TY - JOUR
AU - P. M. Yellowlees
AU - M. M. Burke
AU - A. D. Gonzalez
AU - A. Fisher
AU - S. R. Chan
AU - D. M. Hilty
AU - R. M. McCarron
AU - L. M. Scher
AU - A. F. Sciolla
AU - J. Shore
AU - G. Xiong
AU - J. Fine
AU - J. Bannister
AU - A. M. Iosif
A1 - 
AB - Background: Asynchronous telepsychiatry (ATP) consultations are a novel form of psychiatric consultation. Studies comparing patient and provider satisfaction for ATP with that for synchronous telepsychiatry (STP) do not exist. Methods: This mixed-methods study is a secondary analysis of patients' and primary care providers' (PCPs) satisfaction from a randomized clinical trial of ATP compared with STP. Patients and their PCPs completed satisfaction surveys, and provided unstructured feedback about their experiences with either ATP or STP. Differences in patient satisfaction were assessed using mixed-effects logistic regression models, and the qualitative data were analyzed using thematic analysis with an inductive coding framework. Results: Patient satisfaction overall was high with 84% and 97% of respondents at 6 months reported being somewhat or completely satisfied with ATP and STP, respectively. Patients in the STP group were more likely to report being completely satisfied, to recommend the program to a friend, and to report being comfortable with their care compared with ATP (all p < 0.05). However, there was no difference between the patients in ATP and STP in perceived change in clinical outcomes (p = 0.51). The PCP quantitative data were small, and thus only summarized descriptively. Conclusions: Patients expressed their overall satisfaction with both STP and ATP. Patients in ATP reported more concerns about the process, likely because feedback after ATP was slower than that after STP consultations. PCPs had no apparent preference for STP or ATP, and reported implementing the psychiatrists' recommendations for both groups when such recommendations were made, which supports our previous findings. Trial Registration: ClinicalTrials.gov NCT02084979; https://clinicaltrials.gov/ct2/show/NCT02084979.
AD - Department of Psychiatry and Behavioral Sciences, University of California, Sacramento, California, USA.; Department of Public Health Sciences, University of California, Davis, California, USA.; Stanford University School of Medicine, Stanford, California, USA.; Veterans Administration Palo Alto Healthcare System, Palo Alto, California, USA.; Heritage Oaks Hospital, Sacramento, California, USA.; Department of Psychiatry, University of California, Irvine, California, USA.; Department of Psychiatry, University of Colorado Anschutz Medical Campus, Denver, Colorado, USA.
AN - 38011623
BT - Telemed J E Health
C5 - HIT & Telehealth
CP - 4
DA - Apr
DO - 10.1089/tmj.2023.0238
DP - NLM
ET - 20231122
IS - 4
JF - Telemed J E Health
LA - eng
N2 - Background: Asynchronous telepsychiatry (ATP) consultations are a novel form of psychiatric consultation. Studies comparing patient and provider satisfaction for ATP with that for synchronous telepsychiatry (STP) do not exist. Methods: This mixed-methods study is a secondary analysis of patients' and primary care providers' (PCPs) satisfaction from a randomized clinical trial of ATP compared with STP. Patients and their PCPs completed satisfaction surveys, and provided unstructured feedback about their experiences with either ATP or STP. Differences in patient satisfaction were assessed using mixed-effects logistic regression models, and the qualitative data were analyzed using thematic analysis with an inductive coding framework. Results: Patient satisfaction overall was high with 84% and 97% of respondents at 6 months reported being somewhat or completely satisfied with ATP and STP, respectively. Patients in the STP group were more likely to report being completely satisfied, to recommend the program to a friend, and to report being comfortable with their care compared with ATP (all p < 0.05). However, there was no difference between the patients in ATP and STP in perceived change in clinical outcomes (p = 0.51). The PCP quantitative data were small, and thus only summarized descriptively. Conclusions: Patients expressed their overall satisfaction with both STP and ATP. Patients in ATP reported more concerns about the process, likely because feedback after ATP was slower than that after STP consultations. PCPs had no apparent preference for STP or ATP, and reported implementing the psychiatrists' recommendations for both groups when such recommendations were made, which supports our previous findings. Trial Registration: ClinicalTrials.gov NCT02084979; https://clinicaltrials.gov/ct2/show/NCT02084979.
PY - 2024
SN - 1530-5627 (Print); 1530-5627
SP - e1049
EP - e1063+
ST - Patient and Provider Satisfaction with Asynchronous Versus Synchronous Telepsychiatry in Primary Care: A Secondary Mixed-Methods Analysis of a Randomized Controlled Trial
T1 - Patient and Provider Satisfaction with Asynchronous Versus Synchronous Telepsychiatry in Primary Care: A Secondary Mixed-Methods Analysis of a Randomized Controlled Trial
T2 - Telemed J E Health
TI - Patient and Provider Satisfaction with Asynchronous Versus Synchronous Telepsychiatry in Primary Care: A Secondary Mixed-Methods Analysis of a Randomized Controlled Trial
U1 - HIT & Telehealth
U3 - 10.1089/tmj.2023.0238
VL - 30
VO - 1530-5627 (Print); 1530-5627
Y1 - 2024
ER -