Implementation and Utilisation of Telepsychiatry in Ontario: A Population-Based Study

Serhal, Eva; Crawford, Allison; Cheng, Joyce; Kurdyak, Paul

doi:10.1177/0706743717711171

Cited by 44 publications

(51 citation statements)

References 20 publications

(24 reference statements)

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“…Appropriateness was found to be almost significant; however, only access and timeliness, and safety were found to statistically significantly predict satisfaction. A potential reason for this is that the majority of patients accessing telepsychiatry in Ontario are in rural areas and thus are likely to have fairly limited access to timely service locally, so timeliness and access are major components in their overall satisfaction [ 38 ]. This information has important clinical practice and policy implications when we consider the crucial role that access, timeliness, and safety play in shaping overall patient satisfaction with telepsychiatry services, including ensuring safe spaces for patients, safety protocols and guidelines for clinicians, and a focus on timely service that supports patients with significant barriers to access.…”

Section: Discussionmentioning

confidence: 99%

Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

Serhal¹,

Kirvan²,

Sanches³

et al. 2020

J Med Internet Res

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Background Telepsychiatry is an increasingly used model of mental health care that connects patients with psychiatrists at a distance via videoconference. Telepsychiatry is an effective clinical intervention that improves access to quality care in regions with limited resources or in clinical situations where in-person care is unavailable. Objective This study aims to develop a validated survey tool to measure patient experience and satisfaction with telepsychiatry based on the quality of care domains. This study also seeks to understand which health service outcomes were most strongly correlated with overall satisfaction in the context of telepsychiatry. Methods The survey created in this study was developed and validated with a panel of subject matter and process experts and was piloted with 274 patients who received clinical consultations through the TeleMental Health Program at the Centre for Addiction and Mental Health. Factor analysis was used to determine correlations between questions and quality of care domains and was also used to assess model fit. Results The study provides a validated survey to measure patient satisfaction and experience with telepsychiatry across 4 domains: access and timeliness, appropriateness, effectiveness, and safety. Both safety and access and timeliness were found to be statistically significant predictors of satisfaction in our sample. Conclusions By situating patient satisfaction and experience within this framework, the survey facilitates patient data collection and interpretation through a clinical quality lens.

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Section: Discussionmentioning

confidence: 99%

Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

Serhal¹,

Kirvan²,

Sanches³

et al. 2020

J Med Internet Res

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“…20,38,46 Like patients, clinicians also report improved attitudes toward telepsychiatry after trying it, suggesting that increased exposure for clinicians may be important to alleviate their concerns about rapport. 35,[47][48][49][50] Where organization level barriers have been eliminated, the most frequent barrier…”

Section: Shared Concerns About Satisfac-tion/alliance/rapport/comfortmentioning

confidence: 99%

“…59 Those who received training were likely to use telepsychiatry more often, 38 and clinicians reported increased positive attitudes toward telemedicine after using it, 35 suggesting that education and training in telepsychiatry is an important strategy to increase use. [47][48][49][50] A leading expert has even recommended that training become a mandated requirement for telepsychiatry clinicians. 47 Telehealth competencies have been developed in recent years, which align targeted clinical outcomes with teaching and supervisory methods, evaluation, and feedback.…”

Section: Limited Education For Clinicians/ Learning Opportunitiesmentioning

confidence: 99%

“…There are more barriers from the clinicians' perspective. 51,59 Low uptake rates of telepsychiatry use and survey data suggest that many clinicians remain skeptical about this mode of care, 11,49,58,69,80,132 and negative biases remain a barrier at the health system leadership and clinician level. 8 In contrast to typically positive patient satisfaction with telemental health services, clinicians often report lower expectations about the value of telemental health and lower satisfaction.…”

Section: Clinician Acceptance/clinician As Gatekeepermentioning

confidence: 99%

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Barriers to Use of Telepsychiatry: Clinicians as Gatekeepers

Cowan

McKean

Gentry

et al. 2019

Mayo Clinic Proceedings

322

327

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Telepsychiatry is effective and has generated hope and promise for improved access and enhanced quality of care with reasonable cost containment. Clinicians and organizations are informed about clinical, technological, and administrative telepsychiatric barriers via guidelines, but there are many practical patient and clinician factors that have slowed implementation and undermined sustainability. Literature describing barriers to use of telepsychiatry was reviewed.

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“…For telehealth to be successfully adopted, training is best provided while the health practitioner is still in training and more amenable to learning [13]. At present, health providers that provide telehealth are in the later stage of their careers [14]. Changes for busy and older health providers are more challenging.…”

Section: Strategy To Enhance Telehealthmentioning

confidence: 99%

Enhancing access to care in northern rural communities via telehealth

Jong

Mendez

Jong

2019

International Journal of Circumpolar Health

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The cost of providing health care in northern Canada is higher than the rest of Canada. Telehealth has the potential to reduce health care expenditures. Yet this is still underutilised in Canada and globally. This paper describes the services provided through telehealth in some northern regions of Canada. It provides recommendations on the requirements for setting up real presence telehealth and how utilisation can be enhanced. Telehealth offers potential benefits for health outcomes by increasing access to healthcare, and reducing expenditures.

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Implementation and Utilisation of Telepsychiatry in Ontario: A Population-Based Study

Cited by 44 publications

References 20 publications

Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

Barriers to Use of Telepsychiatry: Clinicians as Gatekeepers

Enhancing access to care in northern rural communities via telehealth

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