。
