Top

BMC Health Services Research

Published in:

Open Access 01-12-2012 | Study protocol

VIDEOCARE: Decentralised psychiatric emergency care through videoconferencing

Authors: Marianne V Trondsen, Stein Roald Bolle, Geir Øyvind Stensland, Aksel Tjora

Published in: BMC Health Services Research | Issue 1/2012

Abstract

Background

Today the availability of specialists is limited for psychiatric patients in rural areas, especially during psychiatric emergencies. To overcome this challenge, the University Hospital of North Norway has implemented a new decentralised on-call system in psychiatric emergencies, by which psychiatrists are accessible by videoconference 24/7. In September 2011, the new on-call system was established in clinical practice for patients and health staff at three regional psychiatric centres in Northern Norway. Although a wide variety of therapies have been successfully delivered by videoconference, there is limited research on the use of videoconferenced consultations with patients in psychiatric emergencies. The aim of this study is to explore the use of videoconference in psychiatric emergencies based on the implementation of this first Norwegian tele-psychiatric service in emergency care.

Methods/design

The research project is an exploratory case study of a new videoconference service in operation. By applying in-depth interviews with patients, specialists and local health-care staff, we will identify factors that facilitate and hinder use of videoconferencing in psychiatric emergencies, and explore how videoconferenced consultations matter for patients, professional practice and cooperation between levels in psychiatric care. By using an on-going project as the site of research, the case is especially well-suited for generating reliable and valid empirical data.

Discussion

Results from the study will be of importance for understanding of how videoconferencing may support proper treatment and high-quality health care services in rural areas for patients in psychiatric emergencies.

WHO: The World Health Report. Mental health: new understanding, new hope. 2001, World Health Organization, Geneva

Norwegian Institute of Public Health: Report. Helsetilstanden i Norge - Folkehelserapport 2010. (The Status of Public Health in Norway - Public Health Report 2010). 2010, Norwegian Institute of Public Health, Oslo

García-Lizana F, Muñoz-Mayorga : What about telepsychiatry? A systematic review. J Clin Psychiatry. 2010, 12 (2): 1-5.

Hetherington R, Baistow K: Supporting families with a mentally ill parent: European perspectives on interagency cooperation. Child Abuse Rev. 2001, 10 (5): 351-365. 10.1002/car.701.CrossRef

Ministry of Health and Care Services: Statlig strategi 2004–2007. S@mspill 2007. Elektronisk samarbeid i helse- og sosialsektoren. National Strategy for Norway 2004–2007. Te@mwork 2007 - Electronic cooperation in the Health and Social Sector. 2004, Ministry of Health and Care Services, Oslo

Ministry of Health and Care Services: Samspill 2.0. Nasjonal strategi for elektronisk samhandling i helse- og omsorgssektoren 2008–2013 (Teamwork 2.0. National strategy for electronic interaction in the health and social sector 2008–2013). 2008, Ministry of Health and Care Services, Oslo

Ministry of Health and Care Services: St.meld. nr. 47: Samhandlingsreformen. Rett behandling - på rett sted, til rett tid (Report No.47 to the Storting: The coordination reform. Proper treatment - at the right place and right time). Ministry of Health and Care Services, Oslo, 2009

Boydell MK, Volpe T, Pignatiello A: A qualitative study of young people’s perspectives on receiving psychiatric services via televideo. J Can Acad Child and Adolescent Psychiatr. 2010, 19 (1): 5-11.

Pesämaa L, Ebeling H, Kuusimäki M-L, Winbland I, Isohanni M, Moilanen I: Videoconferencing in child and adolescent telepsychiatry: a systematic review of the literature. J Telemed Telecare. 2004, 10 (4): 187-192. 10.1258/1357633041424458.CrossRefPubMed

10.

Stensland GØ: Prosjektplan. Desentralisert vaktsamarbeid ved bruk av videokonferanse (Project Plan. Decentralised on-call system using videoconferencing). 2009, General Psychiatric Clinic, University Hospital of North Norway, Tromsø

11.

Greenberg N, Boydell MK, Volpe T: Pediatric telepsychiatry in Ontario: Caregiver and service provider perspectives. J Behav Health Serv Res. 2006, 33 (1): 05-111.CrossRef

12.

Hilty DM, Luo JS, Morache C, Marcelo DA, Nesbitt TS: Telepsychiatry. An overview for psychiatrists. CNS Drugs. 2002, 16 (8): 527-548. 10.2165/00023210-200216080-00003.CrossRefPubMed

13.

Myers KM, Vander Stoep A, Mc Carty CA, Klein JB, Palmer NB, Geyer JR, Melzer SM: Child and adolescent telepsychiatry: variations in utilization, refferal pattens and practice trends. J Telemed Telecare. 2010, 16: 128-133. 10.1258/jtt.2009.090712.CrossRefPubMed

14.

De Las Cuevas C, Artiles J, De La Fuente J, Serrano P: Telepsychiatry in the Canary Islands: user acceptance and satisfaction. J Telemed Telecare. 2003, 9 (4): 221-224. 10.1258/135763303322225553.CrossRefPubMed

15.

Bishop JE, O’Reilley RL, Maddox K, Hutchinson LJ: Client satisfaction in a feasibility study comparing face-to-face interviews with telepsychiatry. J Telemed Telecare. 2002, 8 (4): 217-221. 10.1258/135763302320272185.CrossRefPubMed

16.

Yellowlees P, Burke MM, Marks SL, Hilty DM, Shore JH: Emergency telepsychiatry. J Telemed Telecare. 2008, 14 (6): 277-281. 10.1258/jtt.2008.080419.CrossRefPubMed

17.

Shore JH, Hilty DM, Yellowlees P: Emergency management guidelines for telepsychiatry. Gen Hosp Psychiatry. 2007, 29 (3): 199-206. 10.1016/j.genhosppsych.2007.01.013.CrossRefPubMedPubMedCentral

18.

Sorvaniemi M, Ojanen E, Santamäki O: Telepsychiatry in emergency consultations: a follow-up study of sixty patients. Telemed J e-health. 2005, 11 (4): 439-441. 10.1089/tmj.2005.11.439.CrossRefPubMed

19.

Bolle SR, Larsen F, Hagen O, Gilbert M: Video conferencing versus telephone calls for team work across hospitals: a qualitative study on simulated emergencies. BMC Emerg Med. 2009, 9: 22-10.1186/1471-227X-9-22.CrossRefPubMedPubMedCentral

20.

Westbrook JI, Coiera EW, Brear M, Stapleton S, Rob MI, Murphy M, Cregan P: Impact of an ultrabroadband emergency departement telemedicine system on the care of actuetly ill patients and clinicans’ work. Medical J Aust. 2008, 188 (12): 704-708.

21.

Cregan P, Stapleton S, Wilson L, Qiao R-Y, Li J, Perceival T: The ViCCU Project - achieving virtual presence using Ultrabroadband internet in a Critical Clinical application - inital results. Stud Health Technol Inform. 2005, 111: 94-98.PubMed

22.

Sandaunet A-G: A space for suffering? Communicating breast cancer in an online self-help context. Qual Health Res. 2008, 18 (12): 1631-1641. 10.1177/1049732308327076.CrossRefPubMed

23.

Broom A, Tovey P: The role of the Internet in cancer patients’ engagement with complementary and alternative treatments. health: An Interdisiplinary J Soc Study of Health, Illn Med. 2008, 12 (2): 139-155. 10.1177/1363459307086841.

24.

Sandaunet A-G: The challenge of fitting in: non-participation and withdrawal from an online self-help group for breast cancer patients. Sociol Health Illn. 2008, 30 (1): 131-144. 10.1111/j.1467-9566.2007.01041.x.CrossRefPubMed

25.

Tjora A, Sandaunet A-G: Digitale pasienter (Digital patients). 2010, Gyldendal Akademisk, Oslo

26.

Andreassen HK: What does an e-mail adress add? - Doing health and technology at home. Soc Sci Med. 2011, 72 (4): 521-528. 10.1016/j.socscimed.2010.11.026.CrossRefPubMed

27.

Andreassen HK, Trondsen M: Pasient på e-post (Patient on e-mail). Den moderne pasienten (The modern patient). Edited by: Tjora A. 2008, Gyldendal Akademisk, Oslo

28.

May C, Gask L, Atkinson T, Ellis N, Mair F, Esmail A: Resisting and remoting new technologies in clinical practice: the case of telepsychiatry. Soc Sci Med. 2001, 52 (12): 1889-1901. 10.1016/S0277-9536(00)00305-1.CrossRefPubMed

29.

Tjora A: Den tredimensjonale pasienten som velvillig teleradiologisk objekt (The three-dimensional patient as willing tele-radiological object). Digitale pasienter (Digital patients). Edited by: Tjora A, Sandaunet A-G. 2010, Gyldendal Akademisk, Oslo, 247-265.

30.

Northern Norway Regional Health Authority: Høringsuttkast - Redusert og riktig bruk av tvang i psykisk helsevern i Helse Nord. Tiltaksplan 2012-2015 (Draft Document - Reduced and correct use of restraints in mental health care in the Northern Norway Regional Health Authority. Action Program 2012-2015). 2011, Northern Norway Regional Health Authority, Bodø

31.

Ministry of Health and Care Services: St.meld. nr. 63 (1997-98): Om opptrappingsplan for psykisk helse 1996-2006. Endringer i statsbudsjettet for 1998 (Report No. 63 (1997-98) to the Storting: Escalation Plan for Mental Health 1996-2006. Changes in the state budget 1998). 1998, Ministry of Health and Care Services, Oslo

32.

May C, Finch T: Implementing, embedding and integration practices: an outline of normalization process theory. Sociology. 2009, 43 (3): 535-554.CrossRef

33.

Lie M, Sørensen KH: Making technology our own? Domesticating technology into everyday life. 1996, Scandinavian University Press, Oslo

34.

Andreassen HK, Trondsen M: The empowered patient and the sociologist. Social Theory & Health. 2010, 8 (3): 280-287. 10.1057/sth.2010.9.CrossRef

35.

Yin RK: Case study research design and methods. 2008, Sage, Thousand Oaks

36.

Tjora A: Kvalitative forskningsmetoder i praksis (Qualitative research in practice). 2010, Gyldendal Norsk Forlag, Oslo

37.

Weiss RS: Learning from strangers. The art and method of qualitative interview studies. 1994, Free Press, New York

38.

Gobo G: Sampling, representativeness and generalizability. Qualitative research practice. Edited by: Seale C, Gobo G, Gubrium JF, Silverman D. 2007, Sage, London, 405-426.

39.

Kvale S: Interviews: an introduction to qualitative research interviewing. 1996, Sage, Thousand Oaks, CA

40.

Rapley T: Interviews. Qualitative research practice. Edited by: Seale C, Gobo G, Gubrium JF, Silverman D. 2007, Sage, Los Angeles

41.

Rogove HJ, McArthur D, Demaerschalk BM, Vespa PM: Barriers to telemedicine: Survey of current users in acute care units. Telemed e-health. 2011, 18 (1): 48-53.CrossRef

42.

Nilsen LL, Solvoll T: Traditional practice vs new tools and routines in stroke treatment. Future Internet. 2012, 4 (3): 688-699.CrossRef

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6963/12/470/prepub

Title: VIDEOCARE: Decentralised psychiatric emergency care through videoconferencing
Authors: Marianne V Trondsen
Stein Roald Bolle
Geir Øyvind Stensland
Aksel Tjora
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2012
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/1472-6963-12-470

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

VIDEOCARE: Decentralised psychiatric emergency care through videoconferencing

Abstract

Background

Methods/design

Discussion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods/design

Discussion

Please log in to get access to this content

Other articles of this Issue 1/2012

The influence of age, gender and socio-economic status on multimorbidity patterns in primary care. first results from the multicare cohort study

Factors and symptoms associated with work stress and health-promoting lifestyles among hospital staff: a pilot study in Taiwan

No-shows to primary care appointments: subsequent acute care utilization among diabetic patients

Is telemonitoring an option against shortage of physicians in rural regions? attitude towards telemedical devices in the North Rhine-Westphalian health survey, Germany

Disease management projects and the Chronic Care Model in action: baseline qualitative research

Interprofessional communication with hospitalist and consultant physicians in general internal medicine: a qualitative study