TY - JOUR
KW - Academic Medical Centers
KW - Adolescent
KW - Adult
KW - Aged
KW - Attitude of Health Personnel
KW - California
KW - Child
KW - Clinical Competence
KW - Computer-Assisted Instruction/trends
KW - Dose-Response Relationship, Drug
KW - Drug Administration Schedule
KW - Education, Medical, Continuing/trends
KW - Feedback, Psychological
KW - Female
KW - Humans
KW - Interprofessional Relations
KW - Interview, Psychological
KW - Male
KW - Medically Underserved Area
KW - Mental Disorders/diagnosis/drug therapy
KW - Middle Aged
KW - Primary Health Care/trends
KW - Psychiatry/education/trends
KW - Psychotropic Drugs/administration & dosage
KW - Referral and Consultation/trends
KW - Remote Consultation/trends
KW - Rural Health/trends
AU - D. M. Hilty
AU - P. M. Yellowlees
AU - T. S. Nesbitt
A1 - 
AB - INTRODUCTION: Rural populations remain underserved in terms of psychiatric services. This study assesses changes over time in the utilization of telepsychiatric services by individual primary care providers (PCPs) and clinics in rural areas, specifically: (a) types of referrals for telepsychiatry service; (b) PCPs' knowledge and skills related to medication dosing; and (c) PCPs' satisfaction with telepsychiatry. METHODS: Data with regard to patient demographics, diagnoses, reason for consultation, medication dosing and satisfaction were prospectively collected on the first 200 and the subsequent 200 telepsychiatric initial consultations. A number of educational interventions were implemented during the project. RESULTS: Adult patients were primarily referred for mood and anxiety disorders, particularly for diagnosis and medication treatment planning. Over time, PCPs significantly improved medication dosing and asked for more treatment planning help. PCPs' satisfaction also improved over time. DISCUSSION: Telepsychiatric consultation, in combination with specific educational interventions, appears to facilitate the enhancement of skills and knowledge of PCPs. "Developmental" steps in provider and clinic evolution, along with interventions specific to a given provider's and a given site's needs, ought to be further elucidated.
BT - General hospital psychiatry
C5 - Education & Workforce; Healthcare Disparities
CP - 5
CY - United States
DO - 10.1016/j.genhosppsych.2006.05.009
IS - 5
JF - General hospital psychiatry
N2 - INTRODUCTION: Rural populations remain underserved in terms of psychiatric services. This study assesses changes over time in the utilization of telepsychiatric services by individual primary care providers (PCPs) and clinics in rural areas, specifically: (a) types of referrals for telepsychiatry service; (b) PCPs' knowledge and skills related to medication dosing; and (c) PCPs' satisfaction with telepsychiatry. METHODS: Data with regard to patient demographics, diagnoses, reason for consultation, medication dosing and satisfaction were prospectively collected on the first 200 and the subsequent 200 telepsychiatric initial consultations. A number of educational interventions were implemented during the project. RESULTS: Adult patients were primarily referred for mood and anxiety disorders, particularly for diagnosis and medication treatment planning. Over time, PCPs significantly improved medication dosing and asked for more treatment planning help. PCPs' satisfaction also improved over time. DISCUSSION: Telepsychiatric consultation, in combination with specific educational interventions, appears to facilitate the enhancement of skills and knowledge of PCPs. "Developmental" steps in provider and clinic evolution, along with interventions specific to a given provider's and a given site's needs, ought to be further elucidated.
PP - United States
PY - 2006
SN - 0163-8343; 0163-8343
SP - 367
EP - 373
EP - 
T1 - Evolution of telepsychiatry to rural sites: Changes over time in types of referral and in primary care providers' knowledge, skills and satisfaction
T2 - General hospital psychiatry
TI - Evolution of telepsychiatry to rural sites: Changes over time in types of referral and in primary care providers' knowledge, skills and satisfaction
U1 - Education & Workforce; Healthcare Disparities
U2 - 16950370
U3 - 10.1016/j.genhosppsych.2006.05.009
VL - 28
VO - 0163-8343; 0163-8343
Y1 - 2006
ER -