Department of Public Health, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL, 32224-2646, USA.
Community Ment Health J. 2021 Jan;57(1):49-56. doi: 10.1007/s10597-020-00675-8. Epub 2020 Jul 11.
Community-based agencies are challenged with providing mental health care services with limited resources. When services are not provided, children are at increased risk for ongoing symptoms. The purpose of this study was to determine the effectiveness of the hub and spoke model of telemental services on the quality of function, access to care, and medication management. A retrospective case controlled design was used to examine study objectives. Five hundred and fifty-seven charts were reviewed for persons aged 6 to 17 from January 1, 2010 to December 31, 2015 and after propensity score matching was applied, 86 remained for analysis. Seventy-nine persons out of 301 (26%) in the comparison group; 43 persons out of 256 (17%) in the treatment group were selected due to having complete records. Results of the T-test suggested that telemental services were not inferior to face to face services. Access to care, analyzed via the Chi-Squared test, increased significantly across geographic regions and among person with different living arrangements. A T-test was conducted to compare medication non-adherence between groups; no statistical significance was noted. Telemental services are a viable option to increase access to community-based care and increase quality of function.
社区机构在资源有限的情况下，面临着提供精神卫生保健服务的挑战。如果不提供服务，儿童将面临持续症状的风险增加。本研究的目的是确定远程心理服务的中心辐射模式对功能质量、获得护理和药物管理的有效性。采用回顾性病例对照设计来研究研究目标。对 2010 年 1 月 1 日至 2015 年 12 月 31 日期间年龄在 6 至 17 岁的 557 份病历进行了审查，在进行倾向评分匹配后，有 86 份病历用于分析。在对照组的 301 人中，有 79 人（26%）；在治疗组的 256 人中，有 43 人（17%）因记录完整而被选中。T 检验结果表明，远程心理服务并不逊于面对面服务。通过卡方检验分析，获得护理的机会在地理区域和不同生活安排的人群中显著增加。对两组之间的药物不依从性进行了 T 检验；未发现统计学意义。远程心理服务是增加获得社区护理和提高功能质量的可行选择。
