Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.
National Clinical Research Center for Mental Disorders, Changsha, China.
JMIR Mhealth Uhealth. 2020 Jul 7;8(7):e16215. doi: 10.2196/16215.
With the rapid development of information technology and mobile devices, an increasing number of mobile medical services and platforms have emerged. However, China's current mental health situation necessitates further discussion and research on how to provide more patient-centered services in the face of many challenges and opportunities.
This study aims to explore the attitudes and preferences of mental health service stakeholders regarding mobile mental health services and discuss the challenges and opportunities faced by mobile technology developers in China.
A web-based survey was conducted by following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES) checklist. A total of 586 valid questionnaires were collected. Respondents included 184 patients or their family members, 225 mental health professionals, and 177 people from the general population. Data analysis was completed using SPSS 24.0.
Among the various problems perceived regarding the current mental health medical environment, difficulty in finding appropriate psychologists and limited visit times ranked highest. Social media (n=380/586, 64.9%) was the most preferred platform among all participants, whereas professionals showed a higher preference for smartphone apps (n=169/225, 75.1%). Professional instruction, psychological consultation, and mental health education (ranked top 3) were the most commonly identified needs. Mental health professionals generally emphasized more on treatment-related mobile mental health service needs, especially medication reminders (χ=70.7; P<.001), symptom monitoring (χ=24.0; P<.001), and access to mental health resources (χ=38.6; P<.001). However, patients and their family members focused more on convenient web-based prescriptions (χ=7.7; P=.02), with the general population interested in web-based psychological consultation (χ=23.1; P<.001) and mental health knowledge (χ=9.1; P=.01). Almost half of the participants regarded mobile mental health services as highly acceptable or supported their use, but less than 30% of participants thought mobile mental health services might be very helpful. Concerns about mobile mental health mainly focused on information security. Service receivers also suspected the quality and professionalism of content, and mental health professionals were worried about time and energy consumption as well as medical safety.
In terms of service flow, mobile services could be used to expand service time and improve efficiency before and after diagnosis. More individualized mobile mental health service content in more acceptable forms should be developed to meet the various needs of different mental health stakeholders. Multidisciplinary training and communication could be incorporated to facilitate the integration and cooperation of more well-rounded service teams. A standard medical record system and data format would better promote the development of future intelligent medical care. Issues such as ensuring service quality, solving safety risks, and better integrating mobile services with regular medical workflows also need to be addressed.
随着信息技术和移动设备的快速发展,越来越多的移动医疗服务和平台应运而生。然而,中国当前的心理健康状况需要进一步讨论和研究如何面对诸多挑战和机遇,提供更以患者为中心的服务。
本研究旨在探讨精神卫生服务利益相关者对移动心理健康服务的态度和偏好,并讨论移动技术开发者在中国面临的挑战和机遇。
本研究采用基于网络的调查方法,遵循互联网电子调查结果报告清单(CHERRIES)检查表。共收集了 586 份有效问卷。受访者包括 184 名患者或其家属、225 名心理健康专业人员和 177 名普通民众。使用 SPSS 24.0 完成数据分析。
在当前心理健康医疗环境中感知到的各种问题中,找到合适的心理学家困难和就诊时间有限排在前两位。社交媒体(n=380/586,64.9%)是所有参与者中最受欢迎的平台,而专业人员更倾向于智能手机应用程序(n=169/225,75.1%)。专业指导、心理咨询和心理健康教育(排名前 3 位)是最常被识别的需求。心理健康专业人员普遍更强调与治疗相关的移动心理健康服务需求,特别是药物提醒(χ=70.7;P<.001)、症状监测(χ=24.0;P<.001)和获取心理健康资源(χ=38.6;P<.001)。然而,患者及其家属更关注方便的网络处方(χ=7.7;P=.02),普通民众对网络心理咨询(χ=23.1;P<.001)和心理健康知识(χ=9.1;P=.01)感兴趣。近一半的参与者认为移动心理健康服务高度可接受或支持其使用,但不到 30%的参与者认为移动心理健康服务可能非常有帮助。对移动心理健康服务的担忧主要集中在信息安全上。服务接收者还怀疑内容的质量和专业性,心理健康专业人员担心时间和精力消耗以及医疗安全。
在服务流程方面,移动服务可以用于扩大诊断前后的服务时间并提高效率。应该开发更具个性化的、以更可接受的形式呈现的移动心理健康服务内容,以满足不同精神卫生服务利益相关者的各种需求。可以纳入多学科培训和沟通,以促进更全面的服务团队的整合和合作。一个标准的医疗记录系统和数据格式将更好地促进未来智能医疗的发展。还需要解决确保服务质量、解决安全风险以及更好地将移动服务与常规医疗工作流程整合等问题。