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Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters

BACKGROUND: The COVID-19 pandemic created pressure to attempt remote consultation, but there are limited data on the use of telepsychiatry in general, and almost none about the experience of telepsychiatry in a consultation-liaison context. OBJECTIVE: We looked for attributes that correlated with sa...

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Detalles Bibliográficos
Autores principales: Cheung, Stephanie G., Capote, Justin, Fan, Weijia, Mishkin, Adrienne D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592650/
https://www.ncbi.nlm.nih.gov/pubmed/34051404
http://dx.doi.org/10.1016/j.jaclp.2021.05.004
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author Cheung, Stephanie G.
Capote, Justin
Fan, Weijia
Mishkin, Adrienne D.
author_facet Cheung, Stephanie G.
Capote, Justin
Fan, Weijia
Mishkin, Adrienne D.
author_sort Cheung, Stephanie G.
collection PubMed
description BACKGROUND: The COVID-19 pandemic created pressure to attempt remote consultation, but there are limited data on the use of telepsychiatry in general, and almost none about the experience of telepsychiatry in a consultation-liaison context. OBJECTIVE: We looked for attributes that correlated with satisfactory tele-encounters. METHODS: Eleven consultation-liaison attending surveys and 8 attendings' tele-encounter logs from March to June 2020 were completed and reviewed to assess for patient and provider characteristics associated with barriers to using telepsychiatry. RESULTS: A vast majority of 223 tele-psychiatric encounters were acceptable to providers in terms of technology (82%) and their ability to form a connection with the patient (78%). In multivariable logistic regression models, an unresolvable difficulty in using the platform was less common for female patients (odds ratio = 0.239, P = 0.002) and more common for patients who prefer a non-English language (odds ratio = 9.059, P < 0.001); achieving a personal connection that felt right was also less likely for patients who prefer a non-English language (odds ratio = 0.189, P = 0.001). CONCLUSIONS: Telepsychiatry has previously been limited to outpatient use and, generally, for providers and patients who specifically preferred it. However, abrupt transition to the use of telepsychiatry to limit contagion risk was mostly satisfactory in our center; identifying for which patient encounters it is most and least appropriate will help guide future use.
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spelling pubmed-85926502021-11-16 Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters Cheung, Stephanie G. Capote, Justin Fan, Weijia Mishkin, Adrienne D. J Acad Consult Liaison Psychiatry Original Research Article BACKGROUND: The COVID-19 pandemic created pressure to attempt remote consultation, but there are limited data on the use of telepsychiatry in general, and almost none about the experience of telepsychiatry in a consultation-liaison context. OBJECTIVE: We looked for attributes that correlated with satisfactory tele-encounters. METHODS: Eleven consultation-liaison attending surveys and 8 attendings' tele-encounter logs from March to June 2020 were completed and reviewed to assess for patient and provider characteristics associated with barriers to using telepsychiatry. RESULTS: A vast majority of 223 tele-psychiatric encounters were acceptable to providers in terms of technology (82%) and their ability to form a connection with the patient (78%). In multivariable logistic regression models, an unresolvable difficulty in using the platform was less common for female patients (odds ratio = 0.239, P = 0.002) and more common for patients who prefer a non-English language (odds ratio = 9.059, P < 0.001); achieving a personal connection that felt right was also less likely for patients who prefer a non-English language (odds ratio = 0.189, P = 0.001). CONCLUSIONS: Telepsychiatry has previously been limited to outpatient use and, generally, for providers and patients who specifically preferred it. However, abrupt transition to the use of telepsychiatry to limit contagion risk was mostly satisfactory in our center; identifying for which patient encounters it is most and least appropriate will help guide future use. Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. 2021 2021-05-27 /pmc/articles/PMC8592650/ /pubmed/34051404 http://dx.doi.org/10.1016/j.jaclp.2021.05.004 Text en © 2021 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Research Article
Cheung, Stephanie G.
Capote, Justin
Fan, Weijia
Mishkin, Adrienne D.
Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters
title Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters
title_full Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters
title_fullStr Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters
title_full_unstemmed Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters
title_short Pilot Assessment of Patient and Provider Characteristics Associated With Satisfactory Consultation-Liaison Telepsychiatry Encounters
title_sort pilot assessment of patient and provider characteristics associated with satisfactory consultation-liaison telepsychiatry encounters
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592650/
https://www.ncbi.nlm.nih.gov/pubmed/34051404
http://dx.doi.org/10.1016/j.jaclp.2021.05.004
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