[Tele-expertise assistance in prescribing psychotropic drugs].

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2025-08-23 DOI:10.1016/j.encep.2025.05.007

Florian Stéphan, Joachim Lelièvre

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引用次数: 0

Abstract

Introduction: Tele-expertise is a care tool that has developed significantly in certain medical disciplines such as dermatology, ophthalmology and cardiology in France in recent years. At Brest University Hospital, we have been able to set up tele-expertise in psychiatry since April 2023, via a secure platform (Omnidoc), on assistance with prescribing or de-prescribing psychotropic drugs. The aim of this study is to evaluate its contribution after 18 months of use.

Methods: A total of 166 tele-expertise requests were received and analyzed between April 2023 and September 2024. For each tele-expertise, we collected: the response time, the number of opinions given, the breakdown of requests by requesting physician's specialty, the number of different requesting physicians, the number of requests per requesting physician, the number of post-opinion consultations, the psychiatric diagnosis evoked and the number of requests for assistance with deprescribing. A satisfaction questionnaire was sent to each requesting physician who had requested at least one opinion during the period studied.

Results: A total of 152 tele-expertise requests were included in the final analysis. The average response time was 4hours over the study period, with a median response time of 1hour. Ninety-five percent of requesting physicians were satisfied with the quality of exchanges with the psychiatrist. Ninety-three percent of requesting physicians also felt that the tele-expertise had improved patient management. Fifty nine percent of requesting physicians prescribed psychotropic drugs differently since they had sought advice. Fifty eight percent felt they had learned how to better prescribe or deprescribe psychotropic drugs. Ninety-four percent thought they would use tele-expertise again and/or recommend it to a colleague. Finally, requests for help in deprescribing psychotropic drugs concerned only 6 of the 152 requests (3.9%).

Conclusion: The introduction of tele-expertise in psychiatry, focusing on medication via a secure platform, has been much appreciated by GPs in particular. It could improve patient care and encourage city-hospital collaboration.

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[远程专家协助开精神药物处方]。

简介：远程专业技术是一种医疗工具，近年来在法国的某些医学学科，如皮肤科、眼科和心脏病学中得到了显著发展。在布雷斯特大学医院，自2023年4月以来，我们已经能够通过一个安全平台（Omnidoc）建立精神病学远程专家，协助开具或取消开具精神药物的处方。本研究的目的是评估其使用18个月后的贡献。方法：对2023年4月至2024年9月期间收到的166份远程鉴定请求进行分析。对于每个远程专家，我们收集了：响应时间，给出的意见数量，按请求医生专业划分的请求，不同请求医生的数量，每个请求医生的请求数量，意见后咨询的数量，引发的精神病学诊断和请求协助开处方的数量。一份满意度调查问卷被发给每一位在研究期间至少提出过一次意见的医生。结果：152份远程专家咨询请求被纳入最终分析。研究期间平均反应时间为4小时，中位反应时间为1小时。95%的医生对与精神科医生交流的质量感到满意。百分之九十三提出请求的医生还认为远程专业知识改善了病人的管理。59%的求诊医生因为求诊而改变了精神科药物的处方。58%的人认为他们已经学会了如何更好地开具或停用精神药物。94%的人认为他们会再次使用远程专家，并/或向同事推荐。最后，152个请求中只有6个（3.9%）涉及精神药物处方的帮助。结论：在精神病学中引入远程专家，通过一个安全的平台进行药物治疗，尤其受到全科医生的赞赏。它可以改善病人护理，鼓励城市医院合作。

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来源期刊

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.