虚拟与实体精神病诊所的结果:回顾性队列研究
Cathal McCaffrey1, Ana Jelovac1, Aoife Gordon1
1Discipline of Psychiatry, Trinity College Dublin, University of Dublin, and St. Patrick's University Hospital, Dublin.
Psychiatric services (Washington, D.C.)
|August 21, 2025
概括
在COVID-19大流行期间,虚拟精神病治疗的结果比面对面的治疗更差. 需要进一步的研究,以优化远程精神病医疗服务.
科学领域:
- 精神病学
- 医疗服务研究
- 数字健康
背景情况:
- 远程精神病学提供了面对面治疗的替代方案,但其在住院治疗中的有效性尚未得到充分研究.
- 由于COVID-19大流行,需要快速扩展虚拟精神病医疗服务.
研究的目的:
- 将虚拟和实体住院精神病患者的临床结果进行比较.
- 确定与从虚拟转移到实体心理护理相关的因素.
主要方法:
- 在1579名虚拟或实体住院患者的回顾性队列研究.
- 使用治疗权重和回归模型的逆概率分析治疗反应,停留时间和再入院/死亡率.
主要成果:
- 与实体住院相比,虚拟住院 (n=214) 与较低的治疗反应 (OR=0. 58) 和更快的再住院/死亡 (HR=2.11) 有关.
- 虚拟入院的入院时间较长 (HR=0.83).
- 较低的社会经济地位和特定的精神病预测转移到身体入院.
结论:
- 在疫情期间,虚拟住院心理护理的结果比实体护理更差.
- 未来的研究应该评估虚拟精神病房的有效性和影响结果的患者特征.
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