Prescribing Psychotropics: Perspective From Telepsychiatry Operational Guidelines 2020

Nirisha, P Lakshmi; Malathesh, Barikar C; Manjunatha, Narayana; Kumar, Channaveerachari Naveen; Math, Suresh Bada; Kiragasur, Rajendra Madegowda

doi:10.1177/0253717620958163

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Both had their pros and cons. [ 15 ] After careful deliberation, the latter approach was followed to populate the lists.…”

Section: Discussionmentioning

confidence: 99%

“… • The categories are easy and simple[ 15 ] It provides a clear idea on which medications can be prescribed in the first consultation and which to be prescribed in the follow-up consultation[ 15 ] Prevents indiscriminate prescription of medications by the registered medical practitioners[ 15 ] Provides a legal safety net for the prescriber[ 15 ] Prevents doctor shopping. Since it is easy for the patient to approach any doctor in the country for the prescription of medications, they may use this opportunity indiscriminately and consult multiple doctors, let alone psychiatrists, online.…”

Section: Discussionmentioning

confidence: 99%

“…It provides a clear idea on which medications can be prescribed in the first consultation and which to be prescribed in the follow-up consultation[ 15 ]…”

Section: Discussionmentioning

confidence: 99%

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The prescriptions of psychotropic medications in telepsychiatry: An online survey of psychiatrists in India

Basavarajappa

Grover

Dalal

et al. 2022

Indian Journal of Psychiatry

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Context: Over the years, telepsychiatry services have expanded in many institutes. The Telemedicine Practice Guidelines and Telepsychiatry Operational Guidelines (TPOG) released in 2020 have been received by the fraternity with a mixture of apprehension, relief, and dissatisfaction on the list of drugs provided in Lists O, A, B, and C. Many psychiatrists have raised the issues of having a consensus in the formulation of List A. Aims: To draw consensus on the medications that can be listed in Lists O, A, B, and C in TPOG-2020. Settings and Design: This was an online survey with ethics approval by the Indian Psychiatric Society Ethics Review Board. All psychiatrists, who are members of the Indian Psychiatric Society and whose E-mail address was available with the society, were sent the survey link by E-mail. Methodology: Opinions and suggestions on Lists O, A, B, and C of TPOG-2020 and reasons for the suggestions were collected. Statistical Analysis Used: Frequency, percentages, mean, and standard deviation were calculated. T-test and Chi-square tests were used to see the influence of demographics on the concurrence of the lists. Results: Responses from 340 responders were analyzed. Majority of the responders agreed that List O (277, 85.5%), List B (263, 82.4%), and List C (223, 69%) are apt except for List A (162, 50.3%). Conclusions: This online survey showed that majority of the responders agreed to the lists except for List A. The approach taken to include the medications in List A, which was to include the essential drugs, has various benefits. However, the lists are not final, and the results of this survey may become an impetus to modify the list in the next edition of TPOG.

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“…Both had their pros and cons. [ 15 ] After careful deliberation, the latter approach was followed to populate the lists.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The prescriptions of psychotropic medications in telepsychiatry: An online survey of psychiatrists in India

Basavarajappa

Grover

Dalal

et al. 2022

Indian Journal of Psychiatry

Self Cite

View full text Add to dashboard Cite

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CoviCare: Current Trends and Challenges of Telemedicine in India: A Case Study on Patient Satisfaction.

Murthy

Kumar

Prathap

et al. 2022

Emerging Computational Approaches in Telehealth and Telemedicine: A Look at the Post-Covid-19 Landscape

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The Indian economy has been witnessing remarkable economic growth in recent times, but the increasing healthcare overheads are still a major challenge. Telemedicine is a distant health service that uses electronic methods to diagnose, treat, and prevent disease and damage, as well as to conduct research and educate health care practitioners. Because of the diversified geography, challenging terrain, and a large number of people, it helps to bridge the gap between resources and demand in the healthcare system. It provides a chance for successful collaboration between primary and secondary healthcare centers, as well as reaching out to the rural masses. The Internet of Things (IoT), artificial intelligence (AI), machine learning (ML), and big data science have emerged as promising technologies. All patient data may be transferred to the cloud for continued monitoring, which can then be consulted by medical specialists at any time and from anywhere. With the increasing use of cyberspace for teleconsultation, data storage, data protection, and confidentiality obligations become imperative. The Telemedicine Guidelines of India (2020) are the first step in standardizing teleconsultation services in India. A case study was conducted to determine the level of satisfaction among the patients from the telemedicine aspect. A sample size of 100 individuals was collected on various parameters namely, age, marital status, education, gender, income, income category, and telemedicine satisfaction. IBM’s SPSS tool was used to understand the statistical aspects. In almost all cases, the survey showed that the patients had good feedback which shows that telemedicine is the way forward where patients can consult with doctors in the comfort of their homes instead of visiting clinics. The goal of the chapter is to explore the current state of telemedicine in India, as well as its uses, problems, and future potential.

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Prescribing Psychotropics: Perspective From Telepsychiatry Operational Guidelines 2020

Cited by 2 publications

References 4 publications

The prescriptions of psychotropic medications in telepsychiatry: An online survey of psychiatrists in India

The prescriptions of psychotropic medications in telepsychiatry: An online survey of psychiatrists in India

CoviCare: Current Trends and Challenges of Telemedicine in India: A Case Study on Patient Satisfaction.

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