A Retrospective Evaluation of TeleMental Healthcare Services for Remote Military Populations
Autor: | Brian Grady, Ted Melcer |
---|---|
Rok vydání: | 2005 |
Předmět: |
Adult
Male Mental Health Services Telemedicine medicine.medical_specialty Adolescent Global Assessment of Functioning Health Informatics Interpersonal communication Risk Assessment Sensitivity and Specificity Health Services Accessibility Health Information Management Nursing Reference Values Health care Humans Medicine Aged Probability Retrospective Studies Aged 80 and over Telemental health business.industry Mental Disorders Remote Consultation Age Factors Retrospective cohort study General Medicine Middle Aged Test (assessment) Military personnel Military Personnel Health Care Surveys Family medicine Military Psychiatry Female Rural Health Services business |
Zdroj: | Telemedicine and e-Health. 11:551-558 |
ISSN: | 1556-3669 1530-5627 |
DOI: | 10.1089/tmj.2005.11.551 |
Popis: | The objective of this study was to compare specific treatment and outcome variables between mental health care via videoconferencing to care provided in person. The study was a retrospective record review of service members and their adult civilian family members seen at two remotely located military bases. One group was seen via video conferencing (telemental health care [TMHC]) while a second group was seen face-to-face care (FTFC) and served as a control group. Chi-square tests were used to test for significance associations between therapy format and secondary variables. The Global Assessment of Functioning was unexpectedly and significantly more improved for the TMHC group than the FTFC care group. Mean change in Global Assessment of Functioning for FTFC (8.4) was significantly less than mean change for TMHC (15.3). There were no significant differences between the groups in the number of laboratories or studies ordered, self-help recommendations made, selected mental status elements, or number of patients prescribed two or more psychotropic medications. The rate of full compliance with the medication plan and follow-up appointments was significantly better for TMHC. Providers using TMHC told more patients to return for follow-up appointments in 30 days or less. Improved compliance, the unique interpersonal processes of care via TMH, and slightly shorter times to next follow-up appointment were the chief contributors. Alterations in the process of communication may have implications in the business, political, and military sectors. |
Databáze: | OpenAIRE |
Externí odkaz: |