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A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland.

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Title: A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland.
Authors: Elford, D. R.1 relford@telehealth.ca, White, H.2, John, K. St2, Maddigan, B.2, Ghandi, M.2, Bowering, R.2, St John, K (AUTHOR)
Source: Journal of Telemedicine & Telecare. Apr2001, Vol. 7 Issue 2, p73-81. 9p.
Subjects: Child psychiatry, Videoconferencing, Telecommunication, Psychiatrists, Likert scale, Psychiatric diagnosis, Mental illness, Attitude (Psychology), Comparative studies, Computers, Customer satisfaction, Cost effectiveness, Economic aspects of diseases, Health services accessibility, Intelligence tests, Research methodology, Medical care costs, Medical cooperation, Medical consultation, Psychology of parents, Research, Time, Telemedicine, Evaluation research, Economics
Geographic Terms: Newfoundland & Labrador
Abstract: We evaluated user satisfaction with a PC-based videoconferencing system used for child psychiatry assessments and performed a cost analysis. Thirty patients (aged 5-16 years), accompanied by a parent, completed a psychiatric assessment using the videoconferencing system. One of five child psychiatrists was randomly assigned to each assessment. Satisfaction questionnaires were completed after each assessment by the psychiatrist, patient and parent. Parents also completed a cost questionnaire. The telecommunications bandwidth was 336 kbit/s. The psychiatrists stated that they were either 'very satisfied' or 'satisfied' with the telepsychiatry assessments. On a five-point Likert scale (1 = lowest, 5 = highest), 28 of the 30 parents (93%) rated their satisfaction level as 5; the other two rated it 4. All 30 parents (100%) stated that they 'liked' the telepsychiatry assessment and would use the system again. Twenty-nine parents (97%) indicated that they would prefer to use the telepsychiatry system to travelling to see a child psychiatrist in person. Eleven children (aged 5-12) participated and all (100%) said they 'liked' using the telepsychiatry system. Five out of nine children (56%) stated they liked the 'television doctor' better than the 'real' doctor; four said they had no preference. Nineteen adolescents (aged 13-16 years) participated and most were very satisfied or satisfied with the system. Seventeen of the 19 adolescents (89%) said they would prefer to see the psychiatrist on the videoconferencing system to travelling for an assessment, and the same number said that they would use telepsychiatry again. The estimated total travel cost for the 30 patients was $12,849, an average of $428 per patient. The total cost of the telepsychiatry service for the three-month pilot was $12,575, or $419 per patient. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
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  Data: A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland.
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  Data: <searchLink fieldCode="AR" term="%22Elford%2C+D%2E+R%2E%22">Elford, D. R.</searchLink><relatesTo>1</relatesTo><i> relford@telehealth.ca</i><br /><searchLink fieldCode="AR" term="%22White%2C+H%2E%22">White, H.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22John%2C+K%2E+St%22">John, K. St</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Maddigan%2C+B%2E%22">Maddigan, B.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ghandi%2C+M%2E%22">Ghandi, M.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Bowering%2C+R%2E%22">Bowering, R.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22St+John%2C+K%22">St John, K</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Telemedicine+%26+Telecare%22">Journal of Telemedicine & Telecare</searchLink>. Apr2001, Vol. 7 Issue 2, p73-81. 9p.
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Newfoundland+%26+Labrador%22">Newfoundland & Labrador</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: We evaluated user satisfaction with a PC-based videoconferencing system used for child psychiatry assessments and performed a cost analysis. Thirty patients (aged 5-16 years), accompanied by a parent, completed a psychiatric assessment using the videoconferencing system. One of five child psychiatrists was randomly assigned to each assessment. Satisfaction questionnaires were completed after each assessment by the psychiatrist, patient and parent. Parents also completed a cost questionnaire. The telecommunications bandwidth was 336 kbit/s. The psychiatrists stated that they were either 'very satisfied' or 'satisfied' with the telepsychiatry assessments. On a five-point Likert scale (1 = lowest, 5 = highest), 28 of the 30 parents (93%) rated their satisfaction level as 5; the other two rated it 4. All 30 parents (100%) stated that they 'liked' the telepsychiatry assessment and would use the system again. Twenty-nine parents (97%) indicated that they would prefer to use the telepsychiatry system to travelling to see a child psychiatrist in person. Eleven children (aged 5-12) participated and all (100%) said they 'liked' using the telepsychiatry system. Five out of nine children (56%) stated they liked the 'television doctor' better than the 'real' doctor; four said they had no preference. Nineteen adolescents (aged 13-16 years) participated and most were very satisfied or satisfied with the system. Seventeen of the 19 adolescents (89%) said they would prefer to see the psychiatrist on the videoconferencing system to travelling for an assessment, and the same number said that they would use telepsychiatry again. The estimated total travel cost for the 30 patients was $12,849, an average of $428 per patient. The total cost of the telepsychiatry service for the three-month pilot was $12,575, or $419 per patient. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1258/1357633011936192
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 73
    Subjects:
      – SubjectFull: Child psychiatry
        Type: general
      – SubjectFull: Videoconferencing
        Type: general
      – SubjectFull: Telecommunication
        Type: general
      – SubjectFull: Psychiatrists
        Type: general
      – SubjectFull: Likert scale
        Type: general
      – SubjectFull: Psychiatric diagnosis
        Type: general
      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Computers
        Type: general
      – SubjectFull: Customer satisfaction
        Type: general
      – SubjectFull: Cost effectiveness
        Type: general
      – SubjectFull: Economic aspects of diseases
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Intelligence tests
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Medical cooperation
        Type: general
      – SubjectFull: Medical consultation
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      – SubjectFull: Psychology of parents
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Time
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Evaluation research
        Type: general
      – SubjectFull: Economics
        Type: general
      – SubjectFull: Newfoundland & Labrador
        Type: general
    Titles:
      – TitleFull: A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland.
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              Text: Apr2001
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              Y: 2001
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