Lagera Pamela Gail D, Chan Steven R, Yellowlees Peter M
Division of Hospital Medicine, Clinical Informatics, University of California, San Francisco, CA USA.
Department of Psychiatry, University of California, San Francisco, CA USA.
Curr Treat Options Psychiatry. 2023 May 4:1-13. doi: 10.1007/s40501-023-00286-6.
Patients, providers, and trainees should understand the current types of asynchronous technologies that can be used to enhance the delivery and accessibility of mental health care. Asynchronous telepsychiatry (ATP) removes the need for real time communication between the clinician and patient, which improves efficiency and enables quality specialty care. ATP can be applied as distinct consultative and supervisory models in , , and settings.
This review is based on research literature and the authors' clinical and medical training, using experiences with asynchronous telepsychiatry from before, during, and after the COVID-19 pandemic. Our studies demonstrate that ATP provides positive outcomes in the model with demonstrated feasibility, outcomes and patient satisfaction. One author's medical education experience in the Philippines during COVID-19 highlights the potential to utilize asynchronous technology in areas with limitations to online learning. We emphasize the need to teach media skills literacy around mental health to students, coaches, therapists, and clinicians when advocating for mental well-being. Several studies have demonstrated the feasibility of incorporating asynchronous e-tools such as self-guided multimedia and artificial intelligence for data collection at the and level. In addition, we offer fresh perspectives on recent trends in asynchronous telehealth in wellness, applying concepts such as "tele-exercise" and "tele-yoga."
Asynchronous technologies continue to be integrated into mental health care services and research. Future research must ensure that the design and the usability of this technology puts the patient and provider first.
患者、医疗服务提供者和实习生应了解当前可用于提高精神卫生保健服务提供和可及性的异步技术类型。异步远程精神病学（ATP）消除了临床医生与患者之间实时沟通的需求，提高了效率，并使高质量的专科护理成为可能。ATP可以在[具体场景1]、[具体场景2]和[具体场景3]环境中作为不同的咨询和监督模式应用。
本综述基于研究文献以及作者的临床和医学培训经验，借鉴了COVID-19大流行之前、期间和之后的异步远程精神病学经验。我们的研究表明，ATP在[具体模式]中产生了积极结果，证明了其可行性、效果和患者满意度。一位作者在COVID-19期间在菲律宾的医学教育经历凸显了在在线学习受限地区利用异步技术的潜力。在倡导心理健康时，我们强调需要向学生、教练、治疗师和临床医生传授围绕心理健康的媒体技能素养。几项研究证明了在[具体层面1]和[具体层面2]纳入异步电子工具（如自我指导的多媒体和人工智能用于数据收集）的可行性。此外，我们对健康领域异步远程医疗的最新趋势提供了新的视角，应用了“远程锻炼”和“远程瑜伽”等概念。
异步技术继续被整合到精神卫生保健服务和研究中。未来的研究必须确保该技术的设计和可用性将患者和医疗服务提供者放在首位。
