Department of Psychiatry, University of Colorado Denver, Aurora, USA.
Am J Psychiatry. 2013 Mar;170(3):256-62. doi: 10.1176/appi.ajp.2012.12081064.
The provision of psychiatric treatment via live interactive videoconferencing, frequently termed telepsychiatry, is a viable option for psychiatrists to provide care to individual patients, populations, and communities faced with limited access and to move the point of care delivery into patients' living environments. Psychiatric providers new to videoconferencing should not be intimidated by the technology or its encompassing logistics, but they do need to develop an awareness of the salient regulatory, administrative, and clinical issues that arise in the practice of videoconferencing-based telepsychiatry. This article provides an overview of the current evidence base in telepsychiatry and reviews administrative and clinical issues in videoconferencing-based treatment. These points are then highlighted in a case example.
通过实时互动视频会议(通常称为远程精神病学)提供精神科治疗,是精神科医生为面临有限获取途径的个体患者、人群和社区提供护理,并将护理点转移到患者生活环境中的一种可行选择。对于刚开始使用视频会议的精神科服务提供者来说,不应被该技术或其涵盖的后勤工作所吓倒,但他们确实需要意识到在基于视频会议的远程精神病学实践中出现的突出监管、行政和临床问题。本文概述了远程精神病学的当前证据基础,并审查了基于视频会议的治疗中的行政和临床问题。然后在案例示例中突出显示这些要点。