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混合式远程精神病学:美国视角及其与印度的相关性

Hybrid Telepsychiatry: A United States Perspective with Relevance to India.

作者信息

Thippaiah Srinagesh Mannekote, Harbishettar Vijaykumar, Kumar T Manoj, Pandurangi Ananda

机构信息

Valleywise Behavioral Health Center, Phoenix, Arizona, United States.

Padmashree Medicare Private Ltd, Vijayanagar, Bengaluru, Karnataka, India.

出版信息

Indian J Psychol Med. 2020 Nov 1;42(5 Suppl):108S-112S. doi: 10.1177/0253717620962151. eCollection 2020 Oct.

DOI:10.1177/0253717620962151
PMID:33354054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7736731/
Abstract

Telepsychiatry provides a platform for mental health care delivery in rural and remote areas. Hybrid Telepsychiatry model combines home-based telepsychiatry with domiciliary visits by community mental health workers. This involves use of different modes of teledevices which ensures safe and secure clinical platform. Research evidence supports that incorporating this model seems to use the specialist time efficiently where the resources are limited and services need to be catered for larger geographical community. The current telepsychiatry practice in the United States, specifically the hybrid model, has indisputably shown significant benefits in caring for psychiatric patients. Such valuable clinical model and its relevance to current mental practice and also its application in the Indian scenario can be helpful in providing comprehensive multidisciplinary treatment. This review evaluates and highlights the potential risks and benefits of adopting the hybrid telepsychiatry model in the Indian mental health system.

摘要

远程精神病学为农村和偏远地区提供了一个心理健康护理平台。混合远程精神病学模式将居家远程精神病学与社区心理健康工作者的上门家访相结合。这涉及使用不同模式的远程设备,以确保安全可靠的临床平台。研究证据表明,在资源有限且需要为更大地理区域的社区提供服务的情况下,采用这种模式似乎能有效利用专家时间。美国目前的远程精神病学实践,特别是混合模式,在照顾精神病患者方面无疑显示出了显著益处。这种有价值的临床模式及其与当前精神科实践的相关性,以及在印度情境中的应用,有助于提供全面的多学科治疗。本综述评估并强调了在印度心理健康系统中采用混合远程精神病学模式的潜在风险和益处。

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本文引用的文献

1
The National Mental Health Survey of India (2016): Prevalence, socio-demographic correlates and treatment gap of mental morbidity.印度国家心理健康调查(2016):精神疾病的患病率、社会人口学相关性和治疗差距。
Int J Soc Psychiatry. 2020 Jun;66(4):361-372. doi: 10.1177/0020764020907941. Epub 2020 Mar 4.
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National Study of Telepsychiatry Use in U.S. Emergency Departments.美国急诊部门远程精神病学使用的全国性研究。
Psychiatr Serv. 2020 Jun 1;71(6):540-546. doi: 10.1176/appi.ps.201900237. Epub 2020 Feb 5.
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States Look to Telebehavioral Health to Expand Treatment Options.各州指望远程行为健康来扩大治疗选择。
NCSL Legisbrief. 2019 Feb;27(6):1-2.
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Rural Assertive Community Treatment and Telepsychiatry.农村积极社区治疗与远程精神病学。
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Home-Based Telepsychiatry in US Urban Area.美国城市地区的居家远程精神病学
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Telepsychiatry in India - Where Do We Stand? A Comparative Review between Global and Indian Telepsychiatry Programs.印度的远程精神病学——我们处于什么水平?全球与印度远程精神病学项目的比较综述。
Indian J Psychol Med. 2017 May-Jun;39(3):223-242. doi: 10.4103/0253-7176.207329.
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Telepsychiatry integration of mental health services into rural primary care settings.将精神卫生服务远程精神病学整合到农村初级保健机构中。
Int Rev Psychiatry. 2015;27(6):525-39. doi: 10.3109/09540261.2015.1085838. Epub 2015 Dec 4.
9
The hybrid doctor-patient relationship in the age of technology - Telepsychiatry consultations and the use of virtual space.技术时代的医患混合关系——远程精神病学咨询与虚拟空间的应用。
Int Rev Psychiatry. 2015;27(6):476-89. doi: 10.3109/09540261.2015.1082987. Epub 2015 Oct 23.
10
The evolution and history of telepsychiatry and its impact on psychiatric care: Current implications for psychiatrists and psychiatric organizations.远程精神病学的发展历程及其对精神科护理的影响:对精神科医生和精神科组织的当前启示
Int Rev Psychiatry. 2015;27(6):469-75. doi: 10.3109/09540261.2015.1072086. Epub 2015 Sep 23.