The patients whom I treat by telepsychiatry tend to be younger than the patients whom I see face to face. This isn’t much of a surprise, as people who’ve grown up with email and the Internet have much less resistance to trying something new and, up to now, I haven’t had really much in the [...]
In “Telepsychiatry: What’s lost?, Part one,” I said that one advantage of a face-to-face visit over telepsychiatry was that some of the visual information gets lost through a webcam. When I’m face to face with someone, I can take a quick glance at their hands and look for a tremor. I can’t do that with [...]
Tagged face tracking, face-to-face, skype, ubuntu“The doctor should be opaque to his patients and, like a mirror, should show them nothing but what is shown to him.1“ A couple of days ago, I was doing a Skype session with someone and the video cut out suddenly, so we had to reconnect halfway through the session. As the connection was failing, [...]
Tagged advantages, dropped call, skypeSkype gives you a little image of yourself to look at while you’re talking to someone. I noticed that, no matter how I adjusted the room lights, there was some glare off my glasses, often much worse than the picture below. Before, with old glasses: I realized that what happens is that the computer monitor [...]
Tagged eyeglass glare, rapport, skypeThere’s a nice article in the East Oregonian today about Dr. Kathleen Myers, a child psychiatrist who has been doing telepsychiatry for eight years as part of a research project looking at the effectiveness of telepsychiatry for rural children with ADHD. Basically, she’s working on a study where children are divided into two groups. One [...]
Tagged ADHD, child psychiatryI haven’t done exhaustive testing yet, but I do have two webcams from Logitech, and both seem to do the job for telepsychiatry. The first of these is the Logitech Webcam Pro 9000 which retails for $76.99 at Amazon right now. I have this camera on my computer in my office. The video quality on [...]
Tagged eye contact, logitech, skype, webcamThe American Telemedicine Association has put out a document called Evidence-based practice for telemental health containing a nice summary and bibliography of the evidence that mental health can be delivered via a medium like the Internet. Before saying anything about the document though, it’s worth pointing out that “Evidence-Based Medicine“ (EBM) is one of those [...]
Tagged American Telemedicine Association, EBM, evidence based medicineClayton M. Christensen defines a disruptive innovation as an innovation that improves a product or service in ways that the market does not expect, typically by being lower priced or being designed for a different set of consumers. Innovations meeting the first part of the definition are called “low end innovations,” while innovations meeting the [...]
Tagged Clayton Christensen, disruptive innnovationThere’s a good article from last Saturday from Voyager Telepsychiatry, “Prescribing without Physical Proximity“ on the issue of prescribing in psychiatry without a face-to-face evaluation. Although of uncertain legality in many states, the article points out that prescribing without a face-to-face evaluation appears to be explicitly legal in: New York, California, Texas, and Maryland, and [...]
Tagged Maryland Board of Physicians, prescriptions, skype, standard of care
advantages AES AFAT American Telemedicine Association atoms bits blizzard Clayton Christensen consent form countertransference digital records disadvantages disruptive innnovation dokuwiki EBM emergencies EMR encryption ER evidence based medicine face-to-face google wave HIPAA HIPPA informed consent Maryland Board of Physicians medical records office space password PHI podcast prescriptions privacy recording security shoji screen skype standard of care technophobia telephone teletransference transference ubuntu weather webcam
WP Cumulus Flash tag cloud by Roy Tanck and Luke Morton requires Flash Player 9 or better.