1. Changes in telepsychiatry regulations during the COVID-19 pandemic: 17 countries and regions' approaches to an evolving healthcare landscape
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Roy Kallivayalil, Chun Hung Chang, John Torous, Allison Crawford, Taishiro Kishimoto, Yu-Tao Xiang, Daniel Guinart, Nicola Veronese, Soraya Seedat, Peter Mackinlay Yellowlees, Gonzalo Salazar de Pablo, Christoph U. Correll, Donald M. Hilty, Angela Favaro, Mohammad Elshami, Prakhar D Jain, Marco Solmi, Deyvis Rocha, Hakan Karaş, Yuya Mizuno, Pernille Kølbæk, John M. Kane, David J. Castle, David Dines, Kazunari Yoshida, Shotaro Kinoshita, Kelley Cortright, Sangho Shin, Yuan Yang, Kuan-Pin Su, Kinoshita S., Cortright K., Crawford A., Mizuno Y., Yoshida K., Hilty D., Guinart D., Torous J., Correll C.U., Castle D.J., Rocha D., Yang Y., Xiang Y.-T., Kolbaek P., Dines D., Elshami M., Jain P., Kallivayalil R., Solmi M., Favaro A., Veronese N., Seedat S., Shin S., De Pablo G.S., Chang C.-H., Su K.-P., Karas H., Kane J.M., Yellowlees P., and Kishimoto T.
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Telemedicine ,health insurance reimbursement ,020205 medical informatics ,COVID-19, government regulation, health insurance reimbursement, telemedicine, telepsychiatry ,telepsychiatry ,02 engineering and technology ,Public administration ,03 medical and health sciences ,0302 clinical medicine ,Clinical Research ,Political science ,Pandemic ,Health care ,Global network ,0202 electrical engineering, electronic engineering, information engineering ,Psychology ,030212 general & internal medicine ,Applied Psychology ,Reimbursement ,Psychiatry ,government regulation ,business.industry ,Telepsychiatry ,Neurosciences ,COVID-19 ,Health Services ,Psychiatry and Mental health ,Good Health and Well Being ,Snowball sampling ,Scale (social sciences) ,telemedicine ,Public Health and Health Services ,Original Article ,business - Abstract
Author(s): Kinoshita, Shotaro; Cortright, Kelley; Crawford, Allison; Mizuno, Yuya; Yoshida, Kazunari; Hilty, Donald; Guinart, Daniel; Torous, John; Correll, Christoph U; Castle, David J; Rocha, Deyvis; Yang, Yuan; Xiang, Yu-Tao; Kolbaek, Pernille; Dines, David; ElShami, Mohammad; Jain, Prakhar; Kallivayalil, Roy; Solmi, Marco; Favaro, Angela; Veronese, Nicola; Seedat, Soraya; Shin, Sangho; Salazar de Pablo, Gonzalo; Chang, Chun-Hung; Su, Kuan-Pin; Karas, Hakan; Kane, John M; Yellowlees, Peter; Kishimoto, Taishiro | Abstract: BackgroundDuring the COVID-19 pandemic, the use of telemedicine as a way to reduce COVID-19 infections was noted and consequently deregulated. However, the degree of telemedicine regulation varies from country to country, which may alter the widespread use of telemedicine. This study aimed to clarify the telepsychiatry regulations for each collaborating country/region before and during the COVID-19 pandemic.MethodsWe used snowball sampling within a global network of international telepsychiatry experts. Thirty collaborators from 17 different countries/regions responded to a questionnaire on barriers to the use and implementation of telepsychiatric care, including policy factors such as regulations and reimbursement at the end of 2019 and as of May 2020.ResultsThirteen of 17 regions reported a relaxation of regulations due to the pandemic; consequently, all regions surveyed stated that telepsychiatry was now possible within their public healthcare systems. In some regions, restrictions on prescription medications allowed via telepsychiatry were eased, but in 11 of the 17 regions, there were still restrictions on prescribing medications via telepsychiatry. Lower insurance reimbursement amounts for telepsychiatry consultations v. in-person consultations were reevaluated in four regions, and consequently, in 15 regions telepsychiatry services were reimbursed at the same rate (or higher) than in-person consultations during the COVID-19 pandemic.ConclusionsOur results confirm that, due to COVID-19, the majority of countries surveyed are altering telemedicine regulations that had previously restricted the spread of telemedicine. These findings provide information that could guide future policy and regulatory decisions, which facilitate greater scale and spread of telepsychiatry globally.
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- 2020
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