Telepsychiatry as an Economically Better Model for Reaching the Unreached: A Retrospective Report from South India

Moirangthem, Sydney; Rao, Shobini L.; Kumar, Channaveerachari Naveen; Manjunatha, Narayana; Raviprakash, Neelaveni; Math, Suresh Bada

doi:10.4103/ijpsym.ijpsym_441_16

Cited by 28 publications

(23 citation statements)

References 24 publications

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“…[1617] A recent retrospective study from India also found that telepsychiatry is an economically better model than regular outpatient model providing services to unreached special populations. [20]…”

Section: Discussionmentioning

confidence: 99%

Collaborative Tele-Neuropsychiatry Consultation Services for Patients in Central Prisons

Agarwal

Manjunatha

Gowda

et al. 2019

Journal of Neurosciences in Rural Practice

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Background: Tele-medicine helps to provide clinical care comparable to in-person treatment in various clinical settings. It is a novel system of healthcare delivery in both low-resource settings and sites where adequate medical care continues to pose greatest challenge like in prison’s in India and worldwide. Aim: To study the sociodemographic and clinical profile of patients from Central Prisons, having received collaborative Tele-Neuropsychiatric Care. Methodology: Psychiatry, neurology, and neurosurgery specialists provided tele-neuropsychiatry consultation through Specialist–Doctor–Patient model as part of the state-run program for the two central prisons from July 1, 2014, to June 30, 2016. A retrospective file review was done of the tele-neuropsychiatry case records at Tele-Medicine Centre, Located at Tertiary Neuro Psychiatric centre of South India. Results: A total of 53 patients were provided tele-neuropsychiatric consultation over 2-year period. Of these, 48 (90.6%) were male and 34 (64.1%) were aged more than 30 years. In total, 20.7% of them had severe mental illness, i.e., schizophrenia and mood disorders, 20.7% with substance use disorder (alcohol and cannabis), 17% had anxiety disorders while 17% with seizure disorder. Nearly 81.1% of patients (inmates) were advised pharmacotherapy while 18.9% were suggested further evaluation of illness and inpatient care at the higher center. Conclusion: The collaborative care was successful in delivering psychiatry, neurology, and neurosurgery consultation with a Specialist–Doctor–Patient model to prison inmates.

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Section: Discussionmentioning

confidence: 99%

Collaborative Tele-Neuropsychiatry Consultation Services for Patients in Central Prisons

Agarwal

Manjunatha

Gowda

et al. 2019

Journal of Neurosciences in Rural Practice

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“… 37 In a study in India, the telepsychiatry services delivered from a tertiary psychiatric center to a distant primary healthcare center has shown to be very cost-effective than conventional in-person care. 38 …”

Section: Benefits Of Telepsychiatrymentioning

confidence: 99%

Telepsychiatry and Outpatient Department Services

Vadlamani¹,

Sharma²,

Emani³

et al. 2020

Indian Journal of Psychological Medicine

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The utilization of telemedicine and telepsychiatry (TP) services in the outpatient department (OPD) has been increasing in recent years. The information about the technological, administrative, and clinical challenges is being addressed by the telemedicine and TP guidelines published by several individual nations. TP aims to address the treatment gaps, barriers for utilization, accessibility, diagnostic validity, financial implications, and individual client preferences. Utilization of TP in the OPD varies from country to country depending upon their healthcare delivery systems. It also varies in populations utilizing the TP services—urban, rural, child and adolescent, geriatric, and differently abled. TP services in the OPDs are being incorporated differentially by government organizations, insurance recognized psychiatric healthcare organizations, private psychiatric group practice deliverers, and individual, standalone psychiatric healthcare deliverers. TP may not replace the traditional in-person consultations completely. Covid-19 pandemic has hastened its utilization across several healthcare delivery systems. Healthcare organizations, clinicians, other healthcare deliverers, and end users are in the process of adapting to the new scenario. Incorporation of the big data, machine learning, artificial intelligence, virtual reality, and other technological advances in the psychiatric healthcare delivery systems into TP services in the OPDs would significantly contribute to the overall quality and efficacy of the psychiatric healthcare delivery systems in the future.

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“…The challenges cited were: connectivity disturbances/failure, lack of workforce to allocate telepsychiatry responsibility, cost-effectiveness, maintaining confidentiality, and data security. 14 …”

Section: Review Of Telepsychiatry Models In the Countrymentioning

confidence: 99%