Calderone Jacqueline, Lopez Amy, Schwenk Sarah, Yager Joel, Shore Jay H
Department of Family Medicine and Psychiatry, Helen and Arthur E. Johnson Depression Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Department of Family Medicine, Helen and Arthur E. Johnson Depression Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Mhealth. 2020 Jul 5;6:29. doi: 10.21037/mhealth.2020.02.01. eCollection 2020.
Telepsychiatry, especially in the form of live interactive videoconferencing, has greatly advanced the availability and use of specialist psychiatric consultations in primary care settings. Nevertheless, reliance on telepsychiatry, with corresponding decreases in direct face-to-face interaction between primary care providers and psychiatrists, can create unique challenges such as reducing the availability of non-verbal cues, and preventing the informal interactions that are so necessary for clarifying clinical and process details and for building essential team-based trust and rapport. Written from the perspective of an integrated psychiatrist, this article offers recommendations for a formal process to optimize virtual care coordination by setting clear expectations and providing communication tools for an effective and efficient telepsychiatry enabled integrated service.
远程精神病学，尤其是实时交互式视频会议形式的远程精神病学，极大地促进了基层医疗环境中专科精神科会诊的可及性和使用。然而，依赖远程精神病学，同时基层医疗服务提供者与精神科医生之间的直接面对面互动相应减少，可能会带来一些独特的挑战，比如减少非语言线索的可及性，以及阻碍那些对于阐明临床和流程细节、建立基于团队的基本信任和融洽关系非常必要的非正式互动。本文从一名综合精神科医生的角度出发，提出了一些建议，以建立一个正式流程，通过明确期望并提供沟通工具，来优化虚拟护理协调，从而实现高效且有效的远程精神病学综合服务。
