Heinsch Milena, Tickner Campbell, Betts David, Brosnan Caragh, Vincent Kate, Canty Justin
Social Work, School of Social Sciences, University of Tasmania, Hobart, TAS, Australia.
School of Humanities, Creative Industries & Social Sciences, University of Newcastle, Callaghan, NSW, Australia.
Qual Health Res. 2025 May;35(6):601-610. doi: 10.1177/10497323241271960. Epub 2024 Sep 11.
There is growing evidence that the uptake and use of telehealth is influenced by the distinct specialty area or type of healthcare service provided, with mental health services presenting particular challenges. However, little is known about how telehealth use differs between different mental health professions, and no qualitative research has explored variations in telehealth use and perspectives at the profession level within Australian mental health services. To address this gap, we analyzed transcripts from 19 semi-structured interviews conducted with mental healthcare professionals in a local health district within New South Wales, Australia. A secondary analysis of the data revealed the distinct ways in which different mental health professions perceive and engage with telehealth depending on their specific role and approach to practice. Application of a systems theory lens highlighted the challenges each profession faces at different levels of telehealth engagement, and the macro-systemic power dynamics and hierarchies that shape profession-specific differences in telehealth use.
越来越多的证据表明，远程医疗的采用和使用受到所提供的不同专业领域或医疗服务类型的影响，心理健康服务面临着特殊挑战。然而，对于不同心理健康专业之间远程医疗的使用差异知之甚少，并且尚无定性研究探讨澳大利亚心理健康服务中专业层面远程医疗使用和观点的差异。为了填补这一空白，我们分析了对澳大利亚新南威尔士州一个当地卫生区的心理健康护理专业人员进行的19次半结构化访谈的记录。对数据的二次分析揭示了不同心理健康专业根据其特定角色和实践方法来感知和参与远程医疗的不同方式。运用系统理论视角突出了每个专业在远程医疗参与的不同层面所面临的挑战，以及塑造远程医疗使用中专业特定差异的宏观系统权力动态和层级结构。
