Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI.
Psychopharmacol Bull. 2021 Jan 12;51(1):59-68.
The novel coronavirus pandemic (COVID-19) led healthcare providers, including mental health providers, across the U.S. to swiftly shift to telemedicine.
This shift gave our Department of Psychiatry a chance to better understand key challenges and opportunities vis-à-vis virtual mental healthcare. We aimed to obtain provider feedback on the use of telepsychiatry and to learn from the provider perspective about patient experiences with video visits. This information will be used to inform the telemedicine strategy at a systems level within our psychiatry department, our academic health system, as well as the field of telemedicine as a whole.
A 22-item online questionnaire comprising 16 quantitative and six qualitative items was distributed to providers currently using video visits to provide care.
A total of 89 mental health providers completed the questionnaire. Outcomes demonstrated that while providers perceive challenges associated with virtual care (e.g., fatigue, technology-related issues, and age-related concerns), they also recognize a number of benefits to themselves and their patients (e.g., convenience and increased access). Overall, provider satisfaction, comfort, and willingness to use telepsychiatry was high.
The vast majority of providers adapted quickly to the use of virtual platforms; many endorse advantages that suggest virtual care will continue to be a modality they provide in the future, post-COVID-19. It will be important to continue to evaluate aspects of virtual care that may limit clinical assessments and to optimize use to improve access, convenience, and cost-efficiency of mental healthcare delivery.
新冠疫情（COVID-19）促使美国各地的医疗保健提供者（包括精神健康提供者）迅速转向远程医疗。
这种转变使我们的精神病学部有机会更好地了解虚拟精神保健方面的关键挑战和机遇。我们旨在从提供者的角度获取关于远程精神病学使用的反馈信息，并了解患者对视频就诊的体验。这些信息将用于在我们精神病学部、我们的学术医疗系统以及整个远程医疗领域的系统层面上为远程医疗策略提供信息。
一项由 16 项定量和 6 项定性问题组成的 22 项在线问卷分发给目前使用视频就诊提供护理的提供者。
共有 89 名精神健康提供者完成了问卷。结果表明，尽管提供者认为虚拟护理存在一些挑战（例如疲劳、技术相关问题和与年龄相关的担忧），但他们也认识到对自己和患者的一些好处（例如方便和增加可及性）。总体而言，提供者对远程精神病学的满意度、舒适度和使用意愿都很高。
绝大多数提供者迅速适应了虚拟平台的使用；许多人认可虚拟护理的优势，这表明虚拟护理将继续成为他们在 COVID-19 之后未来提供的一种模式。继续评估可能限制临床评估的虚拟护理方面并优化使用以提高精神保健服务的可及性、便利性和成本效益将是重要的。
