由于治疗差距,获得精神卫生保健的机会存在显著差异,尤其是对于远程居住的人来说,身体脆弱,人口老龄化。技术的采用将使更多的人能够远程接受专业护理,交通和成本相关的障碍,治疗参与从舒适的家庭。通过减少COVID-19危机期间患者的身体接触数量和风险污染,远程医疗被视为“电子个人防护设备”。这篇综述旨在从临床结果的角度对患者使用心灵感应疗法的看法进行广泛的探讨,成本效益,以及通过采用技术解决患者挑战的解决方案。多年来,心灵感应,在同步和异步模式中,已证明可以提高患者对治疗的依从性,随访率,和临床症状,克服污名和歧视,并节省成本费用,以更好的满意度和可用性结果获得医疗保健。它的用途很广泛,例如在提供紧急护理评估方面,危机干预,进行神经心理学评估,心理治疗,促进生活方式的改变,提高自我效能感,并克服患者的语言和文化障碍。然而,患者的隐私和保密以及精神科医生的法律责任仍然是数字平台的主要关注点。为了跟上技术的步伐和患者的期望,一种更敏捷的方法对开发至关重要,改进,并评估心灵感应干预措施。
Access to mental health care has significant disparities due to treatment gap, more so particularly for the remotely residing, physically vulnerable, aging populations. Adoption of technology will enable more people to receive specialty care addressing distance, transportation and cost-related barriers to treatment engagement from the comfort of home. Telemedicine has been regarded as \"electronic personal protective equipment\" by reducing the number of physical contacts and risk contamination for patients during COVID-19 crisis. This review aimed to give a broad view of patients\' perception of the use of telepsychiatry in terms of clinical outcome, cost-effectiveness, and solutions to address patients\' challenges with the adoption of technology. Over the years, telepsychiatry, both in synchronous and asynchronous modalities, had shown to improve patients\' adherence to treatment, follow-up rates, and clinical symptoms, overcome stigma and discrimination, and save cost expenses accessing health care with better satisfaction and usability outcomes. Its utility is widespread such as in delivering care emergency evaluation, crisis intervention, conducting neuropsychological assessments, psychotherapy, promoting lifestyle modification, enhancing self-efficacy, and overcoming patients\' linguistic and cultural barriers to care. However, patients\' privacy and confidentiality and psychiatrists\' legal liability remain as matter of major concern in digital platform. To keep up with the pace of technology and patients\' expectations, a more agile approach is essential to develop, improve, and evaluate telepsychiatric interventions.