Ghosh Abhishek, Verma Meha, Lal Shalini
Dept. of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
School of Rehabilitation, University of Montreal, Montreal, QC, Canada.
Indian J Psychol Med. 2020 Sep 24;42(5 Suppl):34S-40S. doi: 10.1177/0253717620958168. eCollection 2020 Oct.
The use of telepsychiatry (TP) for inpatient service delivery is still an emerging field and there is limited literature on its practice and evidence. This review was conducted with the objectives of (a) exploring the models of TP for inpatient service delivery, (b) qualitative synthesis of the efficacy of TP in inpatient settings, and (c) proposing a best-fit model of TP-based inpatient care for Indian settings.
An electronic database search was conducted on July 22, 2020, in PubMed, Directory of Open Access Journals, and Google Scholar for relevant articles. Seventeen articles were included in the review.
The review revealed three models for TP-based inpatient care; direct care model, teleconsultation model, and the collaborative care model. Preliminary evidence suggests that TP is cost-effective and reliable, and that patients and service providers are highly satisfied with this approach. Evidence gaps were seen for some diagnostic categories such as psychosis and for extremes of age groups. Based on the existing models, we propose an Indian model for implementing TP in inpatient settings.
Promising initial results and the evidence gaps highlight the need for further research in this area.
将远程精神病学（TP）用于住院服务提供仍是一个新兴领域，关于其实践和证据的文献有限。本综述的目的是：（a）探索用于住院服务提供的TP模式；（b）对TP在住院环境中的疗效进行定性综合分析；（c）为印度环境提出基于TP的住院护理最佳适用模式。
于2020年7月22日在PubMed、开放获取期刊目录和谷歌学术上进行电子数据库搜索，以查找相关文章。本综述纳入了17篇文章。
该综述揭示了三种基于TP的住院护理模式；直接护理模式、远程会诊模式和协作护理模式。初步证据表明，TP具有成本效益且可靠，患者和服务提供者对这种方法高度满意。在某些诊断类别（如精神病）和极端年龄组中存在证据空白。基于现有模式，我们提出了一种在住院环境中实施TP的印度模式。
有前景的初步结果和证据空白凸显了该领域进一步研究的必要性。
