Evaluation of remote services and patient satisfaction - a qualitative study
DOI:
https://doi.org/10.12775/JEHS.2023.41.01.012Keywords
telepsychiatry, teleterapy, qualitative studyAbstract
BACKGROUND: Telemedicine is among the most modern branches of medicine. In the field of mental health, telepsychiatry makes it possible to replace the traditional conversation with a specialist with an e-visit. With the development of remote services, qualitative studies evaluating this type of service have begun to be conducted. The studies involve both patients and clinicians. The purpose of this study is to show the advantages perceived by patients who use telepsychiatry services, as well as concerns that may discourage further use of digital therapy. The study also includes an evaluation of telemedicine services.
Material and methods: The authors created a proprietary structured questionnaire that consisted of two parts. The first concerned sociodemographic data, while the second addressed the subject of patients' evaluation with the use of telepsychiatry services, possible difficulties during e-visits and satisfaction with this type of consultation. Before completing the survey, patients filled out informed consent. The survey was conducted from November 2022 to May 2023.
Results: The final group of respondents was formed by 432 people. The largest group of respondents were patients with the diagnosis: affective disorders - 24.07%. The vast majority of respondents - 81.94% - indicated the possibility of teleportation from anywhere in the world as the greatest advantage of telepsychiatry. Another advantage is not having to take time off from work or school - 78.94%. Major disadvantages included: limited treatment methods (71.07% of respondents), made it more difficult to build a therapeutic alliance 59.03%, privacy and cybersecurity concerns 43.06%. Overall, patients rate telepsychiatry well - 66% of respondents were satisfied.
Conclusions: Telepsychiatry is well rated among most patients. More research is needed to develop clear guidelines for digital therapy. Patients receiving remote therapy should be screened for the development of addiction to mobile devices and the Internet.
References
Chan S, Parish M, Yellowlees P. Telepsychiatry Today. Curr Psychiatry Rep. 2015;17(11):89.
Perera SR, Gambheera H, Williams SS. Telepsychiatry in the time of COVID-19: Overcoming the challenges. Indian J Psychiatry. 2020;62(3):391-S394.
Grover S, Naskar C, Mehra A, Sahoo S. Experience of patients and their caregivers with telepsychiatry consultations: An exploratory study. Indian J Psychiatry. 2023;65(5):558-564.
Das S, Manjunatha N, Kumar CN, Math SB, Thirthalli J. Telepsychiatric after care clinic for the continuity of care:A pilot study from an academic hospital. Asian J Psychiatr. 2020;48:101886.
Chakrabarti S. Usefulness of telepsychiatry: A critical evaluation of videoconferencing-based approaches. World J Psychiatr. 2015;5(3):286-304.
Das N. Telepsychiatry during COVID-19 – A brief survey on attitudes of psychiatrists in India. Asian J Psychiatr. 2020;53:102387.
Donelan K, Barreto EA, Sossong S, Michael C, Estrada JJ, Cohen AB, Wozniak J, Schwamm LH. Patient and clinician experiences with telehealth for patient follow-up care. Am J Manag Care. 2019;25(1):40-44. .
Mucic D. International telepsychiatry: a study of patient acceptability. Journal of Telemedicine and Telecare. 2008;14(5): 241-243.
Grover S, Naskar C, Mehra A, Sahoo S. Experience of patients and their caregivers with telepsychiatry consultations: An exploratory study. Indian J Psychiatry. 2023;65(5):558-564.
Basavarajappa C, Grover S, Dalal PK, Avasthi A, Kumar CN, Manjunatha N, Mehra A, Saha G, Sahoo S, Singh OP, Tripathi A, Gangadhar BN, Math SB. The prescriptions of psychotropic medications in telepsychiatry: An online survey of psychiatrists in India. Indian J Psychiatry. 2022;64(2):159-163.
Chan S, Li L, Torous J, Gratzer D, Yellowlees PM. Review of Use of Asynchronous Technologies Incorporated in Mental Health Care. Curr Psychiatry Rep. 2018;20(10):85.
Miller CJ, McInnes DK, Stolzmann K, Bauer MS. Interest in Use of Technology for Healthcare Among Veterans Receiving Treatment for Mental Health. Telemed J E Health. 2016;22(10):847-854.
Wang Q, Myers MD, Sundaram D. Digital natives and digital immigrants - Towards a model of digital fluency. Bus Inf Syst Eng. 2013;5:409–419.
Myers K, Nelson EL, Rabinowitz T, Hilty D, Baker D, Barnwell SS, Boyce G, Bufka LF, Cain S, Chui L, Comer JS, Cradock C, Goldstein F, Johnston B, Krupinski E, Lo K, Luxton DD, McSwain SD, McWilliams J, North S, Ostrowsky J, Pignatiello A, Roth D, Shore J, Turvey C, Varrell JR, Wright S, Bernard J. American Telemedicine Association Practice Guidelines for Telemental Health with Children and Adolescents. Telemed J E Health. 2017;23(10):779-804.
Achtyes ED, Glenn T, Monteith S, Geddes JR, Whybrow PC, Martini J, Bauer M. Telepsychiatry in an Era of Digital Mental Health Startups. Curr Psychiatry Rep. 2023;25(6):263-272.
Shekunov J, Swintak C, Somers K, Kolla BB, Ruble A, Bhatt-Mackin S, Topor D, Murray A, Romanowicz M. The Virtual Couch: a Curriculum on the Question of the Fundamentals of Remote Psychotherapy-Pilot Study. Acad Psychiatry. 2023:26.
Chia DXY, Ng CWL, Kandasami G, Seow MYW, Choo CC, Chew PKH, Lee C, Zhang MWB. Prevalence of Internet addiction and gaming disorders in Southeast Asia: a meta-analysis Int J Environ Res Public Health. 2020;17:2582.
Hubley S, Lynch SB, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World J Psychiatry. 2016;6(2):269-82.
Shoib S, Armiya'u AY, Roza TH, Saeed F, Swed S, Arif N, Park C, Chandradasa M. Telepsychiatry for conflict-affected settings: Feasibility, ethics, barriers and prospects. Asian J Psychiatr. 2022;75:103203.
American Medical Association. Telehealth Implementation Playbook. Chicago: American Medical Association; 2020. p.12.Availablefrom: https://www.ama-assn.org/system/files/2020-04/ama-telehealth-playbook.pdf,
Smith D, Sorenson G, Lewis B. Why Telemedicine, Why Now?. Scottsdale: GlobalMed. 2019:5.
Salmanizadeh F, Ameri A, Bahaadinbeigy K. Methods of Reimbursement for Telemedicine Services: A Scoping Review. Med J Islam Repub Iran. 2022;22(36):68.
Sun CF, Correll CU, Trestman RL, Lin Y, Xie H, Hankey MS, Uymatiao RP, Patel RT, Metsutnan VL, McDaid EC, Saha A, Kuo C, Lewis P, Bhatt SH, Lipphard LE, Kablinger AS. Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US. Gen Hosp Psychiatry. 2023;25(84):12-17.
Hand LJ. The Role of Telemedicine in Rural Mental Health Care Around the Globe. Telemed J E Health. 2022;28(3):285-294.
Appleman ER, O'Connor MK, Rockefeller W, Morin P, Moo LR. Using Video Telehealth to Deliver Patient-Centered Collaborative Care: The G-IMPACT Pilot. Clin Gerontol. 2022;45(4):1010-1019.
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Copyright (c) 2023 Jakub Laskowski, Klaudia Kister, Magdalena Mazur, Natalia Rektor, Aleksandra Małolepsza, Monika Zach-Źródlak, Lidia Rosa, Julia Czechowska, Paulina Bronst, Anna Szabrańska
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