Implementation lessons from the transition to telehealth during COVID-19: a survey of clinicians and young people from youth mental health services.

Implementation lessons from the transition to telehealth during COVID-19: a survey of clinicians and young people from youth mental health services.
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在Covid-19期间从过渡到远程医疗的实施课程:对青年心理健康服务的临床医生和年轻人的调查。

DOI:
10.1016/j.psychres.2021.113848
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发表时间:
2021-05
影响因子:
11.3
通讯作者:
Adams, Sophie
Adams, Sophie
中科院分区:
医学2区
文献类型:
--
作者:
Nicholas, Jennifer;Bell, Imogen H.;Thompson, Andrew;Valentine, Lee;Simsir, Pinar;Sheppard, Holly;Adams, Sophie

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虽然远程保健可以克服一些传统的护理障碍,但成功实施到服务环境中的情况很少,特别是在青年精神卫生保健方面。这项研究旨在利用COVID-19导致的远程医疗的快速实施,了解年轻人和临床医生对远程医疗如何影响服务提供和服务质量的看法,并为未来的使用开发途径。青少年心理健康服务用户(12-25岁)和临床医生参加了一项在线调查,探讨采用远程保健后的服务提供,使用和质量。还审查了这一时期的服务使用数据。92名临床医生和308名年轻人回答了调查。与2019年同期相比,服务使用量有所减少,但出勤率有所上升。在服务质量的八个领域中,大多数年轻人报告说,远程保健对服务质量产生了积极影响,并且比临床医生更有可能将远程保健评为对服务质量产生积极影响。人们对继续使用远程保健作为大流行病之后的护理的一部分很感兴趣,支持其在为一部分服务用户提供青年心理保健方面的长期作用。今后的工作应探讨如何最好地支持其长期执行。
Whilst telehealth may overcome some traditional barriers to care, successful implementation into service settings is scarce, particularly within youth mental health care. This study aimed to leverage the rapid implementation of telehealth due to COVID-19 to understand the perspectives of young people and clinicians on how telehealth impacts service delivery, service quality, and to develop pathways for future uses. Youth mental health service users (aged 12-25) and clinicians took part in an online survey exploring service provision, use, and quality following the adoption of telehealth. Service use data from the period were also examined. Ninety-two clinicians and 308 young people responded to the survey. Service use was reduced compared to the same period in 2019, however, attendance rates were higher. Across eight domains of service quality, the majority of young people reported that telehealth positively impacted service quality, and were significantly more likely to rate telehealth as having a positive impact on service quality than clinicians. There was high interest in continuing to use telehealth as part of care beyond the pandemic, supporting its permanent role in youth mental health care for a segment of service users. Future work should explore how best to support its long-term implementation.
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