Use of Secure e-Mail and Telephone: Psychiatric Consultations to Accelerate Rural Health Service Delivery
Abstract
Telemedicine is one strategy to improve the accessibility and quality of specialty healthcare to rural settings. After nearly 10 years of video evaluation of patients in rural primary care, telephone and e-mail physician-to-physician consultations were initiated to supplement video and hasten treatment initiation. This paper proposes a model of using telephone and e-mail consultations before or in place of video consultations, because the latter are not always available or timely. Two cases are presented in depth to delineate clinical, consultation, and health services issues. Early use of telephone appears to accelerate the telepsychiatric consultation and resulted in clinical improvement for patients. Primary care providers (PCPs) appeared satisfied with the process of these consultations. The average duration of consultation was about 10 minutes for each party. Telephone and e-mail consultation appear satisfactory to providers and inexpensive, but need to be further evaluated in terms of clinical, health service, and cost outcomes.
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Hilty et al. describe a concept of using telephone consultation and e-mail contacts; participating patients showed clinical improvement and providers were satisfied with the concept.
“Hilty et al. describe a concept of using telephone consultation and e-mail contacts. The participating patients showed clinical improvement, the providers were satisfied with the concept [17].”
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Self-citation
- Authors
- Hilty, D. M., Yellowlees, P. M., Cobb, H. C., Neufeld, J. D., & Bourgeois, J. A.
- Affiliations
- University of California, Davis (US)
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2006-08
- Volume
- 12
- Issue
- 4
- Pages
- 490-495
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W2093460853
- Cited by
- 35
- References
- 19
- Citations by year
- 2024: 2 · 2023: 1 · 2021: 1 · 2020: 1 · 2018: 3 · 2017: 1 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 4
- FWCI
- 4.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- telepsychiatry, psychiatric consultation, email security, telephone consultation, rural health care, rural primary care, video consultation, treatment initiation
- MeSH terms
- Adult, Child, Female, Humans, Interprofessional Relations, Male, Mental Health Services, Middle Aged, Physicians, Family, Psychiatry, Telephone, Computer Security, Rural Health Services, Remote Consultation, Electronic Mail
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