TY - JOUR
KW - care
KW - collaborative
KW - competencies
KW - consultation
KW - Health
KW - Integrated
KW - model
KW - stepped
KW - Technology
KW - telebehavioural
KW - Telepsychiatry
AU - D. M. Hilty
AU - N. Sunderji
AU - S. Suo
AU - S. Chan
AU - R. M. McCarron
A1 - 
AB - Telehealth facilitates integrated, patient-centred care. Synchronous video, telepsychiatry (TP), or telebehavioural health provide outcomes as good as in-person care. It also improves access to care, leverages expertise at a distance, and is effective for education and consultation to primary care. Other technologies on an e-behavioural health spectrum are also useful, like telephone, e-mail, text, and e-consults. This paper briefly organizes these technologies into low, mid and high intensity telehealth models and reviews the evidence base for interventions to primary care, and, specifically, for TP and integrated care (IC). Technology, mobile health, and IC competencies facilitate quality care. TP is a high intensity model and it is the best-studied option. Studies of IC are preliminary, but those with collaborative and consultative care show effectiveness. Low- and mid-intensity technology options like telephone, e-mail, text, and e-consults, may provide better access for patients and more timely provider communication and education. They are also probably more cost-effective and versatile for health system workflow. Research is needed upon all technology models related to IC for adult and paediatric primary care populations. Effective healthcare delivery matches the patients' needs with the model, emphasizes clinician competencies, standardizes interventions, and evaluates outcomes.
BT - International review of psychiatry (Abingdon, England)
C5 - Education & Workforce; Financing & Sustainability; HIT & Telehealth
CP - 6
CY - England
DO - 10.1080/09540261.2019.1571483
IS - 6
JF - International review of psychiatry (Abingdon, England)
N2 - Telehealth facilitates integrated, patient-centred care. Synchronous video, telepsychiatry (TP), or telebehavioural health provide outcomes as good as in-person care. It also improves access to care, leverages expertise at a distance, and is effective for education and consultation to primary care. Other technologies on an e-behavioural health spectrum are also useful, like telephone, e-mail, text, and e-consults. This paper briefly organizes these technologies into low, mid and high intensity telehealth models and reviews the evidence base for interventions to primary care, and, specifically, for TP and integrated care (IC). Technology, mobile health, and IC competencies facilitate quality care. TP is a high intensity model and it is the best-studied option. Studies of IC are preliminary, but those with collaborative and consultative care show effectiveness. Low- and mid-intensity technology options like telephone, e-mail, text, and e-consults, may provide better access for patients and more timely provider communication and education. They are also probably more cost-effective and versatile for health system workflow. Research is needed upon all technology models related to IC for adult and paediatric primary care populations. Effective healthcare delivery matches the patients' needs with the model, emphasizes clinician competencies, standardizes interventions, and evaluates outcomes.
PP - England
PY - 2018
SN - 1369-1627; 0954-0261
SP - 292
EP - 309
EP - 
T1 - Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies
T2 - International review of psychiatry (Abingdon, England)
TI - Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies
U1 - Education & Workforce; Financing & Sustainability; HIT & Telehealth
U2 - 30821540
U3 - 10.1080/09540261.2019.1571483
VL - 30
VO - 1369-1627; 0954-0261
Y1 - 2018
ER -