Comprehensive substantiation of the need and evaluation of the effectiveness of consultations using telemedicine technologies in psychiatry and narcology

Skripov V.S.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Shvedova A.A.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Chekhonadsky I.I.

Orenburg Regional Clinical Psychiatric Hospital No. 2

Comprehensive substantiation of the need and evaluation of the effectiveness of consultations using telemedicine technologies in psychiatry and narcology

Authors:

Skripov V.S., Shvedova A.A., Chekhonadsky I.I.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2022;25(6): 19‑26

DOI: 10.17116/profmed20222506119

Downloaded: 65

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Skripov VS, Shvedova AA, Chekhonadsky II. Comprehensive substantiation of the need and evaluation of the effectiveness of consultations using telemedicine technologies in psychiatry and narcology. Russian Journal of Preventive Medicine. 2022;25(6):19‑26. (In Russ.)
https://doi.org/10.17116/profmed20222506119

Close metadata

Telemedicine technologies are one of the priority areas for the development of medicine today. It is necessary to conduct a comprehensive analysis in order to improve the provision of care using telemedicine technologies, including in psychiatry and narcology.

PURPOSE OF THE STUDY

Evaluate the effectiveness of consultations using telemedicine technologies in psychiatry and narcology, as well as analyze the opinion of specialists working in the field of mental health regarding such consultations.

MATERIAL AND METHODS

The study presents an analysis of the work of a telemedicine consulting center based on the Federal State Budgetary Institution «Bekhterev National Medical Research Center for Psychiatry and Neurology» of the Ministry of Health of Russia, which provides telemedicine consultations in the profiles «psychiatry» and «psychiatry-narcology» to patients — residents of the North-Western, Southern, Volga and North Caucasian federal districts, for the period from 2018 to December 2020. In addition, with the help of A specially designed questionnaire assessed the opinion of specialists on the effectiveness and expediency of using telemedicine technologies in psychiatry and narcology in comparison for 2 years — 2019 and 2021.

RESULTS

For the period from 2018 to December 2020, the specialists of the Federal State Budgetary Institution «Bekhterev National Medical Research Center for Psychiatry and Neurology» of the Russian Ministry of Health held a total of 802 consultations using telemedicine technologies. An increase in demand for consultations with the use of telemedicine technologies in the profiles of «psychiatry» and «psychiatry-narcology» has been established. Based on the structure of diagnoses established by consulting physicians in 2020, it can be noted that consultations for diseases from the ICD-10 headings F10—F19 «Mental and behavioral disorders associated with the use of psychoactive substances» (34.9%) and F20—F29 Schizophrenia, schizotypal and delusional disorders (27.2%) are most in demand.

CONCLUSION

An increase in the need for attending physicians from regional services in telemedicine consultations has been established. In addition, according to the opinion of attending physicians, there is an increase in the effectiveness of telemedicine consultations in psychiatry and narcology, as well as an increase in the level of confidence of specialists in such consultations.

Keywords:

telemedicine

telepsychiatry

specialized care

psychiatry

information and communication technologies in medicine

telecommunication technologies

telemedicine center

Authors:

Skripov V.S.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Shvedova A.A.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Chekhonadsky I.I.

Orenburg Regional Clinical Psychiatric Hospital No. 2

Received:

08.02.2022

Accepted:

01.04.2022

List of references:

Karpukhin IB, Levanov VM. Telepsychiatry: history, directions and opportunities (based on the materials of the foreign scientific archive). Sotsial’naya i klinicheskaya psikhiatriya. 2020;30(1):102-109. (In Russ.).
Dwyer TF. Telepsychiatry: psychiatric consultation by interactive television. American Journal of Psychiatry. 1973;130(8):865-869. https://doi.org/10.1176/ajp.130.8.865
Chekhonadsky II, Shvedova AA, Skripov VS, Semenova NV. Telemedicine technologies in psychiatry: opinion of Orenburg Region specialists. Obozrenie psikhiatrii i meditsinskoj psikhologii im. V.M. Bekhtereva. 2020;3:89-92. (In Russ.). https://doi.org/10.31363/2313-7053-2020-3-89-92
Kochorova LV, Skripov VS, Shvedova AA, Chekhonadskij II. Problemy i perspektivy razvitiya telemeditsinskikh tekhnologij v psikhiatrii i narkologii. Problemy gorodskogo zdravookhraneniya. Vypusk 24: sbornik nauchnykh trudov. Vishnyakov NI, ed. SPb: GBU «Sankt-Peterburgskij nauchno-issledovatel’skij institut skoroj pomoshchi im. I.I. Dzhanelidze»; 2017. (In Russ.).
Krasilnikov IA, Usinov ER, Otochkin AV, Ivanov AYu, Sotnikov AD. Telemedicine and practical healthcare. Vrach i informatsionnye tekhnologii. 2004; 2:46-51. (In Russ.).
Skripov VS, Shvedova AA, Semenova NV, Lyashkovskaya SV, Chernov PD, Freize VV. Etiko-pravovye osnovy okazaniya meditsinskoj pomoshchi s primeneniem telemeditsinskikh tekhnologij v psikhiatrii i narkologii. Diagnostika i lechenie psikhicheskikh i narkologicheskikh rasstrojstv: sovremennye podkhody. Sbornik metodicheskikh rekomendatsij. Neznanov NG, ed. Vypusk 2. SPb: KOSTA; 2019. (In Russ.).

Close metadata