Assessment of knowledge and perceptions of Tunisian psychiatrists regarding Telepsychiatry

Authors

  • Samir Samaâli Faculty of Medicine of Tunis, University of Tunis-ElManar, Tunis, Tunisia https://orcid.org/0000-0002-3310-0847 (unauthenticated)
  • Abir Hakiri  Psychiatry Department B, Razi Hospital, University of Tunis-El Manar, Manouba, Tunisia
  • Azza Bouallaguia Psychiatry Department B, Razi Hospital, University of Tunis-El Manar, Manouba, Tunisia
  • Ghassen Amri Psychiatry Department B, Razi Hospital, University of Tunis-El Manar, Manouba, Tunisia
  • Rym Ghachem Psychiatry Department B, Razi Hospital, University of Tunis-El Manar, Manouba, Tunisia

DOI:

https://doi.org/10.62438/tunismed.v102i6.4858

Keywords:

Telemedicine , Psychiatry , knowledge, Legal status, Perception, Tunisia

Abstract

Introduction: Telemedicine has become a fundamental pillar of the evolution of healthcare worldwide. In Tunisia, the challenges of the health system, amplified by the COVID-19 pandemic, have highlighted the urgency to adopt innovative solutions. In this regard, the publication of Presidential Decree No. 318/2022 on April 8 in the Official Journal of the Tunisian Republic represents a significant advance in the regulation of telemedicine.

Aim: To assess the knowledge of Tunisian psychiatrists and child psychiatrists regarding telemedicine, its legal framework, and their perceptions of this new medical practice.

Methods: A descriptive cross-sectional study was conducted 8 months after the issuance of the presidential decree. The survey was conducted online through an electronic questionnaire on Google Forms.

Results: A total of 68 participants were included in this survey. The median number of professional years was 5±7 years. Among the participants, 82% worked in psychiatry and 18% worked in child psychiatry. The sector of practice was public in 69% and private in 31% of cases. Most of them (62%) did not know about the different telemedicine acts, and 57% of doctors were unaware of the existence of the presidential decree. The majority of doctors (84%) expressed a favorable opinion regarding the adoption of telepsychiatry, regardless of sex (p=0.69), professional status (p=0.512), specialty (p=1), years of experience (p=0.83), and practice sector (p=1).

Conclusion: Despite a low level of knowledge regarding telemedicine, the study highlights the interest of the participants in integrating telepsychiatry into their clinical practices.

Downloads

Download data is not yet available.

References

WHO Group Consultation on Health Telematics (1997: Geneva S. A health telematics policy in support of WHO’s Health-for-all strategy for global health development : report of the WHO Group Consultation on Health Telematics, 11-16 December, Geneva, 1997 [Internet]. World Health Organization; 1998 [cité le 15 décembre 2022]. Report No.: WHO/DGO/98.1. Disponible sur : https://apps.who.int/iris/handle/10665/63857

Ohannessian R, Duong TA, Odone A. Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action. JMIR Public Health Surveill. 2020;6(2):e18810.

Elmatri A. Télémédecine en Tunisie : liaisons avec les pays européens, arabes et africains. Tunisie: 4th International Conference: Sciences of Electronic, Technologies of Information and Telecommunications internet. Mars 2007. Disponible sur : http://www.setit.rnu.tn/last_edition/setit2007/T/2.pd

République tunisienne. Loi n° 2018-43 du 11 juillet 2018, complétant la loi n° 91-21 du 13 mars 1991, relative à l’exercice et à l’organisation de la profession de médecin et de médecin dentiste. Journal Officiel du 17 Juillet 2018.

République tunisienne. Loi n° 91-21 du 13 mars 1991, relative à l’exercice et à l’organisation des professions de médecin et de médecin dentiste. Journal Officiel du 15 mars 1991.

Communiqué du Conseil National de l’Ordre des Médecins. A proposde la Télémédecine. Conseil National de l’Ordre des Médecins de laTunisie internet.. 15 mars 2020. Disponible au lien URL : http://www.ordre-medecins.org.tn/fr/

République tunisienne. Décret Présidentiel n° 2022-318 du 8 avril 2022, fixant les conditions générales d’exercice de la télémédecine et les domaines de son application. Journal Officiel du 17 avril 2022.

Brown FW. A survey of telepsychiatry in the USA. J Telemed Telecare. 1995;1(1):19–21.

Zgueb Y, Bourgou S, Neffeti A, Amamou B, Masmoudi J, Chebbi H, et al. Psychological crisis intervention response to the COVID-19 pandemic: A Tunisian centralised Protocol. Psychiatry Res. 2020;289:113042.

Mleyhi S, Ziadi J, Ben Hmida Y, Ghédira F, Ben Mrad M, Denguir R. La télémédecine et les réseaux sociaux dans la gestion des ECMO à l’ère de COVID-19 : l’expérience Tunisienne. Ann CardiolAngeiol. 2021;70(2):125–8.

Brown FW. A survey of telepsychiatry in the USA. J Telemed Telecare. 1995;1(1):19–21.

Charfi F, Ouali U, Spagnolo J, Belhadj A, Nacef F, Saidi O, Melki W. Highlighting successes and challenges of the mental health system in Tunisia: an overview of services, facilities, and human resources. J Ment Health. 2023 Feb;32(1):166-174.

Mishkin AD, Cheung S, Capote J, Fan W, Muskin PR. Survey of Clinician Experiences of Telepsychiatry and Tele-Consultation-Liaison Psychiatry. J Acad Consult Liaison Psychiatry. 2022 Jul-Aug;63(4):334-344.

Astruc B, Henry C, Masson M. Intérêt de la télé-psychiatrie pour la prise en charge des patients : enjeux et questions d’une pratique nouvelle. Ann Méd-PsycholRevPsychiatr. 2013;171(2):61–4.

Bouchard S, Paquin B, Payeur R, Allard M, Rivard V, Fournier T, et al. Delivering cognitive-behavior therapy for panic disorder with agoraphobia in videoconference. Telemed J E-Health Off J Am Telemed Assoc. 2004;10(1):13–25.

Desbordes M, Nebout S, Grès H, Guillin O, Haouzir S. La télémédecine en psychiatrie du sujet âgé : enjeux et perspectives. NPG Neurol - Psychiatr - Gériatrie. 2015;15(89):270–3.

Romijn G, Batelaan N, Kok R, Koning J, van Balkom A, Titov N, et al. Internet-Delivered Cognitive Behavioral Therapy for Anxiety Disorders in Open Community Versus Clinical Service Recruitment: Meta-Analysis. J Med Internet Res. 2019;21(4):e11706.

Albarrak AI, Mohammed R, Almarshoud N, Almujalli L, Aljaeed R, Altuwaijiri S, et al. Assessment of physician’s knowledge, perception and willingness of telemedicine in Riyadh region, Saudi Arabia. J Infect Public Health. 2021;14(1):97–102.

Thèse. La télémédecine en psychiatrie : pratiques et représentations chez les psychiatres normands.

Doyen CM, Oreve MJ, Desailly E, Goupil V, Zarca K, L’Hermitte Y, et al. Telepsychiatry for Children and Adolescents: A Review of the PROMETTED Project. Telemed J E-Health Off J Am Telemed Assoc. 2018;24(1):3–10.

Kommu JVS, Sharma E, Ramtekkar U. Telepsychiatry for Mental Health Service Delivery to Children and Adolescents. Indian J Psychol Med. 2020;42(5 Suppl):46S-52S.

Salem NH, Ouelha D, Gharbaoui M, Saadi S, Khelil MB. Aspects médico-légaux relatifs à la Télémédecine en Tunisie dans le contexte de la pandémie du Covid-19. Tunis Med.2020;98(6):423-33.

Additional Files

Published

2024-05-30

Issue

Section

Original articles

Categories