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首页> 外文期刊>Professional psychology: research and practice >Telemental Health Uptake in an Outpatient Clinic for Veterans During the COVID-19 Pandemic and Assessment of Patient and Provider Attitudes
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Telemental Health Uptake in an Outpatient Clinic for Veterans During the COVID-19 Pandemic and Assessment of Patient and Provider Attitudes

机译：COVID-19 大流行期间退伍军人门诊的远程心理健康接受情况以及患者和提供者态度的评估

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Public Significance Statement Rapid and wide-spread uptake of telemental health in an outpatient clinic serving veterans and military service members was feasible and deemed satisfactory to patients and providers. Telemental health was associated with lower no-show rates. This study aimed to (a) describe the process of rapid uptake of telemental health in an outpatient mental health clinic for veterans and their family members during the coronavirus disease 2019 (COVID-19) pandemic and (b) present patient and provider attitudes about telemental health. Virtual visit (video and phone) trends for this clinic are described over the 8 weeks pre- and post-COVID-19 closure. As part of a quality improvement initiative over a subsequent 2-week period, 147 patient visits (127 unique individuals), and 24 mental health providers who were part of a multidisciplinary team were eligible to complete an anonymous self-report satisfaction survey immediately after a telehealth session. Prior to the COVID-19 closure, the clinic averaged 112.75 completed visits per week, with virtual visits accounting for less than 5 of all appointments. In the second month after closure, the clinic averaged 153.75 completed visits per week (36.36 increase in volume), with virtual visits accounting for 100 of visits (42 phone, 58 video). The proportion of video compared to telephone visits increased pre to postclosure. The no-show rate significantly decreased pre to postclosure (10.87 vs. 15.01, resp., chi(2) = 17.81, p < .001). Patient and provider satisfaction with telemental health were high. Prospectively, most patients (83.56) expressed preference for televisits-only or televisits combined with in-person visits. Patients and providers were satisfied with telemental health. Convenience was an oft-cited advantage by both patients and providers. Telemental health may represent a cost-effective solution to mental health care access during and beyond COVID-19.
机译：公开声明快速和意义广泛吸收telemental健康的门诊为退伍军人和军事服务服务人员和被认为是可行的满意的患者和提供者。Telemental健康较低有关失约率。telemental健康的快速吸收的过程在门诊精神健康诊所退伍军人和他们的家人在2019年(COVID-19)大流行和冠状病毒疾病(b)患者和提供者的态度telemental健康。这个诊所的电话)趋势描述8周的预处理和post-COVID-19关闭。质量改进计划的一部分接下来的两周,147名患者(127独特的个人),24心理健康供应商是一个多学科的一部分完成一个匿名的团队都有资格自我报告后立即满意度调查远程医疗会话。关闭,诊所平均为112.75完成每周访问,虚拟访问会计不到5%的任命。第二个月关闭后,诊所平均153.75完成每周访问(增加36.36%占体积),虚拟访问100%的访问(42%的电话,58%的视频)。视频的比例相比,电话访问增加前postclosure。显著降低postclosure前措施)。telemental健康很高。例(83.56%)表示偏爱televisits-only或televisits结合面对面的访问。满意telemental健康。一个经常被提及的病人和优势提供者。精神卫生保健具有成本效益的解决方案访问期间和COVID-19之外。

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