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[Adolescents with substance use disorders--a challenging patient group with multiple problems].

https://arctichealth.org/en/permalink/ahliterature190135
Source
Duodecim. 2000;116(18):1939-41
Publication Type
Article
Date
2000

Evaluation of a routine telepsychiatry service.

https://arctichealth.org/en/permalink/ahliterature194858
Source
J Telemed Telecare. 2001;7(2):90-8
Publication Type
Article
Date
2001
Author
J. Simpson
S. Doze
D. Urness
D. Hailey
P. Jacobs
Author Affiliation
Alberta Mental Health Board, Ponoka, Canada.
Source
J Telemed Telecare. 2001;7(2):90-8
Date
2001
Language
English
Publication Type
Article
Keywords
Adult
Aged
Algorithms
Attitude of Health Personnel
Attitude to Computers
Cost-Benefit Analysis
Equipment Failure
Female
Health Care Costs
Humans
Male
Middle Aged
Newfoundland and Labrador
Psychiatry - economics - methods
Referral and Consultation
Remote Consultation - economics - utilization
Rural Health Services - economics - utilization
Abstract
An assessment was undertaken of a routine telepsychiatry service in rural areas of a Canadian province as a follow-up to a pilot telepsychiatry project. Over two years, there were 546 consultations at the five participating general hospitals, although the level of use varied considerably between them. Health professionals expressed high satisfaction with the service. While there were equipment problems in 17% of all consultations in the second year, they did not seem to affect acceptance of the technique. A cost analysis comparing consultations provided by a visiting psychiatrist and telepsychiatry found a break-even point of 348 consultations a year. However, when use of the videoconferencing network for administrative meetings was considered, the break-even point was 224 consultations a year, substantially below the actual utilization of telepsychiatry. Telepsychiatry appeared to result in increased access to community mental health services, suggesting future increased demand for these. From the perspective of health authorities and health professionals, telepsychiatry proved to be a useful and sustainable addition to existing mental health services.
PubMed ID
11331046 View in PubMed
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Evaluation of a telepsychiatry pilot project.

https://arctichealth.org/en/permalink/ahliterature200719
Source
J Telemed Telecare. 1999;5(1):38-46
Publication Type
Article
Date
1999
Author
S. Doze
J. Simpson
D. Hailey
P. Jacobs
Author Affiliation
Crossroads Regional Health Authority, Wetaskiwin, Canada.
Source
J Telemed Telecare. 1999;5(1):38-46
Date
1999
Language
English
Publication Type
Article
Keywords
Canada
Community Mental Health Services - economics - organization & administration
Costs and Cost Analysis
Evaluation Studies as Topic
Hospitals, General
Hospitals, Psychiatric
Humans
Pilot Projects
Psychiatry - economics - methods
Telemedicine - economics - methods
Abstract
We assessed a telepsychiatry pilot project in which a psychiatric hospital was linked with mental health clinics in five general hospitals. Information was collected through questionnaires administered to patients, service providers and psychiatric consultants, and by interviews. The technology was considered easy to use by participating health-care professionals and patients, and the quality of the sound and picture was adequate. Survey data suggested acceptance and satisfaction on the part of patients, service providers and psychiatric consultants. An economic analysis indicated that at 396 consultations per year the service cost the same as providing a travelling psychiatrist (C$610 per consultation); with more consultations, telepsychiatry was cheaper. Information gathered during the evaluation suggested that the use of videoconferencing for psychiatric consultations was a viable option for an integrated, community-based mental health service.
PubMed ID
10505368 View in PubMed
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Videoconferencing in child and adolescent telepsychiatry: a systematic review of the literature.

https://arctichealth.org/en/permalink/ahliterature30214
Source
J Telemed Telecare. 2004;10(4):187-92
Publication Type
Article
Date
2004
Author
Lilli Pesämaa
Hanna Ebeling
Marja-Leena Kuusimäki
Ilkka Winblad
Matti Isohanni
Irma Moilanen
Author Affiliation
Clinic of Child Psychiatry, Department of Paediatrics, Oulu University Hospital, Finland. lilli.pesamaa@oulu.fi
Source
J Telemed Telecare. 2004;10(4):187-92
Date
2004
Language
English
Publication Type
Article
Keywords
Adolescent
Attitude of Health Personnel
Child
Consumer Satisfaction
Humans
Patient satisfaction
Professional-Patient Relations
Psychiatry - economics - methods
Randomized Controlled Trials
Research Support, Non-U.S. Gov't
Telemedicine - economics - methods
Abstract
A systematic review of child and adolescent telepsychiatry was conducted. It was based on a search of the electronic databases MEDLINE and PsycINFO covering the period 1966 to June 2003. Studies were selected for review if they concerned videoconferencing for patient care or consultation, evaluated a clinical service or education, or assessed satisfaction with videoconferences. Twenty-seven articles were identified that fulfilled the selection criteria. These comprised two reports of randomized controlled experiments, 10 of descriptive questionnaire studies or observational surveys, seven case studies and eight other reports. Only three of the studies presented some calculations of cost-effectiveness. When classified by 'Quality of Evidence' criteria, only two studies were in category I (the highest), one was in II-2 and the rest fell into category III (the lowest). Most studies of child and adolescent telepsychiatry examined satisfaction with videoconferencing or described programmes or care regimens. Videoconferencing seemed to improve the accessibility of services and served an educational function. Some papers also mentioned savings in time, costs and travel. Problems with non-verbal communication and the audiovisual quality of the videoconference were mentioned as drawbacks. Telepsychiatry therefore seems to offer several benefits, at least in sparsely populated regions. Well designed and properly controlled trials are required to evaluate the clinical value of this promising method in child psychiatry, where there is a constantly increasing need for services.
PubMed ID
15273027 View in PubMed
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