Guinart Daniel, Marcy Patricia, Hauser Marta, Dwyer Michael, Kane John M
Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, New York, NY, United States.
Center for Psychiatric Neuroscience, Feinstein Institutes for Medical Research, Manhasset, NY, United States.
JMIR Ment Health. 2020 Dec 22;7(12):e24761. doi: 10.2196/24761.
The COVID-19 pandemic and its associated movement restrictions forced a rapid and massive transition to telepsychiatry to successfully maintain care continuity.
The aim of this study is to examine a large number of patients' experiences of, use of, and attitudes toward telepsychiatry.
An anonymous 11-question survey was delivered electronically to 14,000 patients receiving telepsychiatry care at 18 participating centers across 11 US states between the months of April and June 2020, including questions about their age and length of service use, as well as experience and satisfaction with telepsychiatry on a 5-point Likert scale. Descriptive statistics were used to analyze and report data.
In total, 3070 patients with different age ranges participated. The overall experience using telepsychiatry was either excellent or good for 1189 (82.2%) participants using video and 2312 (81.5%) using telephone. In addition, 1922 (63.6%) patients either agreed or strongly agreed that remote treatment sessions (telephone or video) have been just as helpful as in-person treatment. Lack of commute (n=1406, 46.1%) and flexible scheduling/rescheduling (n=1389, 45.5%) were frequently reported advantages of telepsychiatry, whereas missing the clinic/hospital (n=936, 30.7%) and not feeling as connected to their doctor/nurse/therapist (n=752, 24.6%) were the most frequently reported challenges. After the current pandemic resolves, 1937 (64.2%) respondents either agreed or strongly agreed that they would consider using remote treatment sessions in the future.
Telepsychiatry is very well perceived among a large sample of patients. After the current pandemic resolves, some patients may benefit from continued telepsychiatry, but longitudinal studies are needed to assess impact on clinical outcomes and determine whether patients' perceptions change over time.
新冠疫情及其相关的行动限制迫使迅速且大规模地转向远程精神病学，以成功维持护理的连续性。
本研究的目的是调查大量患者对远程精神病学的体验、使用情况和态度。
2020年4月至6月期间，通过电子方式向美国11个州18个参与中心接受远程精神病学护理的14000名患者发放了一份11个问题的匿名调查问卷，包括关于他们的年龄、服务使用时长的问题，以及在5点李克特量表上对远程精神病学的体验和满意度。使用描述性统计分析和报告数据。
共有3070名不同年龄范围的患者参与。使用视频的1189名（82.2%）参与者和使用电话的2312名（81.5%）参与者对使用远程精神病学的总体体验为优秀或良好。此外，1922名（63.6%）患者同意或强烈同意远程治疗会话（电话或视频）与面对面治疗一样有帮助。经常被报告的远程精神病学的优点包括无需通勤（n = 1406，46.1%）和灵活安排/重新安排时间（n = 1389，45.5%），而最常被报告的挑战是想念诊所/医院（n = 936，30.7%）和感觉与医生/护士/治疗师联系不紧密（n = 752，24.6%）。在当前疫情结束后，1937名（64.2%）受访者同意或强烈同意他们未来会考虑使用远程治疗会话。
在大量患者样本中，远程精神病学的认可度很高。在当前疫情结束后，一些患者可能会从持续的远程精神病学中受益，但需要进行纵向研究来评估对临床结果的影响，并确定患者的看法是否会随时间变化。
