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范式转变:印度远程医疗咨询的扩展与挑战

A Paradigmatic Shift: Telehealth Counselling's Expansion and Challenges in India.

作者信息

Baruah Anganabha

机构信息

Department of Psychology, Christ University, Bangalore, India.

出版信息

J Eval Clin Pract. 2025 Apr;31(3):e70089. doi: 10.1111/jep.70089.

Abstract

BACKGROUND

This study provides a comprehensive analysis of the rapid expansion and transformative impact of telehealth counselling in India, a trend significantly propelled by the challenges posed by the COVID-19 pandemic.

METHODOLOGY

This paper presents a perspective on the current telehealth landscape, synthesizing insights from an extensive literature review. The investigation integrates qualitative insights from health care practitioners and clients, allowing for a multifaceted understanding of the emerging obstacles linked to telehealth implementation. The synthesis is structured around several key concepts identified in the literature, including the efficacy of telehealth counselling services compared to traditional face-to-face interactions, the resilience of mental health services during crises, and the growing acceptance of digital modalities among patients. Additionally, it explores significant challenges such as disparities in technological access, the need for comprehensive regulatory frameworks, varying levels of patient receptivity, infrastructural limitations, and the readiness of health care professionals to adopt telehealth technologies.

RESULTS

By focusing on these areas, the paper elucidates the complex interplay of technical, regulatory, and cultural factors shaping the telehealth ecosystem in India. It advocates for urgent policy enhancements and the continuous integration of technology to effectively address these barriers.

DISCUSSION

This perspective underscores the potential for telehealth counselling to evolve into a permanent and essential component of India's mental health service delivery model, ultimately contributing to a more resilient and accessible health care system.

CONCLUSION

The conclusions drawn emphasize the necessity for targeted policy interventions and the establishment of robust technological infrastructures to foster a more inclusive and effective telehealth environment, ensuring mental health services reach all segments of the population.

摘要

背景

本研究全面分析了印度远程医疗咨询的迅速扩张及其变革性影响,这一趋势在很大程度上受到了新冠疫情所带来挑战的推动。

方法

本文呈现了对当前远程医疗格局的一种观点,综合了广泛文献综述中的见解。该调查整合了医疗从业者和客户的定性见解,以便从多方面理解与远程医疗实施相关的新出现的障碍。综合内容围绕文献中确定的几个关键概念构建,包括与传统面对面互动相比远程医疗咨询服务的功效、危机期间心理健康服务的韧性,以及患者对数字模式的接受度不断提高。此外,它还探讨了重大挑战,如技术获取方面的差距、对全面监管框架的需求、患者接受程度的差异、基础设施限制,以及医疗专业人员采用远程医疗技术的准备情况。

结果

通过关注这些领域,本文阐明了塑造印度远程医疗生态系统的技术、监管和文化因素之间的复杂相互作用。它主张迫切加强政策并持续整合技术,以有效应对这些障碍。

讨论

这一观点强调了远程医疗咨询有潜力演变成印度心理健康服务提供模式中一个永久性且必不可少的组成部分,最终有助于建立一个更具韧性且更易获得的医疗保健系统。

结论

得出的结论强调了有针对性的政策干预以及建立强大技术基础设施的必要性,以营造一个更具包容性且更有效的远程医疗环境,确保心理健康服务覆盖所有人群。

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