Roncero Carlos, García-Ullán Llanyra, de la Iglesia-Larrad Javier I, Martín Carmen, Andrés Pilar, Ojeda Ana, González-Parra David, Pérez Javier, Fombellida Clara, Álvarez-Navares Ana, Benito José Antonio, Dutil Virginia, Lorenzo Carolina, Montejo Ángel Luis
Psychiatry Service, University of Salamanca Healthcare Complex (USHC), Salamanca, Spain; Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Salamanca, Spain; School of Medicine, University of Salamanca, Salamanca, Spain.
Psychiatry Service, University of Salamanca Healthcare Complex (USHC), Salamanca, Spain; Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Salamanca, Spain; School of Medicine, University of Salamanca, Salamanca, Spain.
Psychiatry Res. 2020 Sep;291:113252. doi: 10.1016/j.psychres.2020.113252. Epub 2020 Jul 2.
The COVID-19 pandemic reached world-wide causing a great impact on healthcare services. The aim of this work is to describe the response of the Mental Health Network of the Salamanca´ Area (Spain) to this crisis and the reorganization of its resources within the first 8 weeks after the state of alarm was declared. The Psychiatry Service applied a contingency plan which included the reorganization of the human resources, the closure of some of the units and the implementation of telemedicine programs along with two specific programs, namely a mental health assistance program in the context of the infection by coronavirus, and another program for homeless people. 9.038 phone interviews were carried out in the outpatients and community mental health programs. The activity in subacute and acute wards, as well as that of the day hospital programs was decreased to 50%. Based on that this real-world response provided we concluded that the usage of telemedicine is promising in patients with any kind of disorder. Its implementation in daily practice will be considered in the future. Research must continue on COVID-19's impact on patients with mental disorders and Psychiatry's necessary adaptations and new approaches to them.
新冠疫情蔓延至全球，对医疗服务造成了巨大影响。本研究旨在描述西班牙萨拉曼卡地区心理健康网络对这一危机的应对措施，以及在宣布进入警戒状态后的前8周内其资源的重新组织情况。精神科服务部门实施了一项应急计划，其中包括人力资源的重新组织、部分科室的关闭、远程医疗项目的实施，以及两个特定项目，即在冠状病毒感染背景下的心理健康援助项目和另一个针对无家可归者的项目。在门诊和社区心理健康项目中进行了9038次电话访谈。亚急性和急性病房以及日间医院项目的活动减少到了50%。基于我们提供的这一实际应对情况，我们得出结论，远程医疗在各类疾病患者中具有广阔前景。未来将考虑在日常实践中实施。必须继续研究新冠疫情对精神障碍患者的影响以及精神科对其必要的调整和新方法。
