Changes in telepsychiatry regulations during the COVID-19 pandemic: 17 countries and regions' approaches to an evolving healthcare landscape

Shotaro Kinoshita, Kelley Cortright, Allison Crawford, Yuya Mizuno, Kazunari Yoshida, Donald Hilty, Daniel Guinart, John Torous, Christoph U. Correll, David J. Castle, Deyvis Rocha, Yuan Yang, Yu Tao Xiang, Pernille Kølbæk, David Dines, Mohammad ElShami, Prakhar Jain, Roy Kallivayalil, Marco Solmi, Angela FavaroNicola Veronese, Soraya Seedat, Sangho Shin, Gonzalo Salazar de Pablo, Chun Hung Chang, Kuan Pin Su, Hakan Karas, John M. Kane, Peter Yellowlees, Taishiro Kishimoto

研究成果: Article査読

20 被引用数 (Scopus)

抄録

Background. During the COVID-19 pandemic, the use of telemedicine as a way to reduce COVID-19 infections was noted and consequently deregulated. However, the degree of telemedicine regulation varies from country to country, which may alter the widespread use of telemedicine. This study aimed to clarify the telepsychiatry regulations for each collaborating country/region before and during the COVID-19 pandemic. Methods. We used snowball sampling within a global network of international telepsychiatry experts. Thirty collaborators from 17 different countries/regions responded to a questionnaire on barriers to the use and implementation of telepsychiatric care, including policy factors such as regulations and reimbursement at the end of 2019 and as of May 2020. Results. Thirteen of 17 regions reported a relaxation of regulations due to the pandemic; consequently, all regions surveyed stated that telepsychiatry was now possible within their public healthcare systems. In some regions, restrictions on prescription medications allowed via telepsychiatry were eased, but in 11 of the 17 regions, there were still restrictions on prescribing medications via telepsychiatry. Lower insurance reimbursement amounts for telepsychiatry consultations v. in-person consultations were reevaluated in four regions, and consequently, in 15 regions telepsychiatry services were reimbursed at the same rate (or higher) than in-person consultations during the COVID-19 pandemic. Conclusions. Our results confirm that, due to COVID-19, the majority of countries surveyed are altering telemedicine regulations that had previously restricted the spread of telemedicine. These findings provide information that could guide future policy and regulatory decisions, which facilitate greater scale and spread of telepsychiatry globally.

本文言語English
ページ(範囲)2606-2613
ページ数8
ジャーナルPsychological Medicine
52
13
DOI
出版ステータスPublished - 2022 10月 27
外部発表はい

ASJC Scopus subject areas

  • 応用心理学
  • 精神医学および精神衛生

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