Differences in Utilization of Perinatal Psychiatric Teleconsultation Line Between Primary Care and Mental Health Providers. WMJ 2021 Dec;120(4):281-285
Date
01/14/2022Pubmed ID
35025175Scopus ID
2-s2.0-85123459249 (requires institutional sign-in at Scopus site)Abstract
PURPOSE: Teleconsultation has been a newly recognized avenue by which to provide psychiatric services to perinatal populations being treated either by psychiatric or primary care providers. The Periscope Project (TPP) is a business-hours teleconsultation line providing enrolled clinicians with access to a subspecialty-trained psychiatrist, as well as community resources and provider education. This study examines the differences in consultation between enrolled providers.
METHODS: Encounter data was entered into REDCap by TPP's team members. Data was analyzed using summary statistics. Satisfaction information was attained by follow-up survey.
RESULTS: During the first 24 months of program activity, TPP had a total of 737 referred encounters, 70.4% from primary care and 20.5% from psychiatry. There were statistically significant differences between psychiatric and primary care providers in terms of recommendations for use of certain types of medications and use of diagnostic screenings, as well as differences in what providers would have recommended in absence of TPP's involvement.
CONCLUSIONS: Differences in enrollee's rationale for consultation allows for better understanding of the needs of front-line providers. Tailoring educational information and even teleconsultation information based on provider group can allow for more efficient patient care and resource utilization. Providers across the spectrum found TPP beneficial, indicating that continued availability to all providers caring for women of reproductive age is important.
Author List
Slocum SE, Wichman CL, Kuehn S, Doering JAuthors
Jennifer Doering PhD Associate Professor in the Nursing department at University of Wisconsin - MilwaukeeChristina L. Wichman DO Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
FemaleHumans
Mental Health
Pregnancy
Primary Health Care
Psychiatry
Remote Consultation
