期刊论文详细信息
BMC Health Services Research
Stakeholder perspectives and experiences of the implementation of remote mental health consultations during the COVID-19 pandemic: a qualitative study
Research
Ken Kilbride1  Etain Quigley2  Mark Flear3  Blánaid Gavin4  Fiona McNicholas5  Shane Cullinan6  Emer Galvin6  John Hayden6  Shane Desselle7 
[1] ADHD Ireland, Dublin, Ireland;National University of Ireland, Maynooth, Ireland;Queen’s University Belfast, Belfast, UK;School of Medicine, University College Dublin, Dublin, Ireland;School of Medicine, University College Dublin, Dublin, Ireland;Children’s Health Ireland, Crumlin, Dublin, Ireland;Lucena Child and Adolescent Mental Health Service (CAMHS), Rathgar, Dublin, Ireland;School of Pharmacy and Biomolecular Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland;Touro University California, California, CA, USA;
关键词: Telemedicine;    Telemental health;    Telepsychiatry;    COVID-19;    Implementation;    Remote consultations;   
DOI  :  10.1186/s12913-023-09529-x
 received in 2022-11-28, accepted in 2023-05-10,  发布年份 2023
来源: Springer
PDF
【 摘 要 】

BackgroundRemote mental health consultations were swiftly implemented across mental health services during the COVID-19 pandemic. Research has begun to inform future design and delivery of telemental health services. Exploring the in-depth experiences of those involved is important to understand the complex, multi-level factors that influence the implementation of remote mental health consultations. The aim of this study was to explore stakeholder perspectives and experiences of the implementation of remote mental health consultations during the COVID-19 pandemic in Ireland.MethodsA qualitative study was conducted whereby semi-structured, individual interviews were undertaken with mental health providers, service users, and managers (n = 19) to acquire rich information. Interviews were conducted between November 2021 and July 2022. The interview guide was informed by the Consolidated Framework for Implementation Research (CFIR). Data were analysed thematically using a deductive and inductive approach.ResultsSix themes were identified. The advantages of remote mental health consultations were described, including convenience and increased accessibility to care. Providers and managers described varying levels of success with implementation, citing complexity and incompatibility with existing workflows as barriers to adoption. Providers’ access to resources, guidance, and training were notable facilitators. Participants perceived remote mental health consultations to be satisfactory but not equivalent to in-person care in terms of quality. Views about the inferior quality of remote consultations stemmed from beliefs about the inhibited therapeutic relationship and a possible reduction in effectiveness compared to in-person care. Whilst a return to in-person services was mostly preferred, participants acknowledged a potential adjunct role for remote consultations in certain circumstances.ConclusionsRemote mental health consultations were welcomed as a means to continue care during the COVID-19 pandemic. Their swift and necessary adoption placed pressure on providers and organisations to adapt quickly, navigating challenges and adjusting to a new way of working. This implementation created changes to workflows and dynamics that disrupted the traditional method of mental health care delivery. Further consideration of the importance of the therapeutic relationship and fostering positive provider beliefs and feelings of competence are needed to ensure satisfactory and effective implementation of remote mental health consultations going forward.

【 授权许可】

CC BY   
© The Author(s) 2023

【 预 览 】
附件列表
Files Size Format View
RO202309077367970ZK.pdf 1300KB PDF download
Fig. 5 389KB Image download
Fig. 6 17KB Image download
Fig. 7 49KB Image download
MediaObjects/12888_2023_4908_MOESM1_ESM.xlsx 43KB Other download
【 图 表 】

Fig. 7

Fig. 6

Fig. 5

【 参考文献 】
  • [1]
  • [2]
  • [3]
  • [4]
  • [5]
  • [6]
  • [7]
  • [8]
  • [9]
  • [10]
  • [11]
  • [12]
  • [13]
  • [14]
  • [15]
  • [16]
  • [17]
  • [18]
  • [19]
  • [20]
  • [21]
  • [22]
  • [23]
  • [24]
  • [25]
  • [26]
  • [27]
  • [28]
  • [29]
  • [30]
  • [31]
  • [32]
  • [33]
  • [34]
  • [35]
  • [36]
  • [37]
  • [38]
  • [39]
  • [40]
  • [41]
  • [42]
  文献评价指标  
  下载次数:2次 浏览次数:1次