Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia
ilustraciones, graficas
- Autores:
-
Díaz Argüello, Victoria Salomé
- Tipo de recurso:
- Fecha de publicación:
- 2021
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/81103
- Palabra clave:
- 610 - Medicina y salud
Telemedicina
Telemedicine
Telesalud Mental
Telemental Health
Telemedicina
Telepsiquiatría
Protocolos
Protocolos clínicos
Telemedicine
Telepsychiatry
Protocols
Clinical protocols
- Rights
- openAccess
- License
- Atribución-NoComercial-SinDerivadas 4.0 Internacional
| id |
UNACIONAL2_cbf5bb4fec6c9300b00e397ee36e9166 |
|---|---|
| oai_identifier_str |
oai:repositorio.unal.edu.co:unal/81103 |
| network_acronym_str |
UNACIONAL2 |
| network_name_str |
Universidad Nacional de Colombia |
| repository_id_str |
|
| dc.title.none.fl_str_mv |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia |
| dc.title.translated.eng.fl_str_mv |
Development of a protocol for the provision of health services in the telehealth modality offered by the psychiatry department of the Universidad Nacional de Colombia |
| title |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia |
| spellingShingle |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia 610 - Medicina y salud Telemedicina Telemedicine Telesalud Mental Telemental Health Telemedicina Telepsiquiatría Protocolos Protocolos clínicos Telemedicine Telepsychiatry Protocols Clinical protocols |
| title_short |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia |
| title_full |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia |
| title_fullStr |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia |
| title_full_unstemmed |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia |
| title_sort |
Desarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de Colombia |
| dc.creator.fl_str_mv |
Díaz Argüello, Victoria Salomé |
| dc.contributor.advisor.none.fl_str_mv |
Piñeros, Sandra Elizabeth Jaramillo, Luis Eduardo |
| dc.contributor.author.none.fl_str_mv |
Díaz Argüello, Victoria Salomé |
| dc.subject.ddc.spa.fl_str_mv |
610 - Medicina y salud |
| topic |
610 - Medicina y salud Telemedicina Telemedicine Telesalud Mental Telemental Health Telemedicina Telepsiquiatría Protocolos Protocolos clínicos Telemedicine Telepsychiatry Protocols Clinical protocols |
| dc.subject.other.none.fl_str_mv |
Telemedicina Telemedicine Telesalud Mental Telemental Health |
| dc.subject.proposal.spa.fl_str_mv |
Telemedicina Telepsiquiatría Protocolos Protocolos clínicos |
| dc.subject.proposal.eng.fl_str_mv |
Telemedicine Telepsychiatry Protocols Clinical protocols |
| description |
ilustraciones, graficas |
| publishDate |
2021 |
| dc.date.issued.none.fl_str_mv |
2021 |
| dc.date.accessioned.none.fl_str_mv |
2022-03-01T21:49:39Z |
| dc.date.available.none.fl_str_mv |
2022-03-01T21:49:39Z |
| dc.type.spa.fl_str_mv |
Trabajo de grado - Especialidad Médica |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/masterThesis |
| dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/acceptedVersion |
| dc.type.content.spa.fl_str_mv |
Text |
| dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/TM |
| status_str |
acceptedVersion |
| dc.identifier.uri.none.fl_str_mv |
https://repositorio.unal.edu.co/handle/unal/81103 |
| dc.identifier.instname.spa.fl_str_mv |
Universidad Nacional de Colombia |
| dc.identifier.reponame.spa.fl_str_mv |
Repositorio Institucional Universidad Nacional de Colombia |
| dc.identifier.repourl.spa.fl_str_mv |
https://repositorio.unal.edu.co/ |
| url |
https://repositorio.unal.edu.co/handle/unal/81103 https://repositorio.unal.edu.co/ |
| identifier_str_mv |
Universidad Nacional de Colombia Repositorio Institucional Universidad Nacional de Colombia |
| dc.language.iso.spa.fl_str_mv |
spa |
| language |
spa |
| dc.relation.references.spa.fl_str_mv |
Aspvall, K., Lenhard, F., Melin, K., Krebs, G., Norlin, L., Näsström, K., Jassi, A., Turner, C., Knoetze, E., Serlachius, E., Andersson, E., & Mataix-Cols, D. (2020). Implementation of internet-delivered cognitive behaviour therapy for pediatric obsessive-compulsive disorder: Lessons from clinics in Sweden, United Kingdom and Australia. Internet Interventions, 20. https://doi.org/10.1016/j.invent.2020.100308 Barrera-Valencia, C., Benito-Devia, A. V., Vélez-Álvarez, C., Figueroa-Barrera, M., & Franco-Idárraga, S. M. (2017). Costoefectividad de telepsiquiatría sincrónica frente a asincrónica para personas con depresión privadas de la libertad. Revista Colombiana de Psiquiatria, 46(2), 65–73. https://doi.org/10.1016/j.rcp.2016.04.008 Bashshur, R., Shannon, G., Krupinski, E., & Grigsby, J. (2011). The taxonomy of telemedicine. Telemedicine and E-Health, 17(6), 484–494. https://doi.org/10.1089/tmj.2011.0103 Camacho, R., Castillo, H. C., Muñoz, M. V., & Zambrano, M. A. (2019). Diagnóstico de conectividad y dispositivos de telecomunicaciones para el desarrollo de la Telesalud de veinte hospitales en el Departamento del Tolima. Cuaderno Activa, 11, 106–154. Campo-Arias, A., Oviedo, H. C., & Herazo, E. (2014). Stigma: Barrier to access to mental health services. In Revista Colombiana de Psiquiatria (Vol. 43, Issue 3, pp. 162–167). Elsevier Doyma. https://doi.org/10.1016/j.rcp.2014.07.001 Chipps, J., Ramlall, S., & Mars, M. (2012). Practice guidelines for videoconference-based telepsychiatry in South Africa. African Journal of Psychiatry (South Africa), 15(4), 271–282. https://doi.org/10.4314/ajpsy.v15i4.35 Colombia, ministerio de salud y protección social. (2015). La Encuesta Nacional de Salud Mental–ENSM 2015: Vol. Tomo I. https://doi.org/10.1016/j.rcp.2016.09.006 Resolución 2654 del 3 de octubre de 2019, 1 (2019) (testimony of Ministerio de salud y protección social Colombia). Comunicaciones, M. de T. de la I. y las. (2020). Boletín trimestral de las TIC, crifras caurto trimestre de 2019. Ley 1419 Diciembre 13 de 2010, 1 (2010) (testimony of Congreso de la República de Colombia) Resolución 3100 del 25 de noviembre de 2019, 1 (2019) (testimony of Congreso de la República de Colombia). Decreto 538 del 12 de abril de 2020, 1 (2020) (testimony of Congreso de la República de Colombia). Resolución 521 del 28 de marzo de 2020, 1 (2020) (testimony of Congreso de la República de Colombia). Crawford, A., Gratzer, D., Jovanovic, M., Rodie, D., Sockalingam, S., Sunderji, N., Teshima, J., & Thomas, Z. (2018). Building eHealth and Telepsychiatry Capabilities: Three Educational Reports Across the Learning Continuum. Academic Psychiatry, 42(6), 852–856. https://doi.org/10.1007/s40596-018-0989-0 Crawford, A., Sunderji, N., López, J., & Soklaridis, S. (2016). Defining competencies for the practice of telepsychiatry through an assessment of resident learning needs Approaches to teaching and learning. BMC Medical Education, 16(1). https://doi.org/10.1186/s12909-016-0529-0 Ćwiklicki, M., Schiavone, F., Klich, J., & Pilch, K. (2020). Antecedents of use of e-health services in Central Eastern Europe A qualitative comparative analysis. BMC Health Services Research, 20(1), 171. https://doi.org/10.1186/s12913-020- 5034-9 Deslich, S., Thistlethwaite, T., & Coustasse, A. (2013). Telepsychiatry in Correctional Facilities: Using Technology to Improve Access and Decrease Costs of Mental Health Care in Underserved Populations. The Permanente Journal, 17(3). https://doi.org/10.7812/TPP/12-123 Doyen, C. M., Oreve, M.-J., Desailly, E., Goupil, V., Zarca, K., L’Hermitte, Y., Chaste, P., Bau, M.-O., Beaujard, D., Haddadi, S., Bibay, A., Contejean, Y., Coutrot, M.-T., Crespin, L., Frioux, I., Speranza, M., Francois, N., & Kaye, K. (2018). Telepsychiatry for Children and Adolescents: A Review of the PROMETTED Project. Telemedicine and EHealth, 24(1), 3–10. https://doi.org/10.1089/tmj.2017.0041 Duran, A. (2013). Implementación de la Unidad de TeleSalud en la Empresa del Estado Red de Salud Ladera del Municipio de Santiago de Cali [Universidad ICESI]. https://repository.icesi.edu.co/biblioteca_digital/bitstream/10906/78822/1/T00219.pdf Dwyer, T. F. (1973). Telepsychiatry: psychiatric consultation by interactive television. American Journal of Psychiatry, 130(8), 865–869. https://doi.org/10.1176/ajp.130.8.865 Farabee, D., Calhoun, S., & Veliz, R. (2016). An experimental comparison of telepsychiatry and conventional psychiatry for parolees. Psychiatric Services, 67(5), 562–565. https://doi.org/10.1176/appi.ps.201500025 Fegert, J. M., Vitiello, B., Plener, P. L., & Clemens, V. (2020). Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. In Child and Adolescent Psychiatry and Mental Health (Vol. 14, Issue 1, p. 20). BioMed Central Ltd. https://doi.org/10.1186/s13034-020-00329-3 Garay, J., & Gómez, C. (2011). Telepsychiatry: Innovating Mental Healthcare. A General Perspective. Revista Colombiana de Psiquiatría, 40(3), 504–518. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034- 74502011000300010 Gardner, J. S., Plaven, B. E., Yellowlees, P., & Shore, J. H. (2020). Remote Telepsychiatry Workforce: a Solution to Psychiatry’s Workforce Issues. In Current Psychiatry Reports (Vol. 22, Issue 2). Springer. https://doi.org/10.1007/s11920-020-1128-7 Gentry, M. T., Lapid, M. I., & Rummans, T. A. (2019). Geriatric Telepsychiatry: Systematic Review and Policy Considerations. American Journal of Geriatric Psychiatry, 27(2), 109–127. https://doi.org/10.1016/j.jagp.2018.10.009 Gómez-Restrepo, C., Rodríguez, M. N., Eslava-Schmalbach, J., Ruiz, R., & Gil, J. F. (2020). Self-recognition of Mental Disorders and Mental Problems in the Adult Population from the Colombian National Mental Health Survey. Revista Colombiana de Psiquiatria. https://doi.org/10.1016/j.rcp.2019.09.004 Gomez, C. (2003). Editorial. Revista Colombiana de Psiquiatría, 32(1). http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502003000100001 Grady, B., Myers, K. M., Nelson, E. L., Belz, N., Bennett, L., Carnahan, L., Decker, V. B., Holden, D., Perry, G., Rosenthal, L., Rowe, N., Spaulding, R., Turvey, C. L., White, R., & Voyles, D. (2011). Evidence-based practice for telemental health. Telemedicine and E-Health, 17(2), 131–148. https://doi.org/10.1089/tmj.2010.0158 Hilty, D. M., Ferrer, D. C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P. M. (2013). The effectiveness of telemental health: A 2013 review. Telemedicine and E-Health, 19(6), 444–454. https://doi.org/10.1089/tmj.2013.0075 Hilty, D. M., Sunderji, N., Suo, S., Chan, S., & McCarron, R. M. (2018). Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies. In International Review of Psychiatry (Vol. 30, Issue 6, pp. 292–309). Taylor and Francis Ltd. https://doi.org/10.1080/09540261.2019.1571483 Hodge, M. A., Sutherland, R., Jeng, K., Bale, G., Batta, P., Cambridge, A., Detheridge, J., Drevensek, S., Edwards, L., Everett, M., Ganesalingam, K., Geier, P., Kass, C., Mathieson, S., McCabe, M., Micallef, K., Molomby, K., Ong, N., Pfeiffer, S., … Silove, N. (2019). Agreement between telehealth and face-to-face assessment of intellectual ability in children with specific learning disorder. Journal of Telemedicine and Telecare, 25(7), 431–437. https://doi.org/10.1177/1357633X18776095 Holguín, D. M. H., & Sanmartín-Rueda, C. F. (2018). Paradox of mental health in Colombia: Between human rights, the predominance of the administrative and the stigma. Revista Gerencia y Politicas de Salud, 17(35), 43–56. https://doi.org/10.11144/Javeriana.rgps17-35.psmc Hubley, S., Lynch, S. B., Schneck, C., Thomas, M., & Shore, J. (2016). Review of key telepsychiatry outcomes. World Journal of Psychiatry, 6(2), 269. https://doi.org/10.5498/wjp.v6.i2.269 Hungerbuehler, I., Valiengo, L., Loch, A. A., Rössler, W., & Gattaz, W. F. (2016). Home-Based Psychiatric Outpatient Care Through Videoconferencing for Depression: A Randomized Controlled Follow-Up Trial. JMIR Mental Health, 3(3), e36. https://doi.org/10.2196/mental.5675 Instituto Nacional de Medicina Legal y Ciencias Forenses. (2018). Forensis 2018, DATOS PARA LA VIDA Kaftarian, E. (2019). Lessons Learned in Prison and Jail-Based Telepsychiatry. In Current Psychiatry Reports (Vol. 21, Issue 3). Current Medicine Group LLC 1. https://doi.org/10.1007/s11920-019-1004-5 Kannarkat, J. T., Smith, N. N., & McLeod-Bryant, S. A. (2020). Mobilization of Telepsychiatry in Response to COVID-19— Moving Toward 21st Century Access to Care. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 489–491. https://doi.org/10.1007/s10488-020-01044-z Katz, C. L., Boffa Washington, F., Sacco, M., & Schuetz-Mueller, J. (2019). A resident-based telepsychiatry supervision pilot program in Liberia. Psychiatric Services, 70(3), 243–246. https://doi.org/10.1176/appi.ps.201800363 Khan, S., & Ramtekkar, U. (2019). Child and Adolescent Telepsychiatry Education and Training. In Psychiatric Clinics of North America (Vol. 42, Issue 4, pp. 555–562). W.B. Saunders. https://doi.org/10.1016/j.psc.2019.08.010 Lawes-Wickwar, S., McBain, H., & Mulligan, K. (2018). Application and Effectiveness of Telehealth to Support Severe Mental Illness Management: Systematic Review. JMIR Mental Health, 5(4), e62. https://doi.org/10.2196/mental.8816 Leigh, H., Cruz, H., & Mallios, R. (2009). Telepsychiatry appointments in a continuing care setting: Kept, cancelled and noshows. Journal of Telemedicine and Telecare, 15(6), 286–289. https://doi.org/10.1258/jtt.2009.090305 Liebson, E. (1997). Telepsychiatry: Thirty-Five Years’ Experience. Medscape Psychiatry & Mental Health EJournal., 2(4). https://www.medscape.com/viewarticle/431064_4 Looi, J. C. L., & Pring, W. (2020). Private metropolitan telepsychiatry in Australia during Covid-19: current practice and future developments. Australasian Psychiatry. https://doi.org/10.1177/1039856220930675 Lupton, D. (2016). Towards critical digital health studies: Reflections on two decades of research in health and the way forward. Health (United Kingdom), 20(1), 49–61. https://doi.org/10.1177/1363459315611940 Martínez Pérez, D. C., Agudelo García, Á. M., Andrade Carrillo, R., García Cano, J. F., & Porras Cataño, S. M. (2019). Telepsychiatry: A Successful Experience in Antioquia, Colombia. Revista Colombiana de Psiquiatria. https://doi.org/10.1016/j.rcp.2019.06.005 Mermelstein, H., Guzman, E., Rabinowitz, T., Krupinski, E., & Hilty, D. (2017). The Application of Technology to Health: The Evolution of Telephone to Telemedicine and Telepsychiatry: A Historical Review and Look at Human Factors. Journal of Technology in Behavioral Science, 2(1), 5–20. https://doi.org/10.1007/s41347-017-0010-x Ministerio de Salud y Protección Social. (2019). Reporte plan de acción Trimestre IV 2018. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PES/reporte-plan-accion-iv-trimestre2018pes.pdf Myers, K., Nelson, E. L., Rabinowitz, T., Hilty, D., Baker, D., Barnwell, S. S., Boyce, G., Bufka, L. F., Cain, S., Chui, L., Comer, J. S., Cradock, C., Goldstein, F., Johnston, B., Krupinski, E., Lo, K., Luxton, D. D., McSwain, S. D., McWilliams, J., … Bernard, J. (2017). American Telemedicine Association Practice Guidelines for Telemental Health with Children and Adolescents. In Telemedicine and e-Health (Vol. 23, Issue 10, pp. 779–804). Mary Ann Liebert Inc. https://doi.org/10.1089/tmj.2017.0177 Myers, K., Vander Stoep, A., Zhou, C., McCarty, C. A., & Katon, W. (2015). Effectiveness of a telehealth service delivery model for treating attention-deficit/hyperactivity disorder: A community-based randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 54(4), 263–274. https://doi.org/10.1016/j.jaac.2015.01.009 Narasimhan, M., Druss, B. G., Hockenberry, J. M., Royer, J., Weiss, P., Glick, G., Marcus, S. C., & Magill, J. (2015). Impact of a telepsychiatry program at emergency departments statewide on the quality, utilization, and costs of mental health services. Psychiatric Services, 66(11), 1167–1172. https://doi.org/10.1176/appi.ps.201400122 Naskar, S., Victor, R., Das, H., & Nath, K. (2017). Telepsychiatry in India-Where do we stand? A comparative review between global and Indian telepsychiatry programs. In Indian Journal of Psychological Medicine (Vol. 39, Issue 3, pp. 223–242). Wolters Kluwer Medknow Publications. https://doi.org/10.4103/0253-7176.207329 O’Brien, M., & McNicholas, F. (2020). The Use of Telepsychiatry During COVID-19 and Beyond. Irish Journal of Psychological Medicine, 1–17. https://doi.org/10.1017/ipm.2020.54 Olthuis, J. V, Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2015). Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. https://doi.org/10.1002/14651858.cd011565 Organización Panamericana de la Salud, & Organización Mundial de la Salud. (2018). La carga de los trastornos mentales en la Región de las Américas, 2018 Osoro, J. (2020). 100 mil caldenses residentes en el país y en exterior beneficiados con los servicios de Telesalud. Oficina de Prensa de La Universidad de Caldas. https://www.ucaldas.edu.co/portal/100-mil-caldenses-residentes-en-el-paisy-en-exterior-ser-beneficiados-con-los-servicios-de-telesalud/ Parish, M. B., Fazio, S., Chan, S., & Yellowlees, P. M. (2017). Managing Psychiatrist-Patient Relationships in the Digital Age: a Summary Review of the Impact of Technology-enabled Care on Clinical Processes and Rapport. Current Psychiatry Reports, 19(11), 90. https://doi.org/10.1007/s11920-017-0839-x Perednia, D. A., & Allen, A. (1995). Telemedicine Technology and Clinical Applications. JAMA: The Journal of the American Medical Association, 273(6), 483–488. https://doi.org/10.1001/jama.1995.03520300057037 Pineau, G., Moqadem, K., St-Hilaire, C., Perreault, R., & Levac, É. (2006). Telehealth: clinical guidelines and technological standards for telepsychiatry. Agence d’evaluation Des Technologies et Des Modes d’intervention En Sante. Quispe-Juli, C. U., Moquillaza-Alcántara, V. H., & Arapa-Apaza, K. L. (2019). Telehealth in latin america: A review of the studies registered in clinicaltrials.gov. Revista Cubana de Informacion En Ciencias de La Salud, 30(4). https://doi.org/10.36512/rcics.v30i4.1389.g871 Reinhardt, I., Gouzoulis-Mayfrank, E., & Zielasek, J. (2019). Use of Telepsychiatry in Emergency and Crisis Intervention: Current Evidence. In Current Psychiatry Reports (Vol. 21, Issue 8). Current Medicine Group LLC 1. https://doi.org/10.1007/s11920-019-1054-8 Roberts, N., Hu, T., Axas, N., & Repetti, L. (2017). Child and Adolescent Emergency and Urgent Mental Health Delivery Through Telepsychiatry: 12-Month Prospective Study. Telemedicine and E-Health, 23(10), 842–846. https://doi.org/10.1089/tmj.2016.0269 Romero, E. (2010). Modelo para telemedicina, educación virtual y administración de imágenes de la Universidad Nacional de Colombia. Revista Medicina, 88(1), 8–14. http://revistamedicina.net/ojsanm/index.php/Medicina/article/view/88- 2/299 Saeed, S. A., Johnson, T. L., Bagga, M., & Glass, O. (2017). Training Residents in the Use of Telepsychiatry: Review of the Literature and a Proposed Elective. In Psychiatric Quarterly (Vol. 88, Issue 2, pp. 271–283). Springer New York LLC. https://doi.org/10.1007/s11126-016-9470-y Scott, R., & Mars, M. (2019). Here We Go Again - “Digital Health". Journal of the International Society for Telemedicine and Ehealth, 7(el), 1–2. Serhal, E., Lazor, T., Kurdyak, P., Crawford, A., de Oliveira, C., Hancock-Howard, R., & Coyte, P. C. (2019). A cost analysis comparing telepsychiatry to in-person psychiatric outreach and patient travel reimbursement in Northern Ontario communities. Journal of Telemedicine and Telecare. https://doi.org/10.1177/1357633X19853139 Shore, J. (2015). The evolution and history of telepsychiatry and its impact on psychiatric care: Current implications for psychiatrists and psychiatric organizations. In International Review of Psychiatry (Vol. 27, Issue 6, pp. 469–475). Taylor and Francis Ltd. https://doi.org/10.3109/09540261.2015.1072086 Shore, J. H., Yellowlees, P., Caudill, R., Johnston, B., Turvey, C., Mishkind, M., Krupinski, E., Myers, K., Shore, P., Kaftarian, E., & Hilty, D. (2018). Best Practices in Videoconferencing-Based Telemental Health April 2018. Telemedicine and E-Health, 24(11), 827–832. https://doi.org/10.1089/tmj.2018.0237 Shulman, M., John, M., & Kane, J. M. (2017). Home-based outpatient telepsychiatry to improve adherence with treatment appointments: A pilot study. Psychiatric Services, 68(7), 743–746. https://doi.org/10.1176/appi.ps.201600244 Suresh Bada Math, Narayana Manjunatha, C Naveen Kumar, Chethan Basavarajappa, B., & Gangadhar. (2020). Telepsychiatry operational guidelines—2020 (560 029). NIMHANS. Teshima, J., Hodgins, M., Boydell, K. M., & Pignatiello, A. (2016). Resident Evaluation of a Required Telepsychiatry Clinical Experience. Academic Psychiatry, 40(2), 348–352. https://doi.org/10.1007/s40596-015-0373-2 Thomas, J. F., Novins, D. K., Hosokawa, P. W., Olson, C. A., Hunter, D., Brent, A. S., Frunzi, G., & Libby, A. M. (2018). The use of telepsychiatry to provide cost-efficient care during pediatric mental health emergencies. Psychiatric Services, 69(2), 161–168. https://doi.org/10.1176/appi.ps.201700140 Turvey, C., Coleman, M., Dennison, O., Drude, K., Goldenson, M., Hirsch, P., Jueneman, R., Kramer, G. M., Luxton, D. D., Maheu, M. M., Malik, T. S., Mishkind, M. C., Rabinowitz, T., Roberts, L. J., Sheeran, T., Shore, J. H., Shore, P., Van Heeswyk, F., Wregglesworth, B., … Bernard, J. (2013). ATA practice guidelines for video-based online mental health services. In Telemedicine and e-Health (Vol. 19, Issue 9, pp. 722–730). https://doi.org/10.1089/tmj.2013.9989 Unión Internacional para las Telecomunicaciones. (2018). Estudio sobre TIC y salud pública en América Latina: la perspectiva de e-salud y m-salud. https://www.itu.int/pub/D-STR-E_HEALTH.13-2018/es Universidad Nacional de Colombia. (n.d.). Telemedicina, Nuestra historia habla de nuestro trabajo. Retrieved June 18, 2020, from http://www.telemedicina.unal.edu.co/nosotros Vogt, E. L., Mahmoud, H., & Elhaj, O. (2019). Telepsychiatry: Implications for psychiatrist burnout and well-being. Psychiatric Services, 70(5), 422–424. https://doi.org/10.1176/appi.ps.201800465 Vusio, F., Thompson, A., Birchwood, M., & Clarke, L. (2019). Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings: a systematic review. In European Child and Adolescent Psychiatry. Dr. Dietrich Steinkopff Verlag GmbH and Co. KG. https://doi.org/10.1007/s00787-019-01420- 7 Waller, M., & Stotler, C. (2018). Telemedicine: a Primer. In Current Allergy and Asthma Reports (Vol. 18, Issue 10). Current Medicine Group LLC 1. https://doi.org/10.1007/s11882-018-0808-4 Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5). https://doi.org/10.3390/ijerph17051729 World economic forum. (2019). Empowering 8 Billion Minds Enabling Better Mental Health for All via the Ethical Adoption of Technologies. www.weforum.org World Health Organization. (2005). WHA58.28 eHealth. World Health Organization. (2016a). Global diffusion of eHealth: Making universal health coverage achievable. In Report of the third global survey on eHealth Global Observatory for eHealth. http://apps.who.int/bookorders. World Health Organization. (2016b). mHealth: use of mobile wireless technologies for public health. http://www.who.int/goe/policies/en World Health Organization. (2017a). Mental health atlas. World Health Organization. (2017b). Mental Health ATLAS 2017 Member State Profile, Colombia. World Health Organization. (2018). mhGAP operations manual Mental Health Gap Action Programme. http://apps.who.int/bookorders Yellowlees, P., Shore, J., & Roberts, L. (2010). Practice guidelines for videoconferencing-based telemental health - October 2009. Telemedicine and E-Health, 16(10), 1074–1089. https://doi.org/10.1089/tmj.2010.0148 Yilmaz, S. K., Horn, B. P., Fore, C., & Bonham, C. A. (2019). An economic cost analysis of an expanding, multi-state behavioural telehealth intervention. Journal of Telemedicine and Telecare, 25(6), 353–364. https://doi.org/10.1177/1357633X18774181 Zhou, X., Snoswell, C. L., Harding, L. E., Bambling, M., Edirippulige, S., Bai, X., & Smith, A. C. (2020). The Role of Telehealth in Reducing the Mental Health Burden from COVID-19. In Telemedicine and e-Health (Vol. 26, Issue 4, pp. 377–379). Mary Ann Liebert Inc. https://doi.org/10.1089/tmj.2020.0068 |
| dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| dc.rights.license.spa.fl_str_mv |
Atribución-NoComercial-SinDerivadas 4.0 Internacional |
| dc.rights.uri.spa.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| dc.rights.accessrights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Atribución-NoComercial-SinDerivadas 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2 |
| eu_rights_str_mv |
openAccess |
| dc.format.extent.spa.fl_str_mv |
x, 79 páginas |
| dc.format.mimetype.spa.fl_str_mv |
application/pdf |
| dc.publisher.spa.fl_str_mv |
Universidad Nacional de Colombia |
| dc.publisher.program.spa.fl_str_mv |
Bogotá - Medicina - Especialidad en Psiquiatría |
| dc.publisher.department.spa.fl_str_mv |
Departamento de Psiquiatría |
| dc.publisher.faculty.spa.fl_str_mv |
Facultad de Medicina |
| dc.publisher.place.spa.fl_str_mv |
Bogotá, Colombia |
| dc.publisher.branch.spa.fl_str_mv |
Universidad Nacional de Colombia - Sede Bogotá |
| institution |
Universidad Nacional de Colombia |
| bitstream.url.fl_str_mv |
https://repositorio.unal.edu.co/bitstream/unal/81103/1/1098753513.2021%20-%20Victoria%20Salome%20Diaz%20Arguello.pdf https://repositorio.unal.edu.co/bitstream/unal/81103/2/license.txt https://repositorio.unal.edu.co/bitstream/unal/81103/3/Licencia%20y%20%20autorizaci%c3%b3n%20para%20publicaci%c3%b3n%20de%20obras%20en%20el%20repositorio%20institucional%20UN%20-%20Victoria%20Salome%20Diaz%20Arguello.pdf https://repositorio.unal.edu.co/bitstream/unal/81103/4/1098753513.2021%20-%20Victoria%20Salome%20Diaz%20Arguello.pdf.jpg |
| bitstream.checksum.fl_str_mv |
22c1e555c64df8fd5dbccf68f8972a89 8153f7789df02f0a4c9e079953658ab2 1f450ee301e2dffce174ff4c36d157bc 0756c74a3eb542160fa7ba48aa291a71 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio Institucional Universidad Nacional de Colombia |
| repository.mail.fl_str_mv |
repositorio_nal@unal.edu.co |
| _version_ |
1814089386920247296 |
| spelling |
Atribución-NoComercial-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Piñeros, Sandra Elizabeth32745d7b66a0c362103fc839470f8a14Jaramillo, Luis Eduardo29b9cb7dcc6321feaf744cb28ca78b02Díaz Argüello, Victoria Saloméf52877628ebb6ea8b3d127333f5a019b2022-03-01T21:49:39Z2022-03-01T21:49:39Z2021https://repositorio.unal.edu.co/handle/unal/81103Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, graficasLa telesalud es un concepto amplio que abarca diferentes conceptos como la telemedicina, la teleorientación, el teleapoyo y la teleeducación en salud. Esta modalidad de atención se ha implementado a nivel mundial haciendo grandes aportes a la eliminación de barreras de acceso a los servicios de salud y ha demostrado mantener la efectividad de las intervenciones. En Colombia desde hace varios años se han venido implementado de manera progresiva estrategias de telesalud que involucran a instituciones prestadoras de servicios de salud públicas y privadas, así como a instituciones de educación superior de diferentes departamentos, sin embargo, la carga de enfermedad mental y las dificultades de acceso continúan representando actualmente un problema social. El presente trabajo tiene como objetivo desarrollar un protocolo de atención para la prestación de estos servicios en el departamento de psiquiatría de la Universidad nacional de Colombia que se ajuste a los estándares de calidad nacionales. (Texto tomado de la fuente)Telehealth is a broad concept that encompasses different concepts such as telemedicine, teleorientation, telementoring and telehealth education. This care modality has been implemented worldwide making great contributions to the elimination of barriers to access health services and has shown to maintain the effectiveness of interventions. In Colombia, for several years, telehealth strategies have been progressively implemented and involve institutions that provide public and private health services, as well as higher educational institutions from different departments. However, the burden of mental illness and the access difficulties continue to represent a social problem today. The objective of this work is to develop a care protocol for the provision of these services in the psychiatry department of the National University of Colombia that meets national quality standardsEspecialidades MédicasEspecialista en Psiquiatríax, 79 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Especialidad en PsiquiatríaDepartamento de PsiquiatríaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y saludTelemedicinaTelemedicineTelesalud MentalTelemental HealthTelemedicinaTelepsiquiatríaProtocolosProtocolos clínicosTelemedicineTelepsychiatryProtocolsClinical protocolsDesarrollo de un protocolo para la prestación de servicios de salud en la modalidad de telesalud ofrecidos por el departamento de psiquiatría de la Universidad Nacional de ColombiaDevelopment of a protocol for the provision of health services in the telehealth modality offered by the psychiatry department of the Universidad Nacional de ColombiaTrabajo de grado - Especialidad Médicainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMAspvall, K., Lenhard, F., Melin, K., Krebs, G., Norlin, L., Näsström, K., Jassi, A., Turner, C., Knoetze, E., Serlachius, E., Andersson, E., & Mataix-Cols, D. (2020). Implementation of internet-delivered cognitive behaviour therapy for pediatric obsessive-compulsive disorder: Lessons from clinics in Sweden, United Kingdom and Australia. Internet Interventions, 20. https://doi.org/10.1016/j.invent.2020.100308Barrera-Valencia, C., Benito-Devia, A. V., Vélez-Álvarez, C., Figueroa-Barrera, M., & Franco-Idárraga, S. M. (2017). Costoefectividad de telepsiquiatría sincrónica frente a asincrónica para personas con depresión privadas de la libertad. Revista Colombiana de Psiquiatria, 46(2), 65–73. https://doi.org/10.1016/j.rcp.2016.04.008Bashshur, R., Shannon, G., Krupinski, E., & Grigsby, J. (2011). The taxonomy of telemedicine. Telemedicine and E-Health, 17(6), 484–494. https://doi.org/10.1089/tmj.2011.0103Camacho, R., Castillo, H. C., Muñoz, M. V., & Zambrano, M. A. (2019). Diagnóstico de conectividad y dispositivos de telecomunicaciones para el desarrollo de la Telesalud de veinte hospitales en el Departamento del Tolima. Cuaderno Activa, 11, 106–154.Campo-Arias, A., Oviedo, H. C., & Herazo, E. (2014). Stigma: Barrier to access to mental health services. In Revista Colombiana de Psiquiatria (Vol. 43, Issue 3, pp. 162–167). Elsevier Doyma. https://doi.org/10.1016/j.rcp.2014.07.001Chipps, J., Ramlall, S., & Mars, M. (2012). Practice guidelines for videoconference-based telepsychiatry in South Africa. African Journal of Psychiatry (South Africa), 15(4), 271–282. https://doi.org/10.4314/ajpsy.v15i4.35Colombia, ministerio de salud y protección social. (2015). La Encuesta Nacional de Salud Mental–ENSM 2015: Vol. Tomo I. https://doi.org/10.1016/j.rcp.2016.09.006Resolución 2654 del 3 de octubre de 2019, 1 (2019) (testimony of Ministerio de salud y protección social Colombia).Comunicaciones, M. de T. de la I. y las. (2020). Boletín trimestral de las TIC, crifras caurto trimestre de 2019.Ley 1419 Diciembre 13 de 2010, 1 (2010) (testimony of Congreso de la República de Colombia)Resolución 3100 del 25 de noviembre de 2019, 1 (2019) (testimony of Congreso de la República de Colombia).Decreto 538 del 12 de abril de 2020, 1 (2020) (testimony of Congreso de la República de Colombia).Resolución 521 del 28 de marzo de 2020, 1 (2020) (testimony of Congreso de la República de Colombia).Crawford, A., Gratzer, D., Jovanovic, M., Rodie, D., Sockalingam, S., Sunderji, N., Teshima, J., & Thomas, Z. (2018). Building eHealth and Telepsychiatry Capabilities: Three Educational Reports Across the Learning Continuum. Academic Psychiatry, 42(6), 852–856. https://doi.org/10.1007/s40596-018-0989-0Crawford, A., Sunderji, N., López, J., & Soklaridis, S. (2016). Defining competencies for the practice of telepsychiatry through an assessment of resident learning needs Approaches to teaching and learning. BMC Medical Education, 16(1). https://doi.org/10.1186/s12909-016-0529-0Ćwiklicki, M., Schiavone, F., Klich, J., & Pilch, K. (2020). Antecedents of use of e-health services in Central Eastern Europe A qualitative comparative analysis. BMC Health Services Research, 20(1), 171. https://doi.org/10.1186/s12913-020- 5034-9Deslich, S., Thistlethwaite, T., & Coustasse, A. (2013). Telepsychiatry in Correctional Facilities: Using Technology to Improve Access and Decrease Costs of Mental Health Care in Underserved Populations. The Permanente Journal, 17(3). https://doi.org/10.7812/TPP/12-123Doyen, C. M., Oreve, M.-J., Desailly, E., Goupil, V., Zarca, K., L’Hermitte, Y., Chaste, P., Bau, M.-O., Beaujard, D., Haddadi, S., Bibay, A., Contejean, Y., Coutrot, M.-T., Crespin, L., Frioux, I., Speranza, M., Francois, N., & Kaye, K. (2018). Telepsychiatry for Children and Adolescents: A Review of the PROMETTED Project. Telemedicine and EHealth, 24(1), 3–10. https://doi.org/10.1089/tmj.2017.0041Duran, A. (2013). Implementación de la Unidad de TeleSalud en la Empresa del Estado Red de Salud Ladera del Municipio de Santiago de Cali [Universidad ICESI]. https://repository.icesi.edu.co/biblioteca_digital/bitstream/10906/78822/1/T00219.pdfDwyer, T. F. (1973). Telepsychiatry: psychiatric consultation by interactive television. American Journal of Psychiatry, 130(8), 865–869. https://doi.org/10.1176/ajp.130.8.865Farabee, D., Calhoun, S., & Veliz, R. (2016). An experimental comparison of telepsychiatry and conventional psychiatry for parolees. Psychiatric Services, 67(5), 562–565. https://doi.org/10.1176/appi.ps.201500025Fegert, J. M., Vitiello, B., Plener, P. L., & Clemens, V. (2020). Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. In Child and Adolescent Psychiatry and Mental Health (Vol. 14, Issue 1, p. 20). BioMed Central Ltd. https://doi.org/10.1186/s13034-020-00329-3Garay, J., & Gómez, C. (2011). Telepsychiatry: Innovating Mental Healthcare. A General Perspective. Revista Colombiana de Psiquiatría, 40(3), 504–518. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034- 74502011000300010Gardner, J. S., Plaven, B. E., Yellowlees, P., & Shore, J. H. (2020). Remote Telepsychiatry Workforce: a Solution to Psychiatry’s Workforce Issues. In Current Psychiatry Reports (Vol. 22, Issue 2). Springer. https://doi.org/10.1007/s11920-020-1128-7Gentry, M. T., Lapid, M. I., & Rummans, T. A. (2019). Geriatric Telepsychiatry: Systematic Review and Policy Considerations. American Journal of Geriatric Psychiatry, 27(2), 109–127. https://doi.org/10.1016/j.jagp.2018.10.009Gómez-Restrepo, C., Rodríguez, M. N., Eslava-Schmalbach, J., Ruiz, R., & Gil, J. F. (2020). Self-recognition of Mental Disorders and Mental Problems in the Adult Population from the Colombian National Mental Health Survey. Revista Colombiana de Psiquiatria. https://doi.org/10.1016/j.rcp.2019.09.004Gomez, C. (2003). Editorial. Revista Colombiana de Psiquiatría, 32(1). http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502003000100001Grady, B., Myers, K. M., Nelson, E. L., Belz, N., Bennett, L., Carnahan, L., Decker, V. B., Holden, D., Perry, G., Rosenthal, L., Rowe, N., Spaulding, R., Turvey, C. L., White, R., & Voyles, D. (2011). Evidence-based practice for telemental health. Telemedicine and E-Health, 17(2), 131–148. https://doi.org/10.1089/tmj.2010.0158Hilty, D. M., Ferrer, D. C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P. M. (2013). The effectiveness of telemental health: A 2013 review. Telemedicine and E-Health, 19(6), 444–454. https://doi.org/10.1089/tmj.2013.0075Hilty, D. M., Sunderji, N., Suo, S., Chan, S., & McCarron, R. M. (2018). Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies. In International Review of Psychiatry (Vol. 30, Issue 6, pp. 292–309). Taylor and Francis Ltd. https://doi.org/10.1080/09540261.2019.1571483Hodge, M. A., Sutherland, R., Jeng, K., Bale, G., Batta, P., Cambridge, A., Detheridge, J., Drevensek, S., Edwards, L., Everett, M., Ganesalingam, K., Geier, P., Kass, C., Mathieson, S., McCabe, M., Micallef, K., Molomby, K., Ong, N., Pfeiffer, S., … Silove, N. (2019). Agreement between telehealth and face-to-face assessment of intellectual ability in children with specific learning disorder. Journal of Telemedicine and Telecare, 25(7), 431–437. https://doi.org/10.1177/1357633X18776095Holguín, D. M. H., & Sanmartín-Rueda, C. F. (2018). Paradox of mental health in Colombia: Between human rights, the predominance of the administrative and the stigma. Revista Gerencia y Politicas de Salud, 17(35), 43–56. https://doi.org/10.11144/Javeriana.rgps17-35.psmcHubley, S., Lynch, S. B., Schneck, C., Thomas, M., & Shore, J. (2016). Review of key telepsychiatry outcomes. World Journal of Psychiatry, 6(2), 269. https://doi.org/10.5498/wjp.v6.i2.269Hungerbuehler, I., Valiengo, L., Loch, A. A., Rössler, W., & Gattaz, W. F. (2016). Home-Based Psychiatric Outpatient Care Through Videoconferencing for Depression: A Randomized Controlled Follow-Up Trial. JMIR Mental Health, 3(3), e36. https://doi.org/10.2196/mental.5675Instituto Nacional de Medicina Legal y Ciencias Forenses. (2018). Forensis 2018, DATOS PARA LA VIDAKaftarian, E. (2019). Lessons Learned in Prison and Jail-Based Telepsychiatry. In Current Psychiatry Reports (Vol. 21, Issue 3). Current Medicine Group LLC 1. https://doi.org/10.1007/s11920-019-1004-5Kannarkat, J. T., Smith, N. N., & McLeod-Bryant, S. A. (2020). Mobilization of Telepsychiatry in Response to COVID-19— Moving Toward 21st Century Access to Care. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 489–491. https://doi.org/10.1007/s10488-020-01044-zKatz, C. L., Boffa Washington, F., Sacco, M., & Schuetz-Mueller, J. (2019). A resident-based telepsychiatry supervision pilot program in Liberia. Psychiatric Services, 70(3), 243–246. https://doi.org/10.1176/appi.ps.201800363Khan, S., & Ramtekkar, U. (2019). Child and Adolescent Telepsychiatry Education and Training. In Psychiatric Clinics of North America (Vol. 42, Issue 4, pp. 555–562). W.B. Saunders. https://doi.org/10.1016/j.psc.2019.08.010Lawes-Wickwar, S., McBain, H., & Mulligan, K. (2018). Application and Effectiveness of Telehealth to Support Severe Mental Illness Management: Systematic Review. JMIR Mental Health, 5(4), e62. https://doi.org/10.2196/mental.8816Leigh, H., Cruz, H., & Mallios, R. (2009). Telepsychiatry appointments in a continuing care setting: Kept, cancelled and noshows. Journal of Telemedicine and Telecare, 15(6), 286–289. https://doi.org/10.1258/jtt.2009.090305Liebson, E. (1997). Telepsychiatry: Thirty-Five Years’ Experience. Medscape Psychiatry & Mental Health EJournal., 2(4). https://www.medscape.com/viewarticle/431064_4Looi, J. C. L., & Pring, W. (2020). Private metropolitan telepsychiatry in Australia during Covid-19: current practice and future developments. Australasian Psychiatry. https://doi.org/10.1177/1039856220930675Lupton, D. (2016). Towards critical digital health studies: Reflections on two decades of research in health and the way forward. Health (United Kingdom), 20(1), 49–61. https://doi.org/10.1177/1363459315611940Martínez Pérez, D. C., Agudelo García, Á. M., Andrade Carrillo, R., García Cano, J. F., & Porras Cataño, S. M. (2019). Telepsychiatry: A Successful Experience in Antioquia, Colombia. Revista Colombiana de Psiquiatria. https://doi.org/10.1016/j.rcp.2019.06.005Mermelstein, H., Guzman, E., Rabinowitz, T., Krupinski, E., & Hilty, D. (2017). The Application of Technology to Health: The Evolution of Telephone to Telemedicine and Telepsychiatry: A Historical Review and Look at Human Factors. Journal of Technology in Behavioral Science, 2(1), 5–20. https://doi.org/10.1007/s41347-017-0010-xMinisterio de Salud y Protección Social. (2019). Reporte plan de acción Trimestre IV 2018. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PES/reporte-plan-accion-iv-trimestre2018pes.pdfMyers, K., Nelson, E. L., Rabinowitz, T., Hilty, D., Baker, D., Barnwell, S. S., Boyce, G., Bufka, L. F., Cain, S., Chui, L., Comer, J. S., Cradock, C., Goldstein, F., Johnston, B., Krupinski, E., Lo, K., Luxton, D. D., McSwain, S. D., McWilliams, J., … Bernard, J. (2017). American Telemedicine Association Practice Guidelines for Telemental Health with Children and Adolescents. In Telemedicine and e-Health (Vol. 23, Issue 10, pp. 779–804). Mary Ann Liebert Inc. https://doi.org/10.1089/tmj.2017.0177Myers, K., Vander Stoep, A., Zhou, C., McCarty, C. A., & Katon, W. (2015). Effectiveness of a telehealth service delivery model for treating attention-deficit/hyperactivity disorder: A community-based randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 54(4), 263–274. https://doi.org/10.1016/j.jaac.2015.01.009Narasimhan, M., Druss, B. G., Hockenberry, J. M., Royer, J., Weiss, P., Glick, G., Marcus, S. C., & Magill, J. (2015). Impact of a telepsychiatry program at emergency departments statewide on the quality, utilization, and costs of mental health services. Psychiatric Services, 66(11), 1167–1172. https://doi.org/10.1176/appi.ps.201400122Naskar, S., Victor, R., Das, H., & Nath, K. (2017). Telepsychiatry in India-Where do we stand? A comparative review between global and Indian telepsychiatry programs. In Indian Journal of Psychological Medicine (Vol. 39, Issue 3, pp. 223–242). Wolters Kluwer Medknow Publications. https://doi.org/10.4103/0253-7176.207329O’Brien, M., & McNicholas, F. (2020). The Use of Telepsychiatry During COVID-19 and Beyond. Irish Journal of Psychological Medicine, 1–17. https://doi.org/10.1017/ipm.2020.54Olthuis, J. V, Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2015). Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. https://doi.org/10.1002/14651858.cd011565Organización Panamericana de la Salud, & Organización Mundial de la Salud. (2018). La carga de los trastornos mentales en la Región de las Américas, 2018Osoro, J. (2020). 100 mil caldenses residentes en el país y en exterior beneficiados con los servicios de Telesalud. Oficina de Prensa de La Universidad de Caldas. https://www.ucaldas.edu.co/portal/100-mil-caldenses-residentes-en-el-paisy-en-exterior-ser-beneficiados-con-los-servicios-de-telesalud/Parish, M. B., Fazio, S., Chan, S., & Yellowlees, P. M. (2017). Managing Psychiatrist-Patient Relationships in the Digital Age: a Summary Review of the Impact of Technology-enabled Care on Clinical Processes and Rapport. Current Psychiatry Reports, 19(11), 90. https://doi.org/10.1007/s11920-017-0839-xPerednia, D. A., & Allen, A. (1995). Telemedicine Technology and Clinical Applications. JAMA: The Journal of the American Medical Association, 273(6), 483–488. https://doi.org/10.1001/jama.1995.03520300057037Pineau, G., Moqadem, K., St-Hilaire, C., Perreault, R., & Levac, É. (2006). Telehealth: clinical guidelines and technological standards for telepsychiatry. Agence d’evaluation Des Technologies et Des Modes d’intervention En Sante.Quispe-Juli, C. U., Moquillaza-Alcántara, V. H., & Arapa-Apaza, K. L. (2019). Telehealth in latin america: A review of the studies registered in clinicaltrials.gov. Revista Cubana de Informacion En Ciencias de La Salud, 30(4). https://doi.org/10.36512/rcics.v30i4.1389.g871Reinhardt, I., Gouzoulis-Mayfrank, E., & Zielasek, J. (2019). Use of Telepsychiatry in Emergency and Crisis Intervention: Current Evidence. In Current Psychiatry Reports (Vol. 21, Issue 8). Current Medicine Group LLC 1. https://doi.org/10.1007/s11920-019-1054-8Roberts, N., Hu, T., Axas, N., & Repetti, L. (2017). Child and Adolescent Emergency and Urgent Mental Health Delivery Through Telepsychiatry: 12-Month Prospective Study. Telemedicine and E-Health, 23(10), 842–846. https://doi.org/10.1089/tmj.2016.0269Romero, E. (2010). Modelo para telemedicina, educación virtual y administración de imágenes de la Universidad Nacional de Colombia. Revista Medicina, 88(1), 8–14. http://revistamedicina.net/ojsanm/index.php/Medicina/article/view/88- 2/299Saeed, S. A., Johnson, T. L., Bagga, M., & Glass, O. (2017). Training Residents in the Use of Telepsychiatry: Review of the Literature and a Proposed Elective. In Psychiatric Quarterly (Vol. 88, Issue 2, pp. 271–283). Springer New York LLC. https://doi.org/10.1007/s11126-016-9470-yScott, R., & Mars, M. (2019). Here We Go Again - “Digital Health". Journal of the International Society for Telemedicine and Ehealth, 7(el), 1–2.Serhal, E., Lazor, T., Kurdyak, P., Crawford, A., de Oliveira, C., Hancock-Howard, R., & Coyte, P. C. (2019). A cost analysis comparing telepsychiatry to in-person psychiatric outreach and patient travel reimbursement in Northern Ontario communities. Journal of Telemedicine and Telecare. https://doi.org/10.1177/1357633X19853139Shore, J. (2015). The evolution and history of telepsychiatry and its impact on psychiatric care: Current implications for psychiatrists and psychiatric organizations. In International Review of Psychiatry (Vol. 27, Issue 6, pp. 469–475). Taylor and Francis Ltd. https://doi.org/10.3109/09540261.2015.1072086Shore, J. H., Yellowlees, P., Caudill, R., Johnston, B., Turvey, C., Mishkind, M., Krupinski, E., Myers, K., Shore, P., Kaftarian, E., & Hilty, D. (2018). Best Practices in Videoconferencing-Based Telemental Health April 2018. Telemedicine and E-Health, 24(11), 827–832. https://doi.org/10.1089/tmj.2018.0237Shulman, M., John, M., & Kane, J. M. (2017). Home-based outpatient telepsychiatry to improve adherence with treatment appointments: A pilot study. Psychiatric Services, 68(7), 743–746. https://doi.org/10.1176/appi.ps.201600244Suresh Bada Math, Narayana Manjunatha, C Naveen Kumar, Chethan Basavarajappa, B., & Gangadhar. (2020). Telepsychiatry operational guidelines—2020 (560 029). NIMHANS.Teshima, J., Hodgins, M., Boydell, K. M., & Pignatiello, A. (2016). Resident Evaluation of a Required Telepsychiatry Clinical Experience. Academic Psychiatry, 40(2), 348–352. https://doi.org/10.1007/s40596-015-0373-2Thomas, J. F., Novins, D. K., Hosokawa, P. W., Olson, C. A., Hunter, D., Brent, A. S., Frunzi, G., & Libby, A. M. (2018). The use of telepsychiatry to provide cost-efficient care during pediatric mental health emergencies. Psychiatric Services, 69(2), 161–168. https://doi.org/10.1176/appi.ps.201700140Turvey, C., Coleman, M., Dennison, O., Drude, K., Goldenson, M., Hirsch, P., Jueneman, R., Kramer, G. M., Luxton, D. D., Maheu, M. M., Malik, T. S., Mishkind, M. C., Rabinowitz, T., Roberts, L. J., Sheeran, T., Shore, J. H., Shore, P., Van Heeswyk, F., Wregglesworth, B., … Bernard, J. (2013). ATA practice guidelines for video-based online mental health services. In Telemedicine and e-Health (Vol. 19, Issue 9, pp. 722–730). https://doi.org/10.1089/tmj.2013.9989Unión Internacional para las Telecomunicaciones. (2018). Estudio sobre TIC y salud pública en América Latina: la perspectiva de e-salud y m-salud. https://www.itu.int/pub/D-STR-E_HEALTH.13-2018/esUniversidad Nacional de Colombia. (n.d.). Telemedicina, Nuestra historia habla de nuestro trabajo. Retrieved June 18, 2020, from http://www.telemedicina.unal.edu.co/nosotrosVogt, E. L., Mahmoud, H., & Elhaj, O. (2019). Telepsychiatry: Implications for psychiatrist burnout and well-being. Psychiatric Services, 70(5), 422–424. https://doi.org/10.1176/appi.ps.201800465Vusio, F., Thompson, A., Birchwood, M., & Clarke, L. (2019). Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings: a systematic review. In European Child and Adolescent Psychiatry. Dr. Dietrich Steinkopff Verlag GmbH and Co. KG. https://doi.org/10.1007/s00787-019-01420- 7Waller, M., & Stotler, C. (2018). Telemedicine: a Primer. In Current Allergy and Asthma Reports (Vol. 18, Issue 10). Current Medicine Group LLC 1. https://doi.org/10.1007/s11882-018-0808-4Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5). https://doi.org/10.3390/ijerph17051729World economic forum. (2019). Empowering 8 Billion Minds Enabling Better Mental Health for All via the Ethical Adoption of Technologies. www.weforum.orgWorld Health Organization. (2005). WHA58.28 eHealth.World Health Organization. (2016a). Global diffusion of eHealth: Making universal health coverage achievable. In Report of the third global survey on eHealth Global Observatory for eHealth. http://apps.who.int/bookorders.World Health Organization. (2016b). mHealth: use of mobile wireless technologies for public health. http://www.who.int/goe/policies/enWorld Health Organization. (2017a). Mental health atlas.World Health Organization. (2017b). Mental Health ATLAS 2017 Member State Profile, Colombia.World Health Organization. (2018). mhGAP operations manual Mental Health Gap Action Programme. http://apps.who.int/bookordersYellowlees, P., Shore, J., & Roberts, L. (2010). Practice guidelines for videoconferencing-based telemental health - October 2009. Telemedicine and E-Health, 16(10), 1074–1089. https://doi.org/10.1089/tmj.2010.0148Yilmaz, S. K., Horn, B. P., Fore, C., & Bonham, C. A. (2019). An economic cost analysis of an expanding, multi-state behavioural telehealth intervention. Journal of Telemedicine and Telecare, 25(6), 353–364. https://doi.org/10.1177/1357633X18774181Zhou, X., Snoswell, C. L., Harding, L. E., Bambling, M., Edirippulige, S., Bai, X., & Smith, A. C. (2020). The Role of Telehealth in Reducing the Mental Health Burden from COVID-19. In Telemedicine and e-Health (Vol. 26, Issue 4, pp. 377–379). Mary Ann Liebert Inc. https://doi.org/10.1089/tmj.2020.0068EstudiantesInvestigadoresPúblico generalORIGINAL1098753513.2021 - Victoria Salome Diaz Arguello.pdf1098753513.2021 - Victoria Salome Diaz Arguello.pdfTesis de Especialidad Médica en Psiquiatríaapplication/pdf601290https://repositorio.unal.edu.co/bitstream/unal/81103/1/1098753513.2021%20-%20Victoria%20Salome%20Diaz%20Arguello.pdf22c1e555c64df8fd5dbccf68f8972a89MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-84074https://repositorio.unal.edu.co/bitstream/unal/81103/2/license.txt8153f7789df02f0a4c9e079953658ab2MD52Licencia y autorización para publicación de obras en el repositorio institucional UN - Victoria Salome Diaz Arguello.pdfLicencia y autorización para publicación de obras en el repositorio institucional UN - Victoria Salome Diaz Arguello.pdfLicencia de publicaciónapplication/pdf168224https://repositorio.unal.edu.co/bitstream/unal/81103/3/Licencia%20y%20%20autorizaci%c3%b3n%20para%20publicaci%c3%b3n%20de%20obras%20en%20el%20repositorio%20institucional%20UN%20-%20Victoria%20Salome%20Diaz%20Arguello.pdf1f450ee301e2dffce174ff4c36d157bcMD53THUMBNAIL1098753513.2021 - Victoria Salome Diaz Arguello.pdf.jpg1098753513.2021 - Victoria Salome Diaz Arguello.pdf.jpgGenerated Thumbnailimage/jpeg4890https://repositorio.unal.edu.co/bitstream/unal/81103/4/1098753513.2021%20-%20Victoria%20Salome%20Diaz%20Arguello.pdf.jpg0756c74a3eb542160fa7ba48aa291a71MD54unal/81103oai:repositorio.unal.edu.co:unal/811032024-08-03 23:10:45.177Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.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 |