Evidence map›Paper›PMID 32933411›Full record

ArticlePsychiatric services (Washington, D.C.)2020

Suddenly Becoming a "Virtual Doctor": Experiences of Psychiatrists Transitioning to Telemedicine During the COVID-19 Pandemic.

Lori Uscher-Pines, Jessica Sousa, Pushpa Raja, Ateev Mehrotra, Michael L Barnett, Haiden A Huskamp

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 4 pooled it
26.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 4 syntheses or guidelines pooled it, 191 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic.International journal of environmental research and public health · 2021
    Pooled it
  5. Clinician Experiences With Tele-Emergency Care: Qualitative Study.Journal of medical Internet research · 2026
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  17. Telemedicine as an Approach to the Mental Health of Healthcare Workers in Angola.International journal of environmental research and public health · 2025
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Lori Uscher-PinesRAND Corporation, Arlington, Virginia (Uscher-Pines), and Boston (Sousa); Greater Los Angeles Department of Veterans Affairs Medical Center, Los Angeles (Raja); Department of Health Care Policy, Harvard Medical School, Boston (Mehrotra, Huskamp); Beth Israel Deaconess Medical Center, Boston (Mehrotra); Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston (Barnett).
Jessica SousaRAND Corporation, Arlington, Virginia (Uscher-Pines), and Boston (Sousa); Greater Los Angeles Department of Veterans Affairs Medical Center, Los Angeles (Raja); Department of Health Care Policy, Harvard Medical School, Boston (Mehrotra, Huskamp); Beth Israel Deaconess Medical Center, Boston (Mehrotra); Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston (Barnett).
Pushpa RajaRAND Corporation, Arlington, Virginia (Uscher-Pines), and Boston (Sousa); Greater Los Angeles Department of Veterans Affairs Medical Center, Los Angeles (Raja); Department of Health Care Policy, Harvard Medical School, Boston (Mehrotra, Huskamp); Beth Israel Deaconess Medical Center, Boston (Mehrotra); Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston (Barnett).
Ateev MehrotraRAND Corporation, Arlington, Virginia (Uscher-Pines), and Boston (Sousa); Greater Los Angeles Department of Veterans Affairs Medical Center, Los Angeles (Raja); Department of Health Care Policy, Harvard Medical School, Boston (Mehrotra, Huskamp); Beth Israel Deaconess Medical Center, Boston (Mehrotra); Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston (Barnett).
Michael L BarnettRAND Corporation, Arlington, Virginia (Uscher-Pines), and Boston (Sousa); Greater Los Angeles Department of Veterans Affairs Medical Center, Los Angeles (Raja); Department of Health Care Policy, Harvard Medical School, Boston (Mehrotra, Huskamp); Beth Israel Deaconess Medical Center, Boston (Mehrotra); Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston (Barnett).
Haiden A HuskampRAND Corporation, Arlington, Virginia (Uscher-Pines), and Boston (Sousa); Greater Los Angeles Department of Veterans Affairs Medical Center, Los Angeles (Raja); Department of Health Care Policy, Harvard Medical School, Boston (Mehrotra, Huskamp); Beth Israel Deaconess Medical Center, Boston (Mehrotra); Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston (Barnett).
Harvard University · USHadassah Medical Center · ILRAND Corporation · USWest Los Angeles College · US

Funding

Use of Telemedicine in the Treatment of Mental IllnessR01MH112829 · NIMH · HARVARD MEDICAL SCHOOL · PI HUSKAMP, HAIDEN A., MEHROTRA, ATEEV · 2018 to 2025
$5.8M
NIMH NIH HHS R01 MH112829
6 · The paper itself

Abstract

objectiveIn response to the COVID-19 pandemic, many psychiatrists have rapidly transitioned to telemedicine. This qualitative study sought to understand how this dramatic change in delivery has affected mental health care, including modes of telemedicine psychiatrists used, barriers encountered, and future plans. The aim was to inform the ongoing COVID-19 response and pass on lessons learned to psychiatrists who are starting to offer telemedicine.

methodsFrom March 31 to April 9, 2020, semistructured interviews were conducted with 20 outpatient psychiatrists practicing in five U.S. states with significant early COVID-19 activity. Inductive and deductive approaches were used to develop interview summaries, and a matrix analysis was conducted to identify and refine themes.

resultsAt the time of the interviews, all 20 psychiatrists had been using telemedicine for 2-4 weeks. Telemedicine encompassed video visits, phone visits, or both. Although many continued to prefer in-person care and planned to return to it after the pandemic, psychiatrists largely perceived the transition positively. However, several noted challenges affecting the quality of provider-patient interactions, such as decreased clinical data for assessment, diminished patient privacy, and increased distractions in the patient's home setting. Several psychiatrists noted that their disadvantaged patients lacked reliable access to a smartphone, computer, or the Internet. Participants identified several strategies that helped them improve telemedicine visit quality.

conclusionsThe COVID-19 pandemic has driven a dramatic shift in how psychiatrists deliver care. Findings highlight that although psychiatrists expressed some concerns about the quality of these encounters, the transition has been largely positive for both patients and physicians.

Indexed as

Coronavirus InfectionsCOVID-19Delivery of Health CareHumansInterviews as TopicOutpatientsPandemicsPneumonia, ViralPsychiatryQualitative ResearchTelemedicineUnited StatesCOVID-19Health care deliveryTelehealthTelemedicineTelepsychiatry

Identifiers

PMID32933411
PMCPMC7606640
OpenAlexW3085680681

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.