Using Telehealth to Remediate Rural Mental Health and Healthcare Disparities
Using Telehealth to Remediate Rural Mental Health and Healthcare Disparities
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DOI：
10.1080/01612840.2018.1499157
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发表时间：
2019-03-04
影响因子：
2.1
通讯作者：
Myers, Carole R.
中科院分区：
文献类型：
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作者：
Myers, Carole R.
"绝望死亡"，即因吸毒、酗酒和自杀而死亡的情况在农村社区发生率较高。这种死亡的发生率突出了潜在的获得和治疗的差距，导致更差的结果。远程医疗是解决农村精神卫生保健需求的一个可行选择，因为它能够实现更有效的护理管理，提供更多的服务，并促进整合初级和精神卫生保健服务。实施远程医疗将涉及克服覆盖和报销、许可证、宽带接入和充足性、隐私和安全障碍，并推进选定的政策变革。远程保健的推广将需要改变专业培训和护理提供模式。
"Deaths of despair", deaths due to drugs, alcohol, and suicide, occur at higher rates in rural communities. The incidence of such deaths highlights underlying access and treatment disparities which result in poorer outcomes. Telehealth is a viable option for addressing rural mental healthcare needs as it enables more effective care management, provides expanded access to services, and fosters integrating primary and mental healthcare services. Implementing telemental health will involve overcoming coverage and reimbursement, licensure, broadband access and adequacy, and privacy and security barriers and advancing select policy changes. Telehealth diffusion will require changes in professional training and care delivery models.