Division of Child & Adolescent Psychiatry, Washington University Medical School, 660 South Euclid Avenue, St Louis, MO 63110, USA.
Child Adolesc Psychiatr Clin N Am. 2011 Jan;20(1):1-11. doi: 10.1016/j.chc.2010.08.006.
Telepsychiatry is being increasingly adopted in private practice and is predicted to play an important role in increasing access to care in rural communities and other underserved areas. With the current level of need, it is unlikely that all of the required services can be fully met through existing telepsychiatry practitioners. Thus, in light of this new research and the significant needs of rural communities, some of the historical barriers to using telepsychiatry in private practice can be overcome through the use of new technology and sound financial modeling. This article examines historical barriers to adopting telepsychiatry in private practice and offers adaptations based on a large case series derived from the clinical practice of the author as well as a review of scientific literature on telepsychiatry.
远程精神病学在私人执业中越来越被采用,并有望在增加农村社区和其他服务不足地区的医疗服务方面发挥重要作用。根据目前的需求水平,通过现有的远程精神病学从业者,不太可能完全满足所有必需的服务。因此,鉴于这项新的研究和农村社区的巨大需求,可以通过使用新技术和合理的财务模型来克服远程精神病学在私人执业中应用的一些历史障碍。本文探讨了在私人执业中采用远程精神病学的历史障碍,并根据作者临床实践中的大量病例系列以及对远程精神病学的科学文献回顾,提出了一些适应性建议。