A Feasibility Study of the Use of Asynchronous Telepsychiatry for Psychiatric Consultations

Yellowlees, Peter Mackinlay; Odor, Alberto M; Parish, Michelle Burke; Iosif, Ana‐Maria; Haught, Karen; Hilty, Donald M.

doi:10.1176/appi.ps.61.8.838

Cited by 23 publications

(22 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Audio-only synchronous digital patient-to-provider encounters can also be conducted via telephone, cell phone or smartphone. These encounters tend to be more focused (e.g., to discuss side-effect or assess treatment response).Asynchronous digital patient-to-provider communicationInclude interactive video,42 interactive voice response,43 text messaging,44,45 e-mails, and secure chat rooms hosted by healthcare organizations in which there is a time lag in communication between the patient and the provider. These encounters, by the nature of the technology, tend to be more focused than synchronous patient-to-provider encounters.…”

Section: Utilizationmentioning

confidence: 99%

A Re-conceptualization of Access for 21st Century Healthcare

et al. 2011

View full text Add to dashboard Cite

Many e-health technologies are available to promote virtual patient–provider communication outside the context of face-to-face clinical encounters. Current digital communication modalities include cell phones, smartphones, interactive voice response, text messages, e-mails, clinic-based interactive video, home-based web-cams, mobile smartphone two-way cameras, personal monitoring devices, kiosks, dashboards, personal health records, web-based portals, social networking sites, secure chat rooms, and on-line forums. Improvements in digital access could drastically diminish the geographical, temporal, and cultural access problems faced by many patients. Conversely, a growing digital divide could create greater access disparities for some populations. As the paradigm of healthcare delivery evolves towards greater reliance on non-encounter-based digital communications between patients and their care teams, it is critical that our theoretical conceptualization of access undergoes a concurrent paradigm shift to make it more relevant for the digital age. The traditional conceptualizations and indicators of access are not well adapted to measure access to health services that are delivered digitally outside the context of face-to-face encounters with providers. This paper provides an overview of digital “encounterless” utilization, discusses the weaknesses of traditional conceptual frameworks of access, presents a new access framework, provides recommendations for how to measure access in the new framework, and discusses future directions for research on access.

show abstract

Section: Utilizationmentioning

confidence: 99%

A Re-conceptualization of Access for 21st Century Healthcare

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Telepsychiatry can be used as a care force multiplier by increasing the accessibility to supervision of allied care professionals as well as by the implementation of emerging models of telepsychiatry such as store-and-forward telepsychiatry and virtually integrated behavioral healthcare through which team-based care increases the number of patients for whom a psychiatrist can provide oversight. 21,22 Preliminary data suggest that telepsychiatry may also have some advantages in terms of lower cost than locum tenens and more sustainable long-term services. Ultimately, healthcare reform and marketplace dynamics will continue to shape these evolving models of psychiatric workforce coverage.…”

Section: Resultsmentioning

confidence: 99%

Locum Tenens and Telepsychiatry: Trends in Psychiatric Care

Thiele

Doarn

Shore

2015

Telemedicine and e-Health

View full text Add to dashboard Cite

One can anticipate that as the national shortage of psychiatrists is expected to accelerate, use of both locum tenens and telepsychiatry may also continue to increase. Telepsychiatry offers several possible advantages, including lower cost, longer-term services, quality of care, and models that can extend psychiatric services. If current trends continue, systems that demand face-to-face psychiatry may find themselves paying higher fees for locum tenens psychiatrists, whereas others may employ psychiatrists more efficiently with telepsychiatry.

show abstract

“…A pilot study of asynchronous telepsychiatry in rural California demonstrated the feasibility of this approach [53] and has intriguing implications for global delivery models that rely on efficient and cost-effective service provision. A wide variety of models exemplify how the integration of mental health care into primary care settings may be adapted to local circumstances [7••].…”

Section: Psychosomatic Principles In Practice: Evidence-based Delivermentioning

confidence: 99%

The Role of Psychosomatic Medicine in Global Health Care

Bauer

Bonilla

Grover

et al. 2010

Curr Psychiatry Rep

View full text Add to dashboard Cite

This article reviews the principles and skills involved with psychosomatic medicine and their potential ability to improve global health care. New awareness of the escalating global public health impact of noncommunicable diseases, including chronic medical conditions and mental disorders, has stimulated interest in determining how best to organize health services. Home to the biopsychosocial model, the field of psychosomatic medicine is well-suited to inform such efforts by virtue of its emphasis on cross-disciplinary collaboration and specialized knowledge at the interface of medicine and psychiatry that takes into account individual and contextual influences on health. Consistent with the principles of psychosomatic medicine, promising strategies to improve global health care include integrating mental health care into primary care, applying the chronic care model in programs aimed at enhancing disease self-management, and using innovative models such as Internet-based therapy and telemedicine to increase access to quality care.

show abstract

A Feasibility Study of the Use of Asynchronous Telepsychiatry for Psychiatric Consultations

Cited by 23 publications

References 0 publications

A Re-conceptualization of Access for 21st Century Healthcare

A Re-conceptualization of Access for 21st Century Healthcare

Locum Tenens and Telepsychiatry: Trends in Psychiatric Care

The Role of Psychosomatic Medicine in Global Health Care

Contact Info

Product

Resources

About