Establishing and Governing e-Mental Health Care in Australia: A Systematic Review of Challenges and A Call For Policy-Focussed Research

作者: Carla Meurk , Janni Leung , Wayne Hall , Brian W Head , Harvey Whiteford

DOI: 10.2196/JMIR.4827

关键词:

摘要: Background: Growing evidence attests to the efficacy of e-mental health services. There is less on how facilitate safe, effective, and sustainable implementation these Objective: We conducted a systematic review service use for depressive anxiety disorders inform policy development identify policy-relevant gaps in base. Methods: Following PRISMA protocol, we identified research (1) Australia, (2) services, (3) or disorders, (4) usage, such as barriers facilitators use. Databases searched included Cochrane, PubMed, PsycINFO, CINAHL, Embase, ProQuest Social Science, Google Scholar. Sources were assessed according area level relevance. Results: The search yielded 1081 studies; 30 studies analysis. Most reported self-selected samples online help-seekers. Studies indicate that services are predominantly used by females, those who more educated socioeconomically advantaged. Ethnicity was infrequently on. examining consumer preferences found preference face-to-face therapy over e-therapies, but not an aversion e-therapy. Content relevant governance related organizational dimensions followed implications community education. Financing payment e-services information communication technology least commonly discussed. Conclusions: Little focuses explicitly planning; most provides perspective. Research needed provide policy-maker perspectives. General population prospective treatment seekers include ethnicity socioeconomic status quantify relative all modalities necessary. [J Med Internet Res 2016;18(1):e10]

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