Telehealth Acceptability and Feasibility Among People Served in a Community Behavioral Health System During the COVID-19 Pandemic
Telehealth Acceptability and Feasibility Among People Served in a Community Behavioral Health System During the COVID-19 Pandemic
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DOI：
10.1176/appi.ps.202000623
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发表时间：
2021-06-01
影响因子：
3.8
通讯作者：
Dixon, Lisa B.
中科院分区：
文献类型：
--
作者：
Tse, Jeanie;LaStella, Drew;Dixon, Lisa B.
目的：在社区行为卫生机构迅速引入远程医疗服务作为应对COVID-19大流行的一部分后不久，作者研究了远程医疗服务的可接受性和可行性。方法：在2020年5月8日至18日期间接受服务的个人，从2020年3月引入远程医疗的行为健康计划中，被邀请参加一项关于他们对远程保健服务的看法的调查。有序逻辑回归被用于测试三种方式的调查响应差异：项目类型之间、2020年样本和2018年样本之间以及员工报告的受COVID-19疫情困扰或未受困扰的个人之间。结果：在1，482名受访者中，>80%的人表示，他们与员工联系、获得支持和预约的能力至少与疫情前一样强。80%的受访者表示有兴趣在疫情结束后继续提供远程服务，其中83%的受访者更喜欢远程和面对面服务的组合。从2020年2月到2020年4月，治疗、外展和住房计划的总服务利用率保持稳定。此外，精神健康相关的医院利用率并没有增加。结论：这项研究的结果表明，远程医疗，包括基于电话的服务，是一个可以接受的，甚至首选的服务提供模式，为客户提供严重的精神疾病。我们需要继续研究在各种环境下面对面与远程服务的最佳剂量，以在COVID-19疫情期间和之后为服务实践提供信息。
Objective: The authors examined the acceptability and feasibility of telehealth services shortly after their rapid introduction into a community behavioral health agency as part of the response to the COVID-19 pandemic.Methods: Individuals receiving services during May 8-18, 2020, from behavioral health programs that had introduced telehealth in March 2020, were invited to participate in a survey regarding their perceptions of the telehealth services. Ordinal logistic regressions were used to test for differences in survey responses in three ways: between program types, between the 2020 sample and a 2018 sample, and between individuals reported by staff to be distressed or not distressed by the COVID-19 pandemic.Results: Of 1,482 survey respondents, >80% reported that their ability to connect to staff, receive support, and get an appointment was at least as great as before the pandemic. Among 80% of respondents indicating interest in continuing remote services after the pandemic ended, 83% preferred a mix of remote and face-to-face services. From February 2020 to April 2020, total service utilization remained stable for treatment, outreach, and housing programs. In addition, mental health-related hospital utilization did not increase.Conclusions: The findings of this study suggest that telehealth, including telephone-based services, is an acceptable and even preferred service delivery mode for clients with severe mental illness. Continued investigation into the optimal dosing of face-to-face versus remote services in various settings is needed to inform service practice during and after the COVID-19 pandemic.