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基于电话的远程精神病学咨询:阿曼精神科医生经验的定性探讨。

Telephone-based telepsychiatry consultations: a qualitative exploration of psychiatrists' experiences in Oman.

机构信息

Oman Medical Speciality Board, Muscat, Oman.

Internship Training Program, Sultan Qaboos University, Muscat, Oman.

出版信息

BMJ Open. 2024 Mar 8;14(3):e079033. doi: 10.1136/bmjopen-2023-079033.

Abstract

OBJECTIVES

The utilisation of tele-mental health services has the potential to address challenges in mental health services within the Eastern Mediterranean Region. However, the adoption of tele-mental health in Oman remains limited. Therefore, this study aimed to explore the experiences of psychiatrists with telephone consultations, offering valuable insights to advance the field of telepsychiatry.

DESIGN

This is a qualitative exploratory study. The analysis of the data involved the application of manifest content analysis.

SETTING

The semi-structured interviews were conducted with the psychiatrists at Al Masarra Hospital.

PARTICIPANTS

A total of 10 semi-structured interviews were conducted.

RESULTS

The study reveals that psychiatrists encounter communication challenges in telephone consultations, such as the absence of visual cues, confirming patient identity, conducting comprehensive assessments and effectively communicating with younger patients who may lack developed social skills or patients with specific health conditions. Infrastructure limitations, such as outdated medical records, lack of electronic prescriptions and limited availability of child/adolescent psychiatric medications, further restrict the effectiveness of telepsychiatry consultations. In contrast, telephone appointments offer convenience and flexibility for psychiatrists, allowing them to manage non-clinical responsibilities and provide focused consultations tailored to individual needs. In addition, it benefits patients by improving appointment adherence, diminishing stigma and financial savings compared with in-person consultations.

CONCLUSIONS

Tele-mental health has emerged as a promising avenue for enhancing mental healthcare services in Oman. Addressing psychiatrists' challenges is crucial to further developing and strengthening these services.

摘要

目的

远程心理健康服务的利用有潜力解决东地中海区域心理健康服务面临的挑战。然而,远程心理健康在阿曼的采用仍然有限。因此,本研究旨在探讨精神科医生进行电话咨询的经验,为推进远程精神病学领域提供有价值的见解。

设计

这是一项定性探索性研究。数据分析采用了明显内容分析。

地点

在 Al Masarra 医院对精神科医生进行了半结构化访谈。

参与者

共进行了 10 次半结构化访谈。

结果

研究表明,精神科医生在电话咨询中遇到沟通挑战,例如缺乏视觉线索、确认患者身份、进行全面评估以及与可能缺乏社交技能或特定健康状况的年轻患者或儿童/青少年精神病患者进行有效沟通。基础设施限制,如过时的医疗记录、缺乏电子处方和有限的儿童/青少年精神病药物供应,进一步限制了远程精神病学咨询的效果。相比之下,电话预约为精神科医生提供了便利和灵活性,使他们能够管理非临床职责,并根据个人需求提供针对性的咨询。此外,与面对面咨询相比,它通过提高预约依从性、减少耻辱感和节省费用使患者受益。

结论

远程心理健康已成为加强阿曼心理健康服务的有前途的途径。解决精神科医生的挑战对于进一步发展和加强这些服务至关重要。

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