VA Puget Sound Health Care System, Tacoma, Washington.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
J Clin Psychol. 2020 Jun;76(6):1125-1134. doi: 10.1002/jclp.22770. Epub 2019 Mar 11.
Clinical video telehealth (CVT) is an innovative modality to provide care directly to Veterans' homes. Despite prior training initiatives, CVT remains underutilized. This project sought to better understand barriers to implementation and to compare responses of CVT utilizers versus nonutilizers.
Mental health staff were invited to complete an online anonymous survey on their use of CVT in clinical practice.
A total of 159 mental health staff completed the survey. Although the majority of the sample endorsed personal use of a video chat program, less than half reported using CVT for patient care. Among nonutilizers, lack of training was the most frequently endorsed barrier to CVT use whereas administrative burden was the most frequently endorsed barrier by utilizers.
This study extends existing literature by determining barriers to CVT adoption. It identifies several barriers among utilizers versus nonutilizers. Discussion includes potential guidelines for overcoming barriers to CVT utilization.
临床视频远程医疗(CVT)是一种为退伍军人直接提供医疗服务的创新模式。尽管有之前的培训计划,但 CVT 的使用率仍然较低。本项目旨在更深入地了解实施过程中的障碍,并比较 CVT 用户和非用户的反应。
心理健康工作人员被邀请在线匿名填写一份关于他们在临床实践中使用 CVT 的调查。
共有 159 名心理健康工作人员完成了调查。尽管大多数受访者表示个人使用过视频聊天程序,但只有不到一半的人报告说使用 CVT 为患者提供医疗服务。在非使用者中,缺乏培训是最常被认为是 CVT 使用障碍的原因,而对使用者来说,行政负担则是最常被认为是 CVT 使用障碍的原因。
本研究通过确定 CVT 采用的障碍,扩展了现有文献。它确定了使用者和非使用者之间的几个障碍。讨论包括克服 CVT 使用障碍的潜在指导方针。