秘鲁 COVID-19 大流行期间社区心理健康中心的远程保健:对主要利益相关者的定性研究

IF 4.1 Q1 PSYCHIATRY
Rubí Paredes-Angeles , Victoria Cavero , Ana L. Vilela-Estrada , Noelia Cusihuaman-Lope , David Villarreal-Zegarra , Francisco Diez-Canseco
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引用次数: 0

摘要

目的描述主要利益相关者的看法和经验,以了解 COVID-19 大流行期间秘鲁利马和卡亚俄社区精神健康中心(CMHC)使用远程医疗的情况。方法在秘鲁利马和卡亚俄的四家社区精神健康中心开展了一项定性研究。在 2021 年 9 月至 2022 年 3 月期间进行了 49 次半结构化访谈,访谈对象包括中医保健中心的使用者及其亲属、卫生和行政工作人员、主任以及地方和国家政策制定者。结果关于从面对面护理向远程保健的过渡,CMHC 的负责人和工作人员指出了政府在大流行期间颁布的一些规定,如通过远程保健提供持续护理,特别是针对孕妇和患有 COVID-19 相关合并症的人。关于益处,工作人员和用户表示,它可以更好地进行沟通,例如持续跟进。由于没有电子病历,主任和工作人员认识到谷歌 Drive 方便了用户信息的获取。此外,工作人员表示,他们利用社交媒体分享心理健康教育信息,并解释说一些新用户就是通过这种方式开始治疗的。在困难方面,参与者表示,社区健康中心缺乏设备,网络连接也很差。用户提到,安排预约很困难,因为电话线路通常处于饱和状态,他们找不到空闲的预约时间。本研究报告介绍了中医保健中心为从面对面医疗转变为远程医疗所做的调整,指出了其中的益处和面临的挑战,这些信息可用于在全国范围内的中医保健中心实施远程医疗。我们建议确保技术设备和网络连接,并对远程医疗系统进行调整,使其符合中医保健中心的常规做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telehealth in community mental health centers during the COVID-19 pandemic in Peru: A qualitative study with key stakeholders

Aim

To describe the perceptions and experiences of key stakeholders to understand the use of telehealth in community mental health centers (CMHCs) during the COVID-19 pandemic in Lima and Callao, Peru.

Methods

A qualitative study was carried out in four CMHCs in Lima and Callao, Peru. Forty-nine individual semi-structured interviews were conducted between September 2021 and March 2022, considering CMHCs' users and their relatives, health and administrative workers, directors, as well as local and national policymakers. Data was analyzed using thematic analysis.

Results

Regarding the transition from in-person care to telehealth, CMHCs' directors and workers identified some of the regulations issued by the Government during the pandemic, such as the continuity of care through telehealth, especially for pregnant women and for people with comorbidities related to COVID-19. Regarding benefits, workers and users indicated that it allowed better communication, such as constant follow-ups. Directors and workers recognized that Google Drive facilitated access to user information, since they did not have an electronic medical record. Additionally, workers said they used social media to share educational information on mental health, and explained that some new users began their treatment this way. Regarding difficulties, participants reported a lack of devices and poor internet connection in CMHCs. Users mentioned that scheduling an appointment was difficult because the phone lines were usually saturated, and they could not find available appointments.

Conclusion

Although the pandemic forced an immediate and disruptive change towards telehealth, CMHCs were able to adapt most of their services. This study reports the adaptations made by CMHCs to move from in-person to remote care, identifying the benefits and challenges faced, information that can be used for the nationwide implementation of telehealth in CMHCs. We recommend ensuring technological equipment and internet connection and adapt the telehealth system to make it responsive to the routine practices of CMHCs.

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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
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审稿时长
118 days
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