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Procedural and methodological issues in telepsychiatry research and program development.

B C Frueh1, S E Deitsch, A B Santos

  • 1Department of Psychiatry and Behavioral Sciences of the Medical University of South Carolina, Charleston, South Carolina, USA.

Psychiatric Services (Washington, D.C.)
|November 30, 2000
PubMed
Summary
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Telepsychiatry, using videoconferencing for mental health care, shows promise for reliability and satisfaction. However, more research is needed on its cost-effectiveness and clinical outcomes.

Area of Science:

  • Psychiatry
  • Health Services Research
  • Telemedicine

Background:

  • Telepsychiatry utilizes videoconferencing technology to deliver mental health care.
  • It offers a potential solution to workforce shortages, especially in underserved geographical areas.
  • This technology aims to improve access to specialist mental health services.

Purpose of the Study:

  • To conduct a comprehensive literature review on telepsychiatry.
  • To assess the existing research on the applications of videoconferencing in mental health care.
  • To identify gaps in the current body of knowledge regarding telepsychiatry.

Main Methods:

  • A systematic search of the MEDLINE database was performed from 1970 to February 2000.
  • Keywords used included telepsychiatry, telemedicine, and videoconferencing.

Related Experiment Videos

  • Studies involving any mental health care services delivered via videoconferencing were included.

    • Main Results:

    • Psychiatric interviews conducted via telepsychiatry are generally found to be reliable.
    • Both patients and clinicians report high satisfaction levels with telepsychiatry services.
    • A notable limitation is the scarcity of empirical research, particularly on cost-effectiveness and clinical outcomes.

    Conclusions:

    • Telepsychiatry appears to be a reliable and satisfactory method for delivering mental health care.
    • There is a significant need for more empirical research, including cost-benefit analyses and clinical outcome studies.
    • Future research should focus on study design, outcome measurement, patient characteristics, and program development.