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A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings
Indian Journal of Psychological Medicine Pub Date : 2020-09-24 , DOI: 10.1177/0253717620958168
Abhishek Ghosh 1 , Meha Verma 1 , Shalini Lal 2, 3, 4
Affiliation  

Background: The use of telepsychiatry (TP) for inpatient service delivery is still an emerging field and there is limited literature on its practice and evidence. This review was conducted with the objectives of (a) exploring the models of TP for inpatient service delivery, (b) qualitative synthesis of the efficacy of TP in inpatient settings, and (c) proposing a best-fit model of TP-based inpatient care for Indian settings. Methods: An electronic database search was conducted on July 22, 2020, in PubMed, Directory of Open Access Journals, and Google Scholar for relevant articles. Seventeen articles were included in the review. Results: The review revealed three models for TP-based inpatient care; direct care model, teleconsultation model, and the collaborative care model. Preliminary evidence suggests that TP is cost-effective and reliable, and that patients and service providers are highly satisfied with this approach. Evidence gaps were seen for some diagnostic categories such as psychosis and for extremes of age groups. Based on the existing models, we propose an Indian model for implementing TP in inpatient settings. Conclusion: Promising initial results and the evidence gaps highlight the need for further research in this area.

中文翻译:

远程精神病学用于住院服务提供的模式和功效的回顾:为印度环境提出一个模式

背景:使用远程精神病学 (TP) 提供住院服务仍然是一个新兴领域,关于其实践和证据的文献有限。本综述的目的是 (a) 探索 TP 用于提供住院服务的模型,(b) 定性综合 TP 在住院环境中的功效,以及 (c) 提出基于 TP 的住院患者的最佳拟合模型照顾印度环境。方法:2020 年 7 月 22 日,在 PubMed、开放存取期刊目录和 Google Scholar 中进行了电子数据库搜索,以查找相关文章。17篇文章被纳入审查。结果:审查揭示了基于 TP 的住院护理的三种模式;直接护理模式、远程会诊模式和协作护理模式。初步证据表明,TP 具有成本效益且可靠,并且患者和服务提供者对这种方法非常满意。一些诊断类别(例如精神病)和极端年龄组的证据存在差距。在现有模型的基础上,我们提出了一种在住院环境中实施 TP 的印度模型。结论:有希望的初步结果和证据差距突出了在该领域进行进一步研究的必要性。
更新日期:2020-09-24
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