Eck Marion, Dujardin-Lascaux Valériane, Williatte-Pellitteri Lina, Fovet Thomas
Université de Lille, Inserm, U1172-Lille Neurosciences & Cognition (LilNCog), CHU de Lille, 2 avenue Oscar-Lambret, 59000 Lille, France; Unité hospitalière spécialement aménagée, 10 chemin du Bois-de-l'Hôpital, 59113 Seclin, France.
EPSM Lille-Métropole, 104 rue du Général-Leclerc, 59280 Armentières, France.
Soins Psychiatr. 2021 Nov-Dec;42(337):35-41. doi: 10.1016/j.spsy.2021.10.008. Epub 2021 Oct 19.
In the context of the Covid-19 pandemic, teleconsultation is an obvious solution in psychiatry to ensure continuity of care and facilitate access. However, the digitisation of ambulatory practices raises a certain number of reservations, in particular concerning the remote management of psychiatric emergencies. These situations, because of the specific aspects they cover, are in fact upsetting texts and recommendations of good practice in terms of teleconsultation. Thus, the questions of eligibility of people suffering from psychiatric disorders, the identification of an immediate self- or hetero-aggressive risk during teleconsultation and the establishment of a measure of psychiatric care without consent at the end of a teleconsultation require specific reflection in order to allow the practitioner to anticipate and manage the situation in the best possible way.
在新冠疫情背景下，远程会诊是精神病学领域确保护理连续性和便利就医的一种显而易见的解决方案。然而，门诊业务的数字化引发了一些保留意见，尤其是关于精神科急诊的远程管理。由于这些情况所涵盖的特定方面，它们实际上打乱了远程会诊方面的常规文本和良好做法建议。因此，患有精神疾病的人的资格问题、远程会诊期间即时自我或他向攻击风险的识别以及远程会诊结束时未经同意进行精神科护理措施的制定，都需要进行具体思考，以便从业者能够以最佳方式预测和处理这种情况。
