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远程医疗中提供夫妻和家庭治疗的临床和伦理问题。

Clinical and Ethical Considerations for Delivering Couple and Family Therapy via Telehealth.

机构信息

VA San Diego Healthcare System.

VA Puget Sound Healthcare System.

出版信息

J Marital Fam Ther. 2019 Apr;45(2):296-308. doi: 10.1111/jmft.12319. Epub 2018 Jan 23.

Abstract

Studies have generally supported telehealth as a feasible, effective, and safe alternative to in-office visits. Telehealth may also be of particular benefit to couples/families interested in relational treatments, as it addresses some of the barriers that may be more prominent for families, such as childcare and scheduling difficulties. Therapists interested in expanding their practice to include telehealth should understand ethical and practical considerations of this modality. This article discusses areas unique to the delivery of telehealth to couples and families. Each broad domain is then elaborated upon with case examples from actual clinical practice and specific recommendations for addressing potential difficulties. Authors recommend further empirical research examining differences in modality outcome, as well as feasibility of the suggestions proposed here.

摘要

研究普遍支持远程医疗作为替代门诊就诊的可行、有效且安全的选择。远程医疗对于有兴趣接受关系治疗的夫妇/家庭可能特别有益,因为它解决了一些可能对家庭更为突出的障碍,例如儿童保育和日程安排困难。有兴趣将其实践扩展到包括远程医疗的治疗师应该了解这种模式的道德和实际考虑因素。本文讨论了向夫妇和家庭提供远程医疗的独特领域。然后,每个广泛的领域都通过实际临床实践中的案例示例进行了详细阐述,并提出了针对潜在困难的具体建议。作者建议进一步进行实证研究,以检查不同模式结果的差异,以及这里提出的建议的可行性。

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