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VIDEOCARE: Decentralised psychiatric emergency care through videoconferencing

Trondsen, Marianne Vibeke; Bolle, Stein Roald; Stensland, Geir Øyvind; Tjora, Aksel
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/300607
Date
2012
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  • Institutt for sosiologi og statsvitenskap [1796]
  • Publikasjoner fra CRIStin - NTNU [20946]
Original version
BMC Health Services Research 2012, 12(470)   10.1186/1472-6963-12-470
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.

Keywords: Psychiatry, Emergency care, Videoconference, Telemedicine, Tele-psychiatry, Norway, Qualitative study.
Publisher
BioMed Central
Journal
BMC Health Services Research

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