Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Department of Psychiatry, Weill Cornell Medicine, New York, New York, USA.
Telemed J E Health. 2021 Dec;27(12):1385-1392. doi: 10.1089/tmj.2020.0575. Epub 2021 Feb 19.
To examine clinician perspectives on the acceptability, appropriateness/suitability, and feasibility of video telehealth as a way to deliver mental health services during the COVID-19 pandemic. Mental health clinicians were surveyed with 27 Likert questions, using previously validated measures, on satisfaction and implementation experience with video telehealth visits between March and June 2020. A total of 112 of 193 clinicians completed the survey (58.0%), including psychiatrists, psychologists, trainees (i.e., residents and fellows), advanced practice providers, and licensed mental health counselors. Clinicians reported high levels of acceptability, feasibility, and appropriateness of video telehealth; they also reported high levels of satisfaction with video telehealth visits. Seventy-nine and a half (79.5%) reported that their patients seemed highly satisfied with video telehealth visits, and 107 (95.5%) of clinicians responded that they would like video telehealth visits to represent at least 25% of their practice in the future. Mental health clinicians showed positive attitudes toward the implementation of video telehealth visits, high levels of satisfaction with this care, and indicated strong interest in continuing this modality as a significant portion of clinical practice. This study demonstrates the ability of mental health clinicians to embrace new technology to expand access to care during the COVID-19 pandemic. Results indicate that telemental health is likely to be an integral part of clinic practice in the future.
为了研究临床医生对在 COVID-19 大流行期间使用视频远程医疗提供心理健康服务的可接受性、适当性/适宜性和可行性的看法。在 2020 年 3 月至 6 月期间,使用先前经过验证的措施,通过 27 个李克特量表问题对心理健康临床医生进行了调查,了解他们对视频远程医疗访问的满意度和实施经验。共有 193 名临床医生中的 112 名(58.0%)完成了调查,包括精神科医生、心理学家、受训者(即住院医师和研究员)、高级执业医师和持照心理健康顾问。临床医生报告说视频远程医疗具有高度的可接受性、可行性和适当性;他们还报告说对视频远程医疗访问非常满意。79.5%的人报告说他们的患者对视频远程医疗访问似乎非常满意,而 107 名(95.5%)的临床医生表示他们希望视频远程医疗访问在未来至少占其实践的 25%。心理健康临床医生对实施视频远程医疗访问持积极态度,对这种护理的满意度很高,并表示有强烈兴趣将这种模式作为临床实践的重要组成部分继续下去。这项研究表明,心理健康临床医生有能力采用新技术在 COVID-19 大流行期间扩大获得护理的机会。结果表明,远程心理健康治疗很可能成为未来诊所实践的一个组成部分。