Evaluating the Diagnostic Agreement between Telepsychiatry Assessment and Face-to-Face Visit: A Preliminary Study

  • Shahrzad Mazhari Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran. AND Department of Psychiatry, Shahid-Beheshti Hospital, Kerman University of Medical Sciences, Kerman, Iran
  • Alireza Ghaffari Nejad Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran. AND Department of Psychiatry, Shahid-Beheshti Hospital, Kerman University of Medical Sciences, Kerman, Iran
  • Omid Mofakhami Department of Psychiatry, Shahid-Beheshti Hospital, Kerman University of Medical Sciences, Kerman, Iran
  • Farzaneh Raaii Department of Psychiatry, Shahid-Beheshti Hospital, Kerman University of Medical Sciences, Kerman, Iran.
  • Kambiz BahhaaddinBeigy Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Keywords: Diagnosis Agreement, Implementation, Iran, Telepsychiatry, Telemental Health

Abstract

Objective: Despite accumulated evidence that demonstrates clinical outcome of telepsychiatry is comparable with conventional method; little research has been done on telepsychiatry in developing countries. This study aimed to evaluate the diagnostic agreement between telepsychiatry assessment and face-to-face assessment. Moreover, patient and doctor satisfaction was assessed by self-report questionnaire.

Method: This study was conducted in an inpatient department of a university-affiliated hospital in Kerman University of Medical Sciences, Iran. The study sample consisted of 40 inpatients aged over 18 years who were selected from October 2016 to February 2017. All patients were visited once by face-to-face conventional method and once by interactive video teleconsultation by 2 psychiatric consultants.

Results: Results of this study revealed that the diagnostic agreement between the 2 interviewers was 75%. Moreover, about 85% of the patients preferred telepsychiatry for follow-up visits. Also, more than 82% of the patients would recommend telepsychiatry to others although 95% of them perceived contact via telepsychiatry as uncomfortable to some extent.

Conclusion: Telepsychiatry service can be used for psychiatric evaluation in Iran, and it has a desirable effect on patient and doctor satisfaction. The results of this study showed the capacity of moving towards using telepsychiatry.

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Published
2019-07-28
How to Cite
1.
Mazhari S, Ghaffari Nejad A, Mofakhami O, Raaii F, BahhaaddinBeigy K. Evaluating the Diagnostic Agreement between Telepsychiatry Assessment and Face-to-Face Visit: A Preliminary Study. Iran J Psychiatry. 14(3):236-241.
Section
Original Article(s)