Agarwal Preethi Pansari, Manjunatha Narayana, Gowda Guru S, Kumar M N Girish, Shanthaveeranna Neelaveni, Kumar Channaveerachari Naveen, Math Suresh Bada
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India.
Department of Psychiatry, Tele Medicine Centre, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India.
J Neurosci Rural Pract. 2019 Jan-Mar;10(1):101-105. doi: 10.4103/jnrp.jnrp_215_18.
Tele-medicine helps to provide clinical care comparable to in-person treatment in various clinical settings. It is a novel system of healthcare delivery in both low-resource settings and sites where adequate medical care continues to pose greatest challenge like in prison's in India and worldwide.
To study the sociodemographic and clinical profile of patients from Central Prisons, having received collaborative Tele-Neuropsychiatric Care.
Psychiatry, neurology, and neurosurgery specialists provided tele-neuropsychiatry consultation through Specialist-Doctor-Patient model as part of the state-run program for the two central prisons from July 1, 2014, to June 30, 2016. A retrospective file review was done of the tele-neuropsychiatry case records at Tele-Medicine Centre, Located at Tertiary Neuro Psychiatric centre of South India.
A total of 53 patients were provided tele-neuropsychiatric consultation over 2-year period. Of these, 48 (90.6%) were male and 34 (64.1%) were aged more than 30 years. In total, 20.7% of them had severe mental illness, i.e., schizophrenia and mood disorders, 20.7% with substance use disorder (alcohol and cannabis), 17% had anxiety disorders while 17% with seizure disorder. Nearly 81.1% of patients (inmates) were advised pharmacotherapy while 18.9% were suggested further evaluation of illness and inpatient care at the higher center.
The collaborative care was successful in delivering psychiatry, neurology, and neurosurgery consultation with a Specialist-Doctor-Patient model to prison inmates.
远程医疗有助于在各种临床环境中提供与面对面治疗相当的临床护理。在资源匮乏的地区以及像印度监狱和世界各地监狱那样，充足的医疗护理仍然面临巨大挑战的地方，它是一种新型的医疗服务体系。
研究接受协作式远程神经精神科护理的中央监狱患者的社会人口统计学和临床特征。
2014年7月1日至2016年6月30日期间，精神病学、神经病学和神经外科专家通过专科医生-患者模式，为两所中央监狱提供远程神经精神科会诊，这是该州运行项目的一部分。对位于印度南部三级神经精神科中心的远程医疗中心的远程神经精神科病例记录进行了回顾性档案审查。
在两年时间里，共为53名患者提供了远程神经精神科会诊。其中，48名（90.6%）为男性，34名（64.1%）年龄超过30岁。总体而言，20.7%的患者患有严重精神疾病，即精神分裂症和情绪障碍，20.7%患有物质使用障碍（酒精和大麻），17%患有焦虑症，17%患有癫痫症。近81.1%的患者（囚犯）被建议进行药物治疗，而18.9%的患者被建议在上级中心进一步评估病情并接受住院治疗。
通过专科医生-患者模式，协作护理成功地为监狱囚犯提供了精神病学、神经病学和神经外科会诊。
