Telepsychiatry and integrated primary care: setting expectations and creating an effective process for success

Calderone, Jacqueline; Lopez, Amy; Schwenk, Sarah; Yager, Joel; Shore, Jay H.

doi:10.21037/mhealth.2020.02.01

Cited by 8 publications

(7 citation statements)

References 31 publications

(30 reference statements)

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“…21 In either case, the PCP includes a clinical question and related case material. As much as possible, the e-consult order should be designed to prompt the PCP to ask specific clinical question and to provide specific information about the case, including relevant laboratory values, current and prior medications, and results of standardized psychiatric instruments, 34 discussed further below. Some EHRs may even auto-populate such information into e-consult request forms.…”

Section: Consultation Requestmentioning

confidence: 99%

The Practice of Psychiatric E-Consultation: Current State and Future Directions

Adams

Lim

Huang

2022

Harv Rev Psychiatry

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ObjectiveThis article summarizes the existing literature on psychiatric electronic consultation (e-consultation or e-consult) to provide guidance on psychiatric e-consult practice and suggest next steps in research on psychiatric e-consults.MethodA narrative review was conducted using relevant search terms in PubMed and Google Scholar.Results and DiscussionThe psychiatric e-consult is a method of asynchronous consultation between primary care providers and psychiatric specialists that is associated with primary care provider satisfaction and promotes access to specialist guidance in mental health care. Major themes in the literature include contextual factors that affect implementation of psychiatric e-consult services, outcomes associated with psychiatric e-consults, and specific practical considerations that may affect psychiatric e-consult technique.ConclusionsPsychiatric e-consults may help address the widespread lack of access to specialty psychiatric care. Further studies are needed to examine clinical outcomes based on psychiatry e-consults.

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Section: Consultation Requestmentioning

confidence: 99%

The Practice of Psychiatric E-Consultation: Current State and Future Directions

Adams

Lim

Huang

2022

Harv Rev Psychiatry

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“…Combined with the general psychiatrist workforce shortage, these factors make locating psychiatrists for these roles challenging. Finally, while the advent of telepsychiatry comes with improvements in access and convenience for patients and providers, corresponding decreases in direct face-to-face interaction with PCPs and care managers can create unique challenges, such as reduction in non-verbal cues and informal interactions that are often necessary for clarifying clinical and process details and building team-based trust and rapport[ 24 ].…”

Section: Role Discordance: Challenges For Psychiatristsmentioning

confidence: 99%

Primary care and mental health: Where do we go from here?

Moise¹,

Wainberg²,

Shah³

2021

WJP

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Primary care has been dubbed the “de facto” mental health system of the United States since the 1970s. Since then, various forms of mental health delivery models for primary care have proven effective in improving patient outcomes and satisfaction and reducing costs. Despite increases in collaborative care implementation and reimbursement, prevalence rates of major depression in the United States remain unchanged while anxiety and suicide rates continue to climb. Meanwhile, primary care task forces in countries like the United Kingdom and Canada are recommending against depression screening in primary care altogether, citing lack of trials demonstrating improved outcomes in screened vs unscreened patients when the same treatment is available, high false-positive results, and small treatment effects. In this perspective, a primary care physician and two psychiatrists address the question of why we are not making headway in treating common mental health conditions in primary care. In addition, we propose systemic changes to improve the dissemination of mental health treatment in primary care.

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“…Telemedical consultations will be carried out differently, depending on the medical discipline. Specialties, such as psychiatry, work successfully with a conversational psychotherapy ( 11 ). Others, such as orthopedics, depend largely on physical examinations or radiological findings for defining individual treatment strategies ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Acceptance of Supportive Illustrations for Preparation of Patients for an Orthopedic Telemedical Consultation

et al. 2021

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Introduction: Telemedical video consultations are a powerful support for patient–doctor interactions. For optimal digital settings, explanatory illustrations may be helpful for patients. This study analyzed patients' the attitude of patients to illustrations preparing for an orthopedic telemedical consultation (OTC).Methods: A leaflet with eight illustrations was designed and their acceptance and estimated necessity was evaluated among patients who had experienced an OTC (EXP-group) and others who had not (NOV-group) with a 12-item-questionnaire.Results: Sixty patients participated (n = 30 each group). All illustrations were evaluated positively. The EXP-group gave significantly higher ratings than the NOV-group for improved understanding by the given keywords of the illustrations (p = 0.046), preference for being informed by illustrations than by merely by a pure text (p = 0.023), better feeling of preparation for an OTC by the illustrations (p = 0.005), and the impression of a simplified process of the OTC by the illustrations (p = 0.012).Discussion: While the illustrations were well-accepted by the participants, significant differences were revealed between the valuation of single aspects by patients, depending on a previous experience with an OTC. Therefore, a leaflet with explanatory illustrations may be helpful in preparing patients for an OTC to support the digital patient–doctor contact.

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Telepsychiatry and integrated primary care: setting expectations and creating an effective process for success

Cited by 8 publications

References 31 publications

The Practice of Psychiatric E-Consultation: Current State and Future Directions

The Practice of Psychiatric E-Consultation: Current State and Future Directions

Primary care and mental health: Where do we go from here?

Acceptance of Supportive Illustrations for Preparation of Patients for an Orthopedic Telemedical Consultation

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