Review of key telepsychiatry outcomes

Hubley, Samuel; Lynch, Sarah; Schneck, Christopher D.; Thomas, Marshall R.; Shore, Jay H.

doi:10.5498/wjp.v6.i2.269

Cited by 430 publications

(434 citation statements)

References 123 publications

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“…Similarly, an evaluation by the US National Institute of Justice found that virtual care more generally (including synchronous and asynchronous care) has specific value for defined patient populations, reducing external visits to specialists and costly off-site transfers for care of prisoners [37] and providing a cost-effective solution for patients with limited access to mental health services [38]. …”

Section: Discussionmentioning

confidence: 99%

Virtual Visits and Patient-Centered Care: Results of a Patient Survey and Observational Study

2017

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BackgroundVirtual visits are clinical interactions in health care that do not involve the patient and provider being in the same room at the same time. The use of virtual visits is growing rapidly in health care. Some health systems are integrating virtual visits into primary care as a complement to existing modes of care, in part reflecting a growing focus on patient-centered care. There is, however, limited empirical evidence about how patients view this new form of care and how it affects overall health system use.ObjectiveDescriptive objectives were to assess users and providers of virtual visits, including the reasons patients give for use. The analytic objective was to assess empirically the influence of virtual visits on overall primary care use and costs, including whether virtual care is with a known or a new primary care physician.MethodsThe study took place in British Columbia, Canada, where virtual visits have been publicly funded since October 2012. A survey of patients who used virtual visits and an observational study of users and nonusers of virtual visits were conducted. Comparison groups included two groups: (1) all other BC residents, and (2) a group matched (3:1) to the cohort. The first virtual visit was used as the intervention and the main outcome measures were total primary care visits and costs.ResultsDuring 2013-2014, there were 7286 virtual visit encounters, involving 5441 patients and 144 physicians. Younger patients and physicians were more likely to use and provide virtual visits (P<.001), with no differences by sex. Older and sicker patients were more likely to see a known provider, whereas the lowest socioeconomic groups were the least likely (P<.001). The survey of 399 virtual visit patients indicated that virtual visits were liked by patients, with 372 (93.2%) of respondents saying their virtual visit was of high quality and 364 (91.2%) reporting their virtual visit was “very” or “somewhat” helpful to resolve their health issue. Segmented regression analysis and the corresponding regression parameter estimates suggested virtual visits appear to have the potential to decrease primary care costs by approximately Can $4 per quarter (Can –$3.79, P=.12), but that benefit is most associated with seeing a known provider (Can –$8.68, P<.001).ConclusionsVirtual visits may be one means of making the health system more patient-centered, but careful attention needs to be paid to how these services are integrated into existing health care delivery systems.

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Section: Discussionmentioning

confidence: 99%

Virtual Visits and Patient-Centered Care: Results of a Patient Survey and Observational Study

2017

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“…For example, inpatient interdisciplinary treatment team meetings, which typically include physicians, nurses, and social workers, can be reformatted to videoconference. In contrast, use of telepsychiatry is more well-suited for outpatient encounters, with outcomes being comparable to in-person care (Hubley et al 2016), though there may be some circumstances where an in-person visit, despite the risk of exposure, may be warranted-as in worsening mental illness requiring a higher level of care.…”

mentioning

confidence: 99%

Mobilization of Telepsychiatry in Response to COVID-19—Moving Toward 21st Century Access to Care

Kannarkat

Smith

McLeod-Bryant

2020

Adm Policy Ment Health

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The COVID-19 pandemic threatens to disrupt the provision of mental health services. In response, policymakers, administrators, and providers have taken bold steps toward enabling telepsychiatry to bridge this sudden gap in care for our most vulnerable populations. With rapid deregulation and adoption of this modality of care, careful consideration of issues related to policy and implementation is essential to maximize its effectiveness and mitigate unintended consequences. Though the crisis places the healthcare system under strain, it sets the stage for a lasting shift in not only how care is delivered, but also our beliefs around the system's capacity for rapid, innovative change.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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“…Notes 1 See also Hubley et al (2016) for a review of trials which foregrounds the import of access. 2 See: http://www.mindtech.org.uk.…”

Section: Resultsmentioning

confidence: 99%

Digitising psychiatry? Sociotechnical expectations, performative nominalism and biomedical virtue in (digital) psychiatric praxis

Pickersgill

2018

Sociology Health & Illness

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Digital artefacts and infrastructures have been presented as ever more urgent and necessary for mental health research and practice. Telepsychiatry, mHealth, and now digital psychiatry have been promoted in this regard, among other endeavours. Smartphone apps have formed a particular focus of promissory statements regarding the improvement of epistemic and clinical work in psychiatry. This article contextualises and historicises some of these developments. In doing so, I show how purportedly novel fields have been constituted in part through practices of ‘performative nominalism’ (whereby articulations of a neologism in relation to established and recent developments participate in producing the referent of the new term). Central to this has been implicit and explicit extolment of what I term biomedical virtues in public‐facing and professionally orientated discourse. I document how emphases on various virtues have shifted with the attention of psychiatry to different digital modalities, culminating with knowledge‐production in mental health as one significant focus.

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Review of key telepsychiatry outcomes

Abstract: AIM:To conduct a review of the telepsychiatry literature.

Cited by 430 publications

References 123 publications

Virtual Visits and Patient-Centered Care: Results of a Patient Survey and Observational Study

Virtual Visits and Patient-Centered Care: Results of a Patient Survey and Observational Study

Mobilization of Telepsychiatry in Response to COVID-19—Moving Toward 21st Century Access to Care

Digitising psychiatry? Sociotechnical expectations, performative nominalism and biomedical virtue in (digital) psychiatric praxis

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