Economic evaluation and costs of telepsychiatry programmes: A systematic review

Naslund, John A.; Mitchell, Lauren M.; Joshi, Udita; Nagda, Dipal; Lu, Chunling

doi:10.1177/1357633x20938919

Cited by 39 publications

(43 citation statements)

References 63 publications

(122 reference statements)

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“…While maintenance of improvements was found at follow up assessments in two reviews regarding video-based tele-therapy (27, 34) and another regarding telephone-based therapy (24), two other reviews reported that videoconference interventions may show less longevity in maintenance of effects than face-to-face interventions (26, 31). A final review of mixed modality remote interventions suggested that while inferior to face to face formats at shorter term follow up, remote interventions may be more beneficial than face-to-face at longer follow-ups (36 months) (18). Further details on clinical outcomes are available in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…Two reviews presented conclusions regarding the economic impact of telepsychiatry (32, 36). One review concluded that tele-psychiatry can be cost effective, compared to face-to-face interventions, particularly in rural areas where the number of consultations required before telepsychiatry becomes more cost effective (combatting initial equipment costs) is lower (32).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Remote working in mental health services: a rapid umbrella review of pre-COVID-19 literature

Barnett

Goulding

Casetta

et al. 2020

Preprint

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Background: Tele-mental health care has been rapidly adopted to maintain services during the pandemic, and there is now substantial interest in its future role. Service planning and policy making for recovery from the pandemic and beyond should draw not only on COVID-19 experiences, but also on the substantial research evidence accumulated prior to this. Aims: to conduct an umbrella review of systematic reviews of research literature and evidence-based guidance on remote working in mental health, including both qualitative and quantitative literature. Method: Three databases were searched between January 2010 and August 2020 for systematic reviews meeting pre-defined criteria. Reviews retrieved were independently screened and those meeting inclusion criteria were synthesised and assessed for risk of bias. Narrative synthesis was used to report findings Results: Nineteen systematic reviews met inclusion criteria. Fifteen examined clinical effectiveness, eight reported on aspects of tele-mental health implementation, ten reported on acceptability to service users and clinicians, two on cost-effectiveness and one on guidance. Most reviews were assessed as low quality. Findings suggested that video-based communication could be as effective and acceptable as face-face formats, at least in the short-term. Evidence was lacking on extent of digital exclusion and how it can be overcome, or on significant context such as children and young people and inpatient settings. Conclusions: This umbrella review suggests that tele-mental health has potential to be an effective and acceptable form of service delivery. However, we found limited evidence on impacts of large-scale implementation across catchment areas. Combining previous evidence and COVID-19 experiences may allow realistic planning for future tele-mental health implementation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Remote working in mental health services: a rapid umbrella review of pre-COVID-19 literature

Barnett

Goulding

Casetta

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…However, conclusions were similar across reviews, and no review had all the same studies contributing to any synthesis. Multimedia Appendix 2 [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36]38, and Multimedia Appendix 3 present further details of the study overlap.…”

Section: Overviewmentioning

confidence: 99%

“…A total of 2 reviews presented conclusions regarding the economic impact of telepsychiatry [29,33]. One review concluded that telepsychiatry can be cost-effective as compared with face-to-face interventions, particularly in rural areas where there were lower numbers of consultations required before telepsychiatry becomes more cost-effective (combatting initial equipment costs) [29].…”

Section: Cost-effectivenessmentioning

confidence: 99%

Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews

Barnett¹,

Goulding²,

Casetta³

et al. 2021

J Med Internet Res

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Background Telemental health care has been rapidly adopted for maintaining services during the COVID-19 pandemic, and a substantial interest is now being devoted in its future role. Service planning and policy making for recovery from the pandemic and beyond should draw on both COVID-19 experiences and the substantial research evidence accumulated before this pandemic. Objective We aim to conduct an umbrella review of systematic reviews available on the literature and evidence-based guidance on telemental health, including both qualitative and quantitative literature. Methods Three databases were searched between January 2010 and August 2020 for systematic reviews meeting the predefined criteria. The retrieved reviews were independently screened, and those meeting the inclusion criteria were synthesized and assessed for risk of bias. Narrative synthesis was used to report these findings. Results In total, 19 systematic reviews met the inclusion criteria. A total of 15 reviews examined clinical effectiveness, 8 reported on the aspects of telemental health implementation, 10 reported on acceptability to service users and clinicians, 2 reported on cost-effectiveness, and 1 reported on guidance. Most reviews were assessed to be of low quality. The findings suggested that video-based communication could be as effective and acceptable as face-to-face formats, at least in the short term. Evidence on the extent of digital exclusion and how it can be overcome and that on some significant contexts, such as children and young people’s services and inpatient settings, was found to be lacking. Conclusions This umbrella review suggests that telemental health has the potential to be an effective and acceptable form of service delivery. However, we found limited evidence on the impact of its large-scale implementation across catchment areas. Combining previous evidence and COVID-19 experiences may allow realistic planning for the future implementation of telemental health.

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“…52 In a systematic review on the cost-effectiveness of telepsychiatry services, it was observed that in 60% of the reports, the service was economical. 53 Another study report telepsychiatry to be cost-effective in chronic conditions needing rehabilitation in older adults. [53][54][55] A cost-effectiveness study reports that telepsychiatry practice was 50 times more economical than visiting a distant tertiary care center and four times more economical than a community outreach service.…”

Section: Cost-effectiveness and Rural Practicementioning

confidence: 99%

Telemedicine in Geriatric Psychiatry: Relevance in India

Kalaivanan

Patley

Manjunatha

et al. 2021

Indian Journal of Psychological Medicine

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Telemedicine has evolved as a novel tool in delivering health care in the modern world. With the advancement in video conferencing technology at an affordable price and innovative digital medical instruments, it has grown from guiding paramedics in managing patients to aiding physicians in providing direct consultation. Delivering care for older adults has always been challenging due to comorbidities that may warrant a multidisciplinary approach leading to frequent visits across specialties. As per the preliminary reports of the Longitudinal Aging Study in India, 55% of this population suffers from any chronic illness, of which 40% have some form of disability and 20% deal with mental health issues. Over the years, telepsychiatry care for older adults has received increasing acceptability. Videoconferencing with improved connectivity and transmission rates has aided in evaluating, assessing, and providing mental health interventions at ease. The recent regulation of telemedicine practice in the country by rolling out the Telemedicine Practice Guidelines 2020 and Telepsychiatry Operational Guidelines 2020 has fast-tracked its utility during the COVID-19 pandemic. Concerns of physical examination, psychological satisfaction of consulting physician in person, confidentiality, and security of information shared are points that need better addressing in the future. However, Telemedicine is recommended to be used judiciously, taking the risk and benefit of older adults on a case basis as it can significantly bring down the financial and emotional burden.

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Economic evaluation and costs of telepsychiatry programmes: A systematic review

Cited by 39 publications

References 63 publications

Remote working in mental health services: a rapid umbrella review of pre-COVID-19 literature

Remote working in mental health services: a rapid umbrella review of pre-COVID-19 literature

Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews

Telemedicine in Geriatric Psychiatry: Relevance in India

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