Unpeeling the onion: Digital triage and monitoring of general practice, private psychiatry, and psychology.
Stephen AllisonTarun Joseph BastiampillaiMeshary Khaled N AlotibyJeffrey C L LooiPublished in: Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists (2023)
The DTM model is disruptive. Non-government organisations would replace general practitioners as care coordinators. Patients, private psychiatrists, and psychologists would be subjected to additional layers of administration, assessment, and digital compliance, which may decrease efficiency, and lengthen the duration of untreated illness. Only one patient was deemed eligible for DTM, however, during the 8-month regional trial of Project Synergy (recruitment rate = 1/500,000 across the region). Instead of an unproven DTM model, the proposed 'digital front door' to Australian mental healthcare should emphasise technology-enabled shared care (general practitioners and mental health professionals) for the treatment of moderate-to-severe illness.
Keyphrases
- healthcare
- general practice
- quality improvement
- end stage renal disease
- palliative care
- health insurance
- emergency department
- newly diagnosed
- ejection fraction
- chronic kidney disease
- mental health
- affordable care act
- primary care
- clinical trial
- prognostic factors
- study protocol
- case report
- phase iii
- early onset
- high intensity
- peritoneal dialysis
- randomized controlled trial
- patient reported outcomes
- phase ii
- chronic pain
- combination therapy
- smoking cessation
- replacement therapy