Department of Health Management & Systems Sciences, School of Public Health & Information Sciences, University of Louisville, Louisville, KY, USA.
J Telemed Telecare. 2021 Apr;27(3):137-145. doi: 10.1177/1357633X19867189. Epub 2019 Jul 29.
Healthcare providers and systems increasingly utilize telehealth modalities to address barriers and challenges for healthcare delivery. Specialties, such as psychiatry, are testing asynchronous methods for telehealth delivery. The National Quality Forum (NQF) developed a framework with which to assess the quality of telemedicine according to measures and measure concepts within four domains. This review assesses existing asynchronous telepsychiatry (ATP) research according to the telehealth domains established by NQF, evaluates the prevalence and quality of ATP, and identifies the areas in which more research must be conducted.
A systematic review of ATP methods was conducted according to PRISMA guidelines. Studies were categorized according to NQF telehealth domains and subdomains to further examine study outcomes.
The review initially identified 205 studies that were narrowed down to a final sample of 11 articles. Of the final articles, most studies addressed the effectiveness of ATP or users' experience with ATP.
The initial investigation of published ATP literature suggests promising results. ATP studies suggest that these services improve access to care, can be feasibly implemented by the clinical team, maintain patient/family satisfaction, and potentially reduce the cost of services. The limited sample of published literature necessitates further study of the practice in order to assess ATP according to the quality domains identified by NQF, especially access to care for patients and caregivers, the financial costs incurred by both providers and patients, and barriers to uptake.
医疗保健提供者和系统越来越多地利用远程医疗模式来解决医疗服务提供方面的障碍和挑战。精神病学等专业正在测试远程医疗的异步方法。国家质量论坛 (NQF) 制定了一个框架，根据四个领域内的措施和措施概念来评估远程医疗的质量。本综述根据 NQF 确定的远程医疗领域评估现有的异步远程精神病学 (ATP) 研究，评估 ATP 的流行程度和质量，并确定需要进一步开展研究的领域。
根据 PRISMA 指南对 ATP 方法进行了系统评价。根据 NQF 远程医疗领域和子领域对研究进行分类，以进一步研究研究结果。
该综述最初确定了 205 项研究，最终缩小到 11 篇文章的最终样本。在最终的文章中，大多数研究都探讨了 ATP 的有效性或用户对 ATP 的体验。
已发表的 ATP 文献的初步调查结果表明前景乐观。ATP 研究表明，这些服务可以改善获得护理的机会，可以由临床团队切实实施，可以保持患者/家庭的满意度，并有可能降低服务成本。已发表文献的样本有限，需要进一步研究该实践，以便根据 NQF 确定的质量领域评估 ATP，特别是患者和护理人员的获得护理机会、提供者和患者双方的财务成本，以及采用的障碍。
