印度尼西亚Soeharto Heerdjan医生医院精神科的远程精神病学准备情况评估。

Ifah Muzdalifah, Hosizah Markam
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摘要

背景:印度尼西亚雅加达Soeharto Heerdjan医生医院自2022年5月以来部署了远程精神科,以确保对精神病患者的连续性护理。由于障碍,包括没有登记官、没有指定的咨询室、日程安排问题以及患者或其代表在使用远程精神病学应用程序时面临的挑战,这种服务模式没有发挥最佳作用。目的:本研究旨在评估Soeharto Heerdjan医生医院的远程心理准备情况。方法:2022年4月至5月,使用远程健康准备评估(TRA)工具,对40名远程精神科工作人员进行了观察性调查。TRA工具的五个关键领域与远程医疗的成功实施有关,包括核心准备、财务考虑、运营、员工参与和患者准备。该工具包括调查表、评分表、辅助指南和其他资源。总体准备程度得分是五个领域中每个领域的概念得分的加权平均值。结果:在40名受访者中,72.5%为女性,42.5%在31岁至40岁之间 年。在总共五个远程心理准备领域中,Soeharto Heerdjan医生医院的远程心理准备水平为70.05%或中等水平。结论:需要改进的准备工作包括为远程精神病患者登记提供工作人员;药物输送;调度;指定的咨询室;用户友好的远程精神病学应用程序和用于远程精神病学服务信息的电子媒体。
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Telepsychiatry readiness assessment at the Department of Psychiatry, Dr. Soeharto Heerdjan Hospital, Indonesia.

Background: The Dr. Soeharto Heerdjan Hospital, Jakarta, Indonesia, has deployed telepsychiatry since May 2022 to ensure continuity of care for its psychiatric patients. This model of service has not functioned optimally, owing to obstacles, including the absence of a registration officer, no designated consultation room, scheduling issues and challenges for patients or their representatives in using the telepsychiatry application.

Objective: This study aimed to assess telepsychiatry readiness at Dr. Soeharto Heerdjan Hospital.

Method: An observational survey was conducted in April-May 2022, with a sample of 40 members of the telepsychiatry workforce, using the Telehealth Readiness Assessment (TRA) tool. Five key domains of the TRA tool are associated with the successful implementation of telehealth, including core readiness, financial considerations, operations, staff engagement and patient readiness. This tool includes a questionnaire, scoring sheet, supporting guidance and additional resources. The overall readiness score is a weighted average of the concept scores included within each of the five domains.

Results: Of 40 respondents, 72.5% were females and 42.5% were between 31 and 40 years. From the total of five domains of telepsychiatry readiness, the level of telepsychiatry readiness at Dr. Soeharto Heerdjan Hospital was 70.05% or a moderate level.

Conclusion: Aspects of readiness that need to be improved include providing a workforce for telepsychiatry patient registration; drug delivery; scheduling; designated consultation rooms; user-friendly telepsychiatry applications and electronic media for information on telepsychiatry services.

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