Antonio Serena, Joseph David, Parsons Joanne, Atherton Helen
Warwick Medical School, University of Warwick, Coventry, UK.
Digit Health. 2024 Mar 7;10:20552076241233969. doi: 10.1177/20552076241233969. eCollection 2024 Jan-Dec.
There has been a rapid shift from face-to-face to remote consultation across healthcare settings. 90% of patients with mental health conditions are cared for entirely in primary care. Remote consultation can present challenges and benefits for patients with mental health conditions. The aim of this systematic review was to collate and examine the evidence relating to remote consultation in UK primary care on the experiences of patients with mental health conditions.
Six major databases were searched for empirical studies published in the English language between 1 January 2010 and 21 October 2022. Studies were included where remote consultation occurred between a patient and primary care clinician. Outcomes of interest include mode of remote consultation, patient experiences and characteristics. Final included studies were assessed for quality, and results analysed with narrative synthesis.
Six studies met the inclusion criteria, covering a range of mental health conditions and remote consultation modalities (telephone, video, online, email, text-based). Patients were overall satisfied with remote consultation, with particular benefit for certain mental health conditions or anxious patients. However, several studies found that face-to-face was the preferred method, with highlighted negatives to remote consultation, such as inflexibility of online formats. Acceptability of remote consultation is context specific and influenced by the purpose of the consultation and individual patient. Remote consultation may reduce anxiety in some patients, but is potentially less acceptable than face-to-face for relational appointments.
Acceptability of remote consultation is context dependent. There is a lack of evidence surrounding patient characteristics and access to remote consultation.
在整个医疗环境中，从面对面咨询迅速转向远程咨询。90%的心理健康状况患者完全在初级保健机构接受治疗。远程咨询对心理健康状况患者既带来挑战，也带来益处。本系统评价的目的是整理和审查与英国初级保健中远程咨询有关的、涉及心理健康状况患者经历的证据。
检索了六个主要数据库，查找2010年1月1日至2022年10月21日期间以英文发表的实证研究。纳入患者与初级保健临床医生之间进行远程咨询的研究。感兴趣的结果包括远程咨询方式、患者体验和特征。对最终纳入的研究进行质量评估，并采用叙述性综合分析结果。
六项研究符合纳入标准，涵盖一系列心理健康状况和远程咨询方式（电话、视频、在线、电子邮件、基于文本）。患者总体上对远程咨询感到满意，对某些心理健康状况或焦虑患者尤其有益。然而，几项研究发现面对面是首选方法，远程咨询存在一些负面问题，如在线形式缺乏灵活性。远程咨询的可接受性因具体情况而异，并受咨询目的和患者个体的影响。远程咨询可能会减轻一些患者的焦虑，但对于关系性预约而言，其可接受性可能低于面对面咨询。
远程咨询的可接受性取决于具体情况。关于患者特征和远程咨询获取情况的证据不足。
