Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021.

Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021.
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DOI:
10.3389/fpsyt.2022.855138
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发表时间:
2022
影响因子:
4.7
通讯作者:
Bunnell, Brian E.
Bunnell, Brian E.
中科院分区:
医学3区
文献类型:
--
作者:
Wilczewski, Hattie;Paige, Samantha R.;Ong, Triton;Barrera, Janelle F.;Soni, Hiral;Welch, Brandon M.;Bunnell, Brian E.

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新冠肺炎大流行加速了远程保健的采用。在快速转向远程患者护理的过程中,具有有限TMH经验的提供商面临挑战。我们调查了医疗保健服务提供者在疫情爆发一年后对远程医疗的看法,依据的是提供者采用远程医疗的时间(即2020年3月之前和之后)以及他们的工作量中有多少是远程服务的(例如,50%与≥的50%)。在2021年2月至3月期间,472名TMH提供者完成了一项基于网络的横断面调查,衡量了人们对远程医疗、治疗联盟、以患者为中心的沟通、电子健康素养、多元文化咨询自我效能以及使用远程医疗的促进因素的感知效益和满意度。在大流行之前开始使用远程医疗的提供者报告说,他们得到了更好的培训,与患者建立了与任务相关的治疗联盟,并有能力进行多文化干预、评估和会议管理。远程为≥提供50%工作量服务的提供商报告称,他们对自己的实践有更高的满意度,对远程医疗的好处有更强烈的信念,并且感觉到远程医疗在缓解新冠肺炎的影响方面有更大的效果。在以患者为中心的沟通和电子健康素养方面的报告没有差异。总而言之,最近采用TMH的提供者可能需要额外的培训和支持,以成功地与他们的患者建立工作联盟,特别是在多文化方面的护理。
The COVID-19 pandemic accelerated adoption of telemental health (TMH). Providers with limited TMH experience faced challenges during the rapid switch to remote patient care. We investigated TMH providers’ perceptions about remote care one year into the pandemic according to when providers adopted telemedicine (i.e., before vs. after March 2020) and how much of their caseloads were served remotely (i.e., < 50% vs. ≥ 50%). Between February–March 2021, 472 TMH providers completed a cross-sectional, web-based survey that measured perceived benefits and satisfaction with telemedicine, therapeutic alliance, patient-centered communication, eHealth literacy, multicultural counseling self-efficacy, and facilitating factors of using telemedicine. Providers who began using telemedicine before the pandemic reported having better training, task-related therapeutic alliance with patients, and ability to conduct multicultural interventions, assessments, and session management. Providers who served ≥ 50% of their caseload remotely reported greater satisfaction with their practice, stronger beliefs about the benefits of telemedicine, and greater perceived effects of telemedicine on alleviating the impact of COVID-19. There were no differences in reports of patient-centered communication nor eHealth literacy. In conclusion, providers who adopted TMH more recently may require additional training and support to successfully establish a working alliance with their patients, especially with multicultural aspects of care.
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