MétaCan
Menu
Retour à la cohorte
Enregistrement W4386200525 · doi:10.1016/j.jaacop.2023.08.003

The Provision and Utilization of Telehealth Within Academic Mental Health Clinics in North America During the COVID-19 Pandemic

2023· article· en· W4386200525 sur OpenAlexafffund
Rachel Oblath, Eileen Twohy, Claudine Higdon, Alison Duncan, Johanna B. Folk, Marissa A. Schiel, Seena Grewal, Jessica L. Hawks, William Martínez, Kelly Coble, Sarah Edwards, Amy R. Goetz, Ujjwal Ramtekkar, Chetana Kulkarni, Shabana Khan, Bridget T. Doan, Kishan Nallapula, Victor Fornari, Lisa R. Fortuna, Kathleen Myers

Notice bibliographique

RevueJAACAP Open · 2023
Typearticle
Langueen
DomaineMedicine
ThématiqueTelemedicine and Telehealth Implementation
Établissements canadiensHolland Bloorview Kids Rehabilitation HospitalSickKids FoundationUniversity of TorontoBC Children's HospitalUniversity of British Columbia
Organismes subventionnairesNational Institute on Drug AbuseNYU Grossman School of MedicineNational Institute of Mental HealthHospital for Sick ChildrenPatient-Centered Outcomes Research InstituteNorthwell HealthUniversity of California, San FranciscoUniversity of TorontoUniversity of Colorado School of Medicine, Anschutz Medical CampusBC Children's HospitalUniversity of MissouriSeattle Children's Research InstituteUniversity of WashingtonChildren's Hospital Colorado
Mots-clésTelehealthCoronavirus disease 2019 (COVID-19)Pandemic2019-20 coronavirus outbreakMental healthSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)TelemedicineMedicineFamily medicineHealth carePsychiatryEconomic growthVirologyEconomicsInternal medicine

Résumé

récupéré en direct d'OpenAlex

ObjectiveTo document the experience of 14 academic child and adolescent psychiatry programs in transitioning to and managing telehealth services during the COVID-19 pandemic. The goal was to understand how programs adopted and sustained telehealth during the pandemic. Telehealth was defined as services delivered via videoconferencing and telephony.MethodIn this descriptive study, faculty from 14 programs completed online surveys about the use of both telehealth and in-person services from February 2020 to June 2021. Survey questions addressed telehealth practices (eg, policies, support resources), monthly service utilization, telehealth modality (videoconferencing vs telephony), and missed appointments.ResultsPrograms varied in the proportion of appointments delivered by telehealth before the pandemic (February 2020; 0%-27%). By May 2020, all programs were providing a majority of visits via telehealth (64%-100%). In June 2021, all programs continued to provide services via telehealth (41%-100%) and reported that they would continue to do so moving forward. Programs addressed many challenges to telehealth provision during the study period, including adding interpreter services, technological support for providers and patients, and formalizing safety and training requirements.ConclusionAcademic child and adolescent psychiatry programs provided outpatient services primarily via telehealth throughout the COVID-19 pandemic and reported that they planned to continue using telehealth in combination with in-person services moving forward. Academic programs should address logistical, technological, and financial barriers to the sustained use of telehealth. To document the experience of 14 academic child and adolescent psychiatry programs in transitioning to and managing telehealth services during the COVID-19 pandemic. The goal was to understand how programs adopted and sustained telehealth during the pandemic. Telehealth was defined as services delivered via videoconferencing and telephony. In this descriptive study, faculty from 14 programs completed online surveys about the use of both telehealth and in-person services from February 2020 to June 2021. Survey questions addressed telehealth practices (eg, policies, support resources), monthly service utilization, telehealth modality (videoconferencing vs telephony), and missed appointments. Programs varied in the proportion of appointments delivered by telehealth before the pandemic (February 2020; 0%-27%). By May 2020, all programs were providing a majority of visits via telehealth (64%-100%). In June 2021, all programs continued to provide services via telehealth (41%-100%) and reported that they would continue to do so moving forward. Programs addressed many challenges to telehealth provision during the study period, including adding interpreter services, technological support for providers and patients, and formalizing safety and training requirements. Academic child and adolescent psychiatry programs provided outpatient services primarily via telehealth throughout the COVID-19 pandemic and reported that they planned to continue using telehealth in combination with in-person services moving forward. Academic programs should address logistical, technological, and financial barriers to the sustained use of telehealth.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,002
score de la tête « metaresearch » (Gemma)0,000
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Observationnel · Signal consensuel: Observationnel
GenreSignal candidat: Empirique · Signal consensuel: Empirique
Score de désaccord entre enseignants0,080
Score d'incertitude au seuil0,347

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0020,000
Méta-épidémiologie (sens strict)0,0000,000
Méta-épidémiologie (sens large)0,0000,000
Bibliométrie0,0000,001
Études des sciences et des technologies0,0000,000
Communication savante0,0000,000
Science ouverte0,0000,000
Intégrité de la recherche0,0000,000
Charge utile insuffisante (le modèle a refusé de juger)0,0000,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,148
Tête enseignante GPT0,481
Écart entre enseignants0,333 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeObservationnel
Domainenon disponible
GenreEmpirique

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations5
Publié2023
Routes d'admission2
Résumé présentoui

Explorer davantage

Même revueJAACAP OpenMême sujetTelemedicine and Telehealth ImplementationTravaux en français237 207