Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India

Aim: In a resource-poor country such as India, telepsychiatry could be an economical method to expand health-care services. This study was planned to compare the costing and feasibility of three different service delivery models. The end user was a state-funded long-stay Rehabilitation Center (RC) f...

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Main Authors: Sydney Moirangthem, Sabina Rao, Channaveerachari Naveen Kumar, Manjunatha Narayana, Neelaveni Raviprakash, Suresh Bada Math
Format: Article
Language:English
Published: SAGE Publishing 2017-01-01
Series:Indian Journal of Psychological Medicine
Subjects:
Online Access:http://www.ijpm.info/article.asp?issn=0253-7176;year=2017;volume=39;issue=3;spage=271;epage=275;aulast=Moirangthem
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author Sydney Moirangthem
Sabina Rao
Channaveerachari Naveen Kumar
Manjunatha Narayana
Neelaveni Raviprakash
Suresh Bada Math
author_facet Sydney Moirangthem
Sabina Rao
Channaveerachari Naveen Kumar
Manjunatha Narayana
Neelaveni Raviprakash
Suresh Bada Math
author_sort Sydney Moirangthem
collection DOAJ
description Aim: In a resource-poor country such as India, telepsychiatry could be an economical method to expand health-care services. This study was planned to compare the costing and feasibility of three different service delivery models. The end user was a state-funded long-stay Rehabilitation Center (RC) for the homeless. Methodology: Model A comprised patients going to a tertiary care center for clinical care, Model B was community outreach service, and Model C comprised telepsychiatry services. The costing included expenses incurred by the health system to complete a single consultation for a patient on an outpatient basis. It specifically excluded the cost borne by the care-receiver. No patients were interviewed for the study. Results: The RC had 736 inmates, of which 341 had mental illness of very long duration. On comparing the costing, Model A costed 6047.5 INR (100$), Model B costed 577.1 INR (9.1$), and Model C costed 137.2 INR (2.2$). Model C was found fifty times more economical when compared to Model A and four times more economical when compared to Model B. Conclusion: Telepsychiatry services connecting tertiary center and a primary health-care center have potential to be an economical model of service delivery compared to other traditional ones. This resource needs to be tapped in a better fashion to reach the unreached.
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spelling doaj.art-bddd48cf322f4d6c989c0870abc9202a2022-12-21T22:13:32ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71762017-01-0139327127510.4103/IJPSYM.IJPSYM_441_16Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South IndiaSydney MoirangthemSabina RaoChannaveerachari Naveen KumarManjunatha NarayanaNeelaveni RaviprakashSuresh Bada MathAim: In a resource-poor country such as India, telepsychiatry could be an economical method to expand health-care services. This study was planned to compare the costing and feasibility of three different service delivery models. The end user was a state-funded long-stay Rehabilitation Center (RC) for the homeless. Methodology: Model A comprised patients going to a tertiary care center for clinical care, Model B was community outreach service, and Model C comprised telepsychiatry services. The costing included expenses incurred by the health system to complete a single consultation for a patient on an outpatient basis. It specifically excluded the cost borne by the care-receiver. No patients were interviewed for the study. Results: The RC had 736 inmates, of which 341 had mental illness of very long duration. On comparing the costing, Model A costed 6047.5 INR (100$), Model B costed 577.1 INR (9.1$), and Model C costed 137.2 INR (2.2$). Model C was found fifty times more economical when compared to Model A and four times more economical when compared to Model B. Conclusion: Telepsychiatry services connecting tertiary center and a primary health-care center have potential to be an economical model of service delivery compared to other traditional ones. This resource needs to be tapped in a better fashion to reach the unreached.http://www.ijpm.info/article.asp?issn=0253-7176;year=2017;volume=39;issue=3;spage=271;epage=275;aulast=MoirangthemCostingreaching the unreachedtelepsychiatry
spellingShingle Sydney Moirangthem
Sabina Rao
Channaveerachari Naveen Kumar
Manjunatha Narayana
Neelaveni Raviprakash
Suresh Bada Math
Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India
Indian Journal of Psychological Medicine
Costing
reaching the unreached
telepsychiatry
title Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India
title_full Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India
title_fullStr Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India
title_full_unstemmed Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India
title_short Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India
title_sort telepsychiatry as an economically better model for reaching the unreached a retrospective report from south india
topic Costing
reaching the unreached
telepsychiatry
url http://www.ijpm.info/article.asp?issn=0253-7176;year=2017;volume=39;issue=3;spage=271;epage=275;aulast=Moirangthem
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AT channaveeracharinaveenkumar telepsychiatryasaneconomicallybettermodelforreachingtheunreachedaretrospectivereportfromsouthindia
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AT neelaveniraviprakash telepsychiatryasaneconomicallybettermodelforreachingtheunreachedaretrospectivereportfromsouthindia
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