Structural Racism and Lessons Not Heard: A Rapid Review of the Telepsychiatry Literature During the COVID-19 Public Health Emergency.

Autor: Brown TR; Division of Child and Adolescent Psychiatry, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California.; Corresponding Author: Tashalee R. Brown, MD, PhD, UCLA Psychiatry House Staff Office, 760 Westwood Plaza, Suite B7-357, Los Angeles, CA 90024 (TashaleeBrown@mednet.ucla.edu)., Xu KY; Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri., Glowinski AL; UCSF Child, Teen and Family Center and Children Benioff Hospitals; UCSF/UCB Schwab Dyslexia and Cognitive Diversity Center; UCSF Department of Psychiatry and Behavioral Sciences, UCSF Weill Institute for Neurosciences, San Francisco, California.
Jazyk: angličtina
Zdroj: The primary care companion for CNS disorders [Prim Care Companion CNS Disord] 2023 Nov 02; Vol. 25 (6). Date of Electronic Publication: 2023 Nov 02.
DOI: 10.4088/PCC.23r03563
Abstrakt: Objective: To assess the extent to which articles examining telepsychiatry after the start of the COVID-19 pandemic provided racial and sociodemographic characteristics for people receiving audiovisual (video) versus audio-only telepsychiatry.
Data Sources, Study Selection, and Data Extraction: We employed the keyword telepsychiatry and screened all peer-reviewed articles in PubMed published from March 1, 2020, until November 23, 2022, prior to the federal government's announcement of the impending end to the COVID-19 public health emergency. We retrieved and reviewed the full-text articles of 553 results for potential inclusion, of which 266 were original research articles.
Results: We found that 106 of 553 articles had any mention of differences between audio-only and audiovisual telepsychiatry. Twenty-nine of 553 articles described potential socioeconomic differences in the distribution of people receiving audio-only versus audiovisual telepsychiatry, and 20 of 553 described potential racial/ethnic differences. Among research articles, most (213/266) did not differentiate between videoconferencing and audio-only/telephone-based telehealth services. A total of 4 research articles provided racial and sociodemographic characteristics of individuals who received audio-only versus audiovisual telepsychiatry services during the COVID-19 pandemic, all of which were conducted in relatively small regional samples that could not be generalized to the US as a whole.
Conclusions: Overall, this analysis underscores that empirical data are lacking on racial and sociodemographic distribution of audio-only versus audiovisual telepsychiatry services since the COVID-19 pandemic.
Prim Care Companion CNS Disord 2023;25(6):23r03563 .
Author affiliations are listed at the end of this article.
(© Copyright 2023 Physicians Postgraduate Press, Inc.)
Databáze: MEDLINE