Attitudes toward medical and mental health care delivered via Telehealth applications among rural and urban primary care patients

被引:59
作者
Grubaugh, Anouk L. [1 ,2 ]
Cain, Gregory D. [2 ]
Elhai, Jon D. [3 ]
Patrick, Sarah L. [4 ,5 ]
Frueh, B. Christopher [6 ]
机构
[1] Ralph H Johnson Vet Affairs Med Ctr, Charleston, SC USA
[2] Med Univ S Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[3] Univ S Dakota, Disaster Mental Hlth Inst, Vermillion, SD 57069 USA
[4] Univ S Dakota, Ctr Rural Hlth Improvement, Sch Med, Sioux Falls, SD USA
[5] Univ S Dakota, Dept Family Med, Sch Med, Sioux Falls, SD USA
[6] Univ Hawaii, Hilo, HI 96720 USA
关键词
Telehealth; primary care; telepsychiatry; telepsychology; rural health; access to care; patient attitudes; posttraumatic stress disorder (PTSD); POSTTRAUMATIC-STRESS-DISORDER; TELEPSYCHIATRY; OUTCOMES; ISSUES;
D O I
10.1097/NMD.0b013e318162aa2d
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Adequate health care services are often not available in rural and remote areas, and this problem is expected to grow worse in the near future. "Telehealth" interventions represent a strategy for addressing access to care problems. We examined and compared attitudes toward medical and mental health care delivered via telehealth applications among adult rural (n=112) and urban (n=78) primary care patients. We also examined attitudes toward telehealth applications among a subset of patients with posttraumatic stress disorder (PTSD) - a group likely in need of specialized services. Both urban and rural patients were receptive to receiving medical and psychiatric services via telehealth. There were few meaningful differences across variables between urban and rural patients, and there were no meaningful differences by PTSD status. These findings support the feasibility of telehealth applications, particularly for rural patients who may not otherwise receive needed services.
引用
收藏
页码:166 / 170
页数:5
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