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Effect of telehealth-to-home interventions on quality of life for individuals with depressive and anxiety disorders

机译：远程医疗到家庭干预对抑郁症和焦虑症患者生活质量的影响

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Abstract: Although millions of individuals suffer from mental health problems worldwide, only a small fraction receives adequate treatment. The high prevalence of depression and anxiety observed worldwide, in conjunction with very low rates of treatment utilization, are of great clinical significance, as these psychiatric conditions are two of the most important determinants of quality of life (QoL). Telehealth interventions have been touted as potential solutions to these mental health care disparities, with great interest and utility demonstrated across a diverse array of medical and psychiatric populations. Telehealth interventions may be clinic-based or home-based. The primary objective of this paper is to highlight the extent to which telehealth-to-home interventions positively impact multiple facets of QoL for individuals with depression and anxiety disorders, including those with comorbid medical conditions. While QoL outcomes are important to consider in any assessment of treatment effectiveness, QoL enhancement has received limited attention in the telemental health literature to date. All studies included in the present review evaluate telehealth-to-home treatments, assess QoL outcomes, and incorporate some degree of live, synchronous therapist-patient contact. Recommendations to advance the application of telehealth-to-home approaches are proposed and include: additional research on video-to-home telehealth platforms, strategies to increase the adoption of telehealth-to-home interventions amongst mental health treatment providers, national legislative reform to establish fair and appropriate reimbursement parameters for telehealth-to-home care, standardized definitions of telehealth-to-home services to facilitate provider engagement and reimbursement, and systematic approaches for measuring the cost-effectiveness of telehealth-to-home treatments.
机译：摘要：尽管全世界有数百万人患有精神健康问题，但只有一小部分人得到了适当的治疗。在全世界范围内观察到的抑郁症和焦虑症的高患病率以及极低的治疗利用率具有重要的临床意义，因为这些精神疾病是生活质量（QoL）的两个最重要的决定因素。远程医疗干预被认为是解决这些精神保健差距的潜在解决方案，在各种医疗和精神病人群中都表现出极大的兴趣和实用性。远程医疗干预可以基于诊所或基于家庭。本文的主要目的是强调远程医疗到家庭干预对抑郁症和焦虑症患者（包括合并症）的QoL多个方面产生积极影响的程度。虽然在任何治疗效果评估中都必须考虑QoL结局，但是迄今为止，在远程医疗健康文献中，QoL增强受到的关注有限。本综述中包括的所有研究均评估远程医疗至家庭治疗，评估QoL结果，并纳入一定程度的实时同步治疗师与患者的接触。提出了推进远程医疗到家庭方法应用的建议，包括：对视频到家庭远程医疗平台的附加研究，在心理健康治疗提供者中增加采用远程医疗到家庭干预措施的策略，国家立法改革以建立远程医疗到家庭护理的公平，适当的报销参数，远程医疗到家庭服务的标准化定义以促进提供者的参与和报销，以及衡量远程医疗到家庭治疗成本效益的系统方法。

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