Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, CA 95817, USA.
Psychiatr Serv. 2010 Aug;61(8):838-40. doi: 10.1176/ps.2010.61.8.838.
This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, video-based telepsychiatry.
Video-recorded 20- to 30-minute assessments of 60 nonemergency, English-speaking adult patients in a medically underserved county in California were uploaded along with other patient data to a Web-based record. Two psychiatrists then used the record to provide psychiatric consultations to the referring primary care providers.
Eighty-five percent of patients received diagnoses of mood disorders, 32% diagnoses of substance use disorders, 53% diagnoses of anxiety disorders, and 5% other axis I diagnoses. Psychiatrists recommended short-term medication changes for 95% of the patients and provided guidelines for possible future changes.
This study-the first study of asynchronous telepsychiatry to be published-demonstrated the feasibility of this approach. This type of assessment should not replace the face-to-face psychiatric interview, but it may be a very helpful additional process that improves access to care and expertise.
本研究旨在探讨使用异步或存储转发的基于视频的远程精神病学进行精神病学咨询的可行性。
对加利福尼亚州一个医疗资源不足的县的 60 名非紧急、讲英语的成年患者进行了 20-30 分钟的视频评估，并将其他患者数据上传到基于网络的记录中。然后，两名精神科医生使用该记录为转诊的初级保健提供者提供精神病学咨询。
85%的患者被诊断为情绪障碍，32%的患者被诊断为物质使用障碍，53%的患者被诊断为焦虑障碍，5%的患者被诊断为其他轴 I 障碍。精神科医生建议 95%的患者短期调整药物，并提供了未来可能调整的指导方针。
这项研究是第一份关于异步远程精神病学的研究，证明了这种方法的可行性。这种评估方式不应替代面对面的精神病学访谈，但它可能是一种非常有帮助的额外流程，可以改善获得护理和专业知识的机会。
