An international expert survey on the worldwide digitalization in psychiatry: Global findings from the WPA survey

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry Pub Date : 2025-01-01 DOI:10.1016/j.ajp.2024.104340

Laura Orsolini , Umberto Volpe , Rodrigo Ramalho , Ramdas Ransing , Wolfgang Gaebel

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Abstract

Background

The World Psychiatric Association (WPA) Working Group on Digital Psychiatry aims to digitally supplement, support and improve mental health and care literacy, acceptance and accessibility across WPA member countries and National Psychiatric Associations (NPAs). To help with this goal, the present study was set to explore first the global status of digital mental health and care across NPAs

Methods

An international expert survey on the digitalization level across all 145 WPA NPAs was electronically distributed through Qualtrics. Descriptive statistics were carried out on the global dataset.

Results

Across all 145 responses, 57 were included for analysis (39.3 % response rate). Most NPAs reported lacking an official section on digital mental health (73.7 %), missing national (59.6 %) or regional policies (82.5 %), clinical guidelines (>60 % depending on the digital tool/program), and education/training in both medicine (77.2 %) either and psychiatry training programs (71.9 %). Telemedicine seemed to be the most regulated digital tool in more than half of all included NPAs. Telemedicine (45.6 %) and telemental healthcare (38.6 %) were generally reimbursed. The reported highest priority areas for future actions across WPA Regions were education and training, and the development of guidelines.

Conclusion

This study represents a benchmark in the work of the WG on Digital Psychiatry. It presents clear priority areas that will guide the delivery of targeted actions aimed to promote digital mental health and care, and ultimately, equitable mental health outcomes around the world. Overall, the highest priorities to be globally implemented are represented by education/training and evidence-based clinical practice guidelines.

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一项关于全球精神病学数字化的国际专家调查：来自WPA调查的全球发现。

背景：世界精神病学协会（WPA）数字精神病学工作组旨在以数字方式补充、支持和提高WPA成员国和国家精神病学协会（NPAs）的精神健康和护理素养、接受度和可及性。为了实现这一目标，本研究首先探讨了数字化心理健康和护理在全国范围内的现状。方法：通过Qualtrics以电子方式发布了一项关于所有145个全国心理健康和护理中心数字化水平的国际专家调查。对全球数据集进行描述性统计。结果：在所有145个应答中，57个被纳入分析（39.3 %应答率）。大多数国家行动纲领报告缺乏关于数字心理健康的官方章节（73.7 %），缺少国家（59.6 %）或地区政策（82.5 %），临床指南（bbb60 %，取决于数字工具/程序），以及医学（77.2 %）和精神病学培训计划（71.9 %）的教育/培训。在所有纳入的国家行动纲领中，远程医疗似乎是一半以上最受管制的数字工具。远程医疗（45.6% %）和远程保健（38.6% %）一般得到报销。据报告，未来在《行动纲领》各区域采取行动的最优先领域是教育和培训，以及制定指导方针。结论：这项研究代表了数字精神病学工作组工作的一个基准。它提出了明确的优先领域，将指导开展有针对性的行动，以促进数字精神卫生和护理，并最终在世界各地取得公平的精神卫生成果。总体而言，全球实施的最高优先事项是教育/培训和循证临床实践指南。

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

Asian journal of psychiatry Medicine-Psychiatry and Mental Health

CiteScore

12.70

自引率

5.30%

发文量

297

审稿时长

35 days

期刊介绍： The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.