Zimmerman Mark, Benjamin Isabel, Tirpak Julianne Wilner, D'Avanzato Catherine
From the Department of Psychiatry and Human Behavior, Brown Medical School, and the Department of Psychiatry, Rhode Island Hospital, 146 West River Street, Providence, RI 02904.
From the Department of Psychiatry and Human Behavior, Brown Medical School, and the Department of Psychiatry, Rhode Island Hospital, 146 West River Street, Providence, RI 02904.
Psychiatry Res. 2021 Jul;301:113966. doi: 10.1016/j.psychres.2021.113966. Epub 2021 Apr 26.
Most research evaluating telehealth psychiatric treatment has been conducted in outpatient settings. There is a lack of research assessing the efficacy of telehealth treatment in more acute, intensive treatment settings such as a partial hospital. In the face of the COVID-19 pandemic, much of ambulatory behavioral health treatment has transitioned to a telehealth, or virtual, format. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we compared patient satisfaction of partial hospital services delivered via telehealth to in-person treatment provided to patients treated prior to the COVID-19 outbreak. The sample included 240 patients who were treated virtually from May, 2020 to October, 2020, and a comparison group of 240 patients who were treated in the in-person partial program a year earlier. Patients completed self-administered measures of patient satisfaction after the initial evaluation and at the end of treatment. For both the in-person and telehealth methods of delivering partial hospital level of care, patients were highly satisfied with the initial diagnostic evaluation and were optimistic at admission that treatment would be helpful. At the completion of treatment, both groups were highly satisfied with all components of the treatment program and almost all would recommend treatment to a friend or family member. Thus, patient satisfaction was as high with telehealth partial hospital treatment as with in-person treatment.
大多数评估远程医疗精神科治疗的研究都是在门诊环境中进行的。缺乏对远程医疗治疗在更急性、更强化的治疗环境(如部分住院治疗)中的疗效评估。面对新冠疫情,许多门诊行为健康治疗已转变为远程医疗或虚拟形式。在罗德岛改善诊断评估与服务方法(MIDAS)项目的本报告中,我们比较了通过远程医疗提供的部分住院服务与在新冠疫情爆发前为患者提供的面对面治疗的患者满意度。样本包括2020年5月至2020年10月接受虚拟治疗的240名患者,以及一年前在面对面部分项目中接受治疗的240名患者组成的对照组。患者在初始评估后和治疗结束时完成了患者满意度的自我评估。对于提供部分住院护理水平的面对面和远程医疗方法,患者对初始诊断评估高度满意,入院时对治疗会有帮助持乐观态度。在治疗结束时,两组对治疗方案的所有组成部分都高度满意,几乎所有人都会向朋友或家人推荐治疗。因此,远程医疗部分住院治疗的患者满意度与面对面治疗一样高。