Tele Medicine Centre, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, 560029, Karnataka, India.
Tele Medicine Centre, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, 560029, Karnataka, India.
Asian J Psychiatr. 2018 Oct;37:161-166. doi: 10.1016/j.ajp.2018.09.003. Epub 2018 Sep 20.
The Indian National Mental Health Survey (NMHS) of 2015-2016 has estimated 13.7% lifetime and 10.6% point prevalence for mental illnesses. It has identified that the treatment gap for mental illnesses ranges between 70% and 92%. Tele-Psychiatric consultations could be an alternative and innovative approach to bridge this gap in low resource settings.
To study the sociodemographic and clinical profiles of patients who have received collaborative Tele-Psychiatric consultations across district hospitals in Karnataka, India.
We performed a retrospective review of case files of patients who have received collaborative Tele-Psychiatric consultations from January 2013 to June 2017 through video-conferencing. A total of 139 consultations were provided to patients in the state of Karnataka.
The mean age of the sample is 31 (±15.5) years. 61.8% were male and 79.8% were aged more than 18 years. In total, 25.9% of them had schizophrenia and other psychotic disorders, 14.4% had mental retardation, 13.7% had a mood disorder and 14.4% had a substance use disorder. 67.6% of patients had been advised pharmacotherapy, 7.9% had been advised rehabilitation along with pharmacotherapy and 24.4% were advised further evaluation of illness and inpatient care at a higher centre.
Collaborative tele-psychiatric consultations to district hospitals from an academic tertiary care hospital can be feasible and are likely to benefit patients from rural areas. There is a need for more studies to elucidate their acceptability by patients, caregivers and professionals.
2015-2016 年印度国家心理健康调查 (NMHS) 估计，精神疾病的终身患病率为 13.7%，时点患病率为 10.6%。它已经确定，精神疾病的治疗差距在 70%至 92%之间。远程精神病学咨询可能是在资源匮乏的环境中弥合这一差距的一种替代和创新方法。
研究在印度卡纳塔克邦的地区医院接受协作式远程精神病学咨询的患者的社会人口统计学和临床特征。
我们对 2013 年 1 月至 2017 年 6 月期间通过视频会议接受协作式远程精神病学咨询的患者的病例进行了回顾性审查。在卡纳塔克邦共提供了 139 次咨询。
样本的平均年龄为 31（±15.5）岁。61.8%为男性，79.8%年龄大于 18 岁。他们中共有 25.9%患有精神分裂症和其他精神病性障碍，14.4%患有智力障碍，13.7%患有情绪障碍，14.4%患有物质使用障碍。67.6%的患者接受了药物治疗建议，7.9%的患者接受了药物治疗和康复建议，24.4%的患者接受了进一步评估疾病和在更高中心住院治疗的建议。
从学术性三级保健医院向地区医院提供协作式远程精神病学咨询是可行的，可能使农村地区的患者受益。需要进一步研究以阐明患者、护理人员和专业人员对其的接受程度。
