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精神卫生保健提供者对远程精神病学的态度:COVID-19大流行期间的全系统、多地点调查。

Mental Health Care Providers' Attitudes Toward Telepsychiatry: A Systemwide, Multisite Survey During the COVID-19 Pandemic.

作者信息

Guinart Daniel, Marcy Patricia, Hauser Marta, Dwyer Michael, Kane John M

机构信息

Department of Psychiatry Research (Guinart, Kane) and Ambulatory Care Division (Dwyer), Zucker Hillside Hospital, Queens, New York City; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York (Guinart, Kane); Vanguard Research Group, Glen Oaks, New York (Marcy, Hauser).

出版信息

Psychiatr Serv. 2021 Jun;72(6):704-707. doi: 10.1176/appi.ps.202000441. Epub 2021 Feb 17.

DOI:10.1176/appi.ps.202000441
PMID:33593104
Abstract

OBJECTIVES

The COVID-19 pandemic has forced a rapid transition to telepsychiatry. This study examined the experience and attitudes of mental health care providers toward telehealth.

METHODS

At 18 centers across the United States, 819 mental health care providers completed an electronic survey about telepsychiatry use and satisfaction.

RESULTS

Overall, 73% of providers using videoconferencing and 66% using the telephone rated their experience as excellent or good. Flexible scheduling or rescheduling (77%) and timely start (69%) were frequently reported advantages for both modalities. Challenges were related to patients' inability to use conferencing devices (52%), lack of sense of closeness or connection (46%), and technical problems (39%). After the pandemic resolves, 64% of respondents would want to continue using telepsychiatry in at least 25% of their caseload.

CONCLUSIONS

Telepsychiatry was very well perceived among mental health care providers, and many would like to continue using it. Access to technology and training raises concerns.

摘要

目的

新冠疫情迫使精神科迅速转向远程医疗。本研究调查了精神卫生保健提供者对远程医疗的体验和态度。

方法

在美国的18个中心,819名精神卫生保健提供者完成了一项关于远程精神病学使用情况和满意度的电子调查。

结果

总体而言,73%使用视频会议的提供者和66%使用电话的提供者将他们的体验评为优秀或良好。灵活安排或重新安排时间(77%)和准时开始(69%)是这两种方式经常被提及的优点。挑战包括患者无法使用会议设备(52%)、缺乏亲近感或联系感(46%)以及技术问题(39%)。疫情结束后,64%的受访者希望在至少25%的病例中继续使用远程精神病学。

结论

精神卫生保健提供者对远程精神病学的评价很高,许多人希望继续使用它。技术获取和培训引发了担忧。

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