Remote consultations in mental health: collaborative evaluation applying learning health systems thinking.

IF 2.2 Q3 PSYCHIATRY

BJPsych Bulletin Pub Date : 2024-12-02 DOI:10.1192/bjb.2024.102

Lucy Goulding, Julie Williams, Alison White, Aileen Jackson, Zoë Lelliott, Stuart Adams, Kia-Chong Chua, Noushig Nahabedian, Juliana Onwumere, James Woollard, Nick Sevdalis, Fiona Gaughran

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引用次数: 0

Abstract

Aims and method: A collaborative evaluation of remote consultations in mental health services was undertaken by mental health service providers, experts by experience, academic institutions and a Health Innovation Network in south London, UK. 'Learning healthcare systems' thinking was applied. Workstream 1 reviewed international published evidence; workstream 2 synthesised findings from three health provider surveys of the perceptions and experiences of staff, patients and carers; and workstream 3 comprised an electronic survey on local projects.

Results: Remote consultations can be acceptable to patients and staff. They improve access for some while restricting access for others, with digital exclusion being a key concern. Providing tailored choice is key.

Clinical implications: The collaboration generated learning to inform choices by healthcare providers to embed or adapt remote delivery. A key output was freely downloadable survey questions for assessing the quantity and quality of appointments undertaken by phone or video or face to face.

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心理健康远程会诊：应用学习卫生系统思维的协作评估。

目的和方法：对英国伦敦南部的精神卫生服务提供者、经验专家、学术机构和卫生创新网络进行了精神卫生服务远程咨询的协作评估。应用了“学习医疗保健系统”的思维。工作流程1审查了国际上发表的证据；工作流程2综合了对工作人员、患者和护理人员的看法和经验进行的三次保健提供者调查的结果；工作流程3包括对当地项目的电子调查。结果：远程会诊可为患者和医护人员所接受。它们改善了一些人的使用，同时限制了另一些人的使用，数字排斥是一个关键问题。提供量身定制的选择是关键。临床意义：协作产生的知识为医疗保健提供者选择嵌入或适应远程交付提供了信息。一项关键产出是可免费下载的调查问题，用于评估通过电话或视频或面对面进行的约会的数量和质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BJPsych Bulletin PSYCHIATRY-

CiteScore

4.30

自引率

3.80%

发文量

审稿时长

15 weeks

期刊介绍： BJPsych Bulletin prioritises research, opinion and informed reflection on the state of psychiatry, management of psychiatric services, and education and training in psychiatry. It provides essential reading and practical value to psychiatrists and anyone involved in the management and provision of mental healthcare.