远程精神病学在美国农村地区的应用:获益文献综述

Alberto Coustasse, Morgan Ruley, T. C. Mike, Briana M. Washington, Anna Robinson
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引用次数: 1

摘要

农村地区医疗保健专业人员的短缺程度高于平均水平。许多挑战限制了获得精神卫生服务的机会。其中一些障碍包括交通、医疗服务提供者的数量、贫困和缺乏保险。最近,远程精神病学在农村地区的应用有所增加。本综述的目的是确定和汇总远程精神病学对生活在美国农村社区的成年人的益处,以确定远程精神病学是否改善了护理的可及性和质量。本研究的方法是采用系统的方法进行文献综述。参考文献和来源均以英文撰写,并取自2004年至2018年在美国进行的研究,以保持本综述的最新状态。从5个数据库中选取59篇文献。有几项研究表明,远程精神病学改善了农村环境中可获得的医疗服务的可及性和质量。与此同时,由于缺乏机会、提供者总体短缺以及精神科医生分布不佳,精神保健领域的远程精神病学在农村成年人口中没有得到应有的利用。在农村地区实施远程精神病学有许多好处。虽然仍然存在阻碍广泛使用的障碍,但远程精神病学可以通过将农村患者与遵循循证护理和最佳做法的高质量精神保健服务联系起来,从而改善精神健康结果。远程精神病学在美国农村地区的应用已被证明具有显著的能力来改变精神卫生保健服务的提供和临床医生的生产力。随着技术的不断进步,远程精神病学也将进步,使人们更容易获得。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telepsychiatry Use in Rural Areas in the United States: A Literature Review of the Benefits
Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.
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