TY - JOUR
T1 - Telemedicine in a child and adolescent mental health service
T2 - Participants' acceptance and utilization
AU - Grealish, Annmarie
AU - Hunter, Andrew
AU - Glaze, Robin
AU - Potter, Louise
PY - 2005
Y1 - 2005
N2 - Videoconferencing equipment was set up in Scotland in response to the increased pressure faced by the child and adolescent mental health services (CAMHS), and the need for specialist services to be accessible to, and harmonize with, 'mainstream' health services. Three sites were linked to the inpatient service in Edinburgh. Data were collected via questionnaires and diary logs. During a 24-month study, a total of 65 adolescents were admitted for inpatient care, of whom only five had their cases reviewed and monitored in a total of 20 teleconsultations. Adolescents and their carers involved in the study expressed great satisfaction with telemedicine and were keen to use it. Clinicians were resistant to telemedicine, with consequently low levels of utilization. Our results suggest that managers may be unwilling to reallocate funding away from staffing, even where these costs are small and represent considerable improvements in the process of care for patients. Widespread integration of telemedicine to CAMHS is likely to be hard to achieve.
AB - Videoconferencing equipment was set up in Scotland in response to the increased pressure faced by the child and adolescent mental health services (CAMHS), and the need for specialist services to be accessible to, and harmonize with, 'mainstream' health services. Three sites were linked to the inpatient service in Edinburgh. Data were collected via questionnaires and diary logs. During a 24-month study, a total of 65 adolescents were admitted for inpatient care, of whom only five had their cases reviewed and monitored in a total of 20 teleconsultations. Adolescents and their carers involved in the study expressed great satisfaction with telemedicine and were keen to use it. Clinicians were resistant to telemedicine, with consequently low levels of utilization. Our results suggest that managers may be unwilling to reallocate funding away from staffing, even where these costs are small and represent considerable improvements in the process of care for patients. Widespread integration of telemedicine to CAMHS is likely to be hard to achieve.
UR - http://www.scopus.com/inward/record.url?scp=23644450082&partnerID=8YFLogxK
U2 - 10.1258/1357633054461921
DO - 10.1258/1357633054461921
M3 - Article
C2 - 16035994
AN - SCOPUS:23644450082
SN - 1357-633X
VL - 11
SP - 53
EP - 55
JO - Journal of Telemedicine and Telecare
JF - Journal of Telemedicine and Telecare
IS - SUPPL. 1
ER -