在紧急情况下使用远程精神病学服务:范围审查
Ligat Shalev1, Renana Eitan2, Adam J Rose1
1School of Public Health, Hebrew University, Jerusalem, Israel.
Journal of medical Internet research
|July 15, 2024
概括
在急诊室 (ED) 中的远程精神病学 (TP) 显示出减少等待时间和入院的希望. 然而,需要对其有效性,实施和用于特定患者群体和非自愿承诺进行更多研究.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 远程精神病学 (TP) 通过加快专家评估,在精神病急诊室 (ED) 提供优势.
- 关于TP在ED环境中的有效性和实施的知识有限.
研究的目的:
- 进行现有证据的范围审查,以对ED中TP的管理和临床结果进行范围审查.
- 确定在ED环境中实施TP的障碍和促进者.
主要方法:
- 根据PRISMA-ScR指南进行的范围审查.
- 在PubMed,Embase和Web of Science数据库中进行了搜索 (2013年1月至2023年4月).
- 选了2816份获取的论文,以便纳入.
主要成果:
- 包括11篇文章,10篇专注于成果,1篇关于实施.
- TP减少了精神病评估等待时间,但有时会增加ED总停留时间.
- 在TP评估的患者中观察到较低的入院率;关于成本和非自愿承诺评估的数据有限.
结论:
- 电脑精神病学在ED环境中似乎是可行的和可以接受的.
- 在了解TP的有效性和ED中的实施过程方面存在很大的差距.
- 进一步的研究应侧重于特定的患者群体和非自愿承诺评估.
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