Ohinmaa Arto, Roine Risto, Hailey David, Kuusimäki Marja-Leena, Winblad Ilkka
Institute of Health Economics, Edmonton, Alberta, Canada.
J Telemed Telecare. 2008;14(5):266-70. doi: 10.1258/jtt.2008.071212.
The utilization of telemental health (TMH) services in Finland was surveyed in 2006. In total, 135 health-care units provided responses. Eighty-four responses were received from primary care units (health-care centres and clinics) and eight from other clinics, in all hospital districts. The overall rate of TMH consultations was 4 per 100,000 population. The highest TMH consultation per population ratio, 22 per 100,000, was in northern Finland. Most of the sites used telepsychiatry services for less than 10% of clinical outpatient services. The sites with over 20% utilization of clinical TMH services from all psychiatric consultations were all rural health centres. Compared with Finland, the utilization rates of TMH were higher in Canada; that might be due to differences between the countries in the organization of mental health services in primary and specialized care. In Finland TMH consultations made up only a very small proportion of all mental health services. The use of TMH was particularly common in remote areas; however, there were many rural centres that did not utilize clinical TMH. TMH was widely utilized for continuing and medical education.
2006年，芬兰对远程心理健康（TMH）服务的使用情况进行了调查。共有135个医疗保健单位做出了回应。其中84份来自基层医疗单位（保健中心和诊所），8份来自所有医院辖区内的其他诊所。TMH咨询的总体发生率为每10万人口4例。芬兰北部的TMH咨询占人口比例最高，为每10万人口22例。大多数机构用于远程精神病学服务的临床门诊服务不到10%。所有精神病咨询中临床TMH服务利用率超过20%的机构均为农村保健中心。与芬兰相比，加拿大的TMH利用率更高；这可能是由于两国在基层和专科护理心理健康服务组织方面存在差异。在芬兰，TMH咨询在所有心理健康服务中仅占很小的比例。TMH的使用在偏远地区尤为普遍；然而，有许多农村中心并未使用临床TMH。TMH广泛用于继续医学教育。
