title: Disruptive innovation: the future of healthcare?
abstract: The traditional face-to-face doctor-patient relationship is the core of conventional medical practice. One key aspect of this changing relationship is the increasing dependency on asynchronous data collection in clinical consultations. Such electronic communications and data streams may be numeric, text-based, audio, digitized still pictures, video and radiologic, as well as emanating from multiple medical devices. While asynchronous medicine may be established in specialties like radiology and dermatology, there is little research regarding the use of asynchronous medicine in areas of medicine that traditionally rely on the physical doctor-patient interaction such as primary care, internal medicine, geriatrics, and psychiatry. The practice of psychiatry stands out as a discipline that is highly dependent on the quality of the physical meeting between the doctor and the patient, yet even in this specialty it is possible to utilize asynchronous medicine for some types of psychiatric consultations. Asynchronous medicine has the potential to be significantly disruptive to our current healthcare processes, as well as more clinically and economically efficient.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of California-Davis, Sacramento, California 95817, USA. pmyellowlees@ucdavis.edu
authors.forename: Peter
authors.initials: P
authors.lastname: Yellowlees
authors.forename: Alberto
authors.initials: A
authors.lastname: Odor
authors.forename: Kesha
authors.initials: K
authors.lastname: Patrice
authors.forename: Michelle Burke
authors.initials: MB
authors.lastname: Parish
authors.forename: Najia
authors.initials: N
authors.lastname: Nafiz
authors.forename: Ana-Maria
authors.initials: AM
authors.lastname: Iosif
authors.forename: Donald
authors.initials: D
authors.lastname: Hilty
mesh_terms: D003142:Communication; D006801:Humans; D016347:Medical Records Systems, Computerized; D009722:Nurse Practitioners / Q000458:organization & administration; D010817:Physician-Patient Relations; D011570:Psychiatry; D017216:Telemedicine / Q000379:methods*