{"id":2264,"date":"2026-04-22T03:00:08","date_gmt":"2026-04-22T03:00:08","guid":{"rendered":"https:\/\/davormucic.com\/?p=2264"},"modified":"2026-04-23T04:37:04","modified_gmt":"2026-04-23T04:37:04","slug":"a-brief-history-of-telepsychiatry","status":"publish","type":"post","link":"https:\/\/davormucic.com\/hr\/telepsychiatry-blog\/a-brief-history-of-telepsychiatry\/","title":{"rendered":"Kratki pregled povijesti telepsihijatrije"},"content":{"rendered":"<p><\/p>\n\n\n\n<p>Telepsihijatrija, kao specijalizirana grana telemedicine, odnosi se na kori\u0161tenje telekomunikacijskih tehnologija za pru\u017eanje psihijatrijske procjene, konzultacija i lije\u010denja na daljinu. Njen razvoj odra\u017eava \u0161iri tehnolo\u0161ki napredak, ali i rastu\u0107e potrebe unutar sustava mentalnog zdravlja \u0161irom svijeta.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-1 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>Godine 1900. A. Bell je izmislio telefon, koji se koristio kao klju\u010dni alat za medicinsku komunikaciju vi\u0161e od 50 godina. Telefon se svakako mo\u017ee smatrati prvim i najjednostavnijim oblikom telemedicinske tehnologije.<\/p>\n\n\n\n<p><br>Po\u010deci telepsihijatrije mogu se pratiti do sredine 20. stolje\u0107a, kada su zapo\u010deli prvi eksperimenti u telemedicini. Tijekom 1950-ih i 1960-ih godina, pionirski projekti u Sjedinjenim Ameri\u010dkim Dr\u017eavama koristili su zatvorene televizijske sustave kako bi povezali psihijatrijske stru\u010dnjake s pacijentima na udaljenim lokacijama. Jedan od najranijih i naj\u010de\u0161\u0107e citiranih projekata odvijao se u Nebraska Psychiatric Institute, gdje su klini\u010dari pru\u017eali konzultacije dr\u017eavnoj bolnici putem televizijskih veza. U isto vrijeme sli\u010dne inicijative razvijale su se i u Kanadi, posebno za potrebe geografski izoliranih populacija. Ovi rani eksperimenti pokazali su da se psihijatrijski intervjui i konzultacije mogu u\u010dinkovito provoditi bez fizi\u010dke prisutnosti, dovode\u0107i u pitanje tradicionalne pretpostavke o lije\u010denju licem u lice.<\/p>\n\n\n\n<figure class=\"wp-block-video\"><video controls src=\"https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-HISTORY-BEST-CLIP-.mov\"><\/video><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><br>Unato\u010d obe\u0107avaju\u0107im po\u010decima, \u0161irenje telepsihijatrije bilo je u po\u010detku ograni\u010deno tehnolo\u0161kim ograni\u010denjima, visokim tro\u0161kovima i nedostatkom infrastrukture. Analogni video sustavi bili su skupi i \u010desto nepouzdani, pa \u0161ira primjena nije bila mogu\u0107a. Ipak, koncept je ostao relevantan, osobito u ruralnim i nedovoljno opskrbljenim podru\u010djima gdje je pristup stru\u010dnjacima za mentalno zdravlje bio ograni\u010den.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-2 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>The 1990s marked a turning point with the advent of digital communication technologies and the early internet. Improvements in video conferencing made telepsychiatry more practical and scalable. During this period, several pilot projects and research studies confirmed that diagnostic reliability and patient satisfaction in telepsychiatry were comparable to in-person care. At the same time, the growing recognition of mental health needs among migrants, refugees, and culturally diverse populations led to innovative applications, including cross-border consultations and what would later be termed transcultural telepsychiatry. I am proud to be called the father of transcultural telepsychiatry\u2014a field that emerged from the simple yet essential idea that patients should be understood in their own language and cultural context.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-3 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>Po\u010detkom 2000-ih dolazi do ubrzanog razvoja telepsihijatrije, potaknutog \u0161irenjem interneta velike brzine, smanjenjem tro\u0161kova tehnologije i ve\u0107im prihva\u0107anjem me\u0111u lije\u010dnicima i pacijentima. Zdravstveni sustavi po\u010dinju integrirati telepsihijatriju u rutinsku praksu, osobito u ruralnim podru\u010djima, zatvorskom sustavu, vojsci i urbanim sredinama s ograni\u010denim resursima. Profesionalne organizacije po\u010dinju razvijati smjernice i standarde kako bi osigurale kvalitetu, povjerljivost i eti\u010dnost rada.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-drop-shadow\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"766\" src=\"https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-OFFICE-1024x766.png\" alt=\"\" class=\"wp-image-2307\" srcset=\"https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-OFFICE-1024x766.png 1024w, https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-OFFICE-300x225.png 300w, https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-OFFICE-768x575.png 768w, https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-OFFICE-16x12.png 16w, https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-OFFICE-680x509.png 680w, https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/TP-OFFICE.png 1129w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-4 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>A major acceleration occurred during the COVID-19 pandemic (2020\u20132022). With physical distancing measures and increased psychological distress, telepsychiatry became an essential mode of care delivery. Regulatory barriers were temporarily relaxed in many countries, reimbursement policies were adapted, and both clinicians and patients rapidly adopted digital platforms. This period marked a global normalization of telepsychiatry, transforming it from a supplementary service into a central component of mental health care.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-5 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>Posljednjih godina telepsihijatrija se dalje razvija unutar \u0161ireg okvira digitalnog mentalnog zdravlja. Integrira se s mobilnim aplikacijama, umjetnom inteligencijom, daljinskim pra\u0107enjem i hibridnim modelima skrbi koji kombiniraju osobne i virtualne susrete. Istovremeno se javljaju i novi izazovi, uklju\u010duju\u0107i sigurnost podataka, digitalne nejednakosti i potrebu za kulturno osjetljivim pristupom u prekograni\u010dnom lije\u010denju.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-6 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>Danas je telepsihijatrija prepoznata kao u\u010dinkovit i nu\u017ean na\u010din pobolj\u0161anja dostupnosti mentalnozdravstvenih usluga diljem svijeta. Njezina povijest odra\u017eava postupnu, ali duboku transformaciju \u2013 od eksperimentalne tehnologije do neizostavnog dijela moderne psihijatrije. S porastom globalne mobilnosti i sve ve\u0107om povezanosti zdravstvenih sustava, telepsihijatrija \u0107e u budu\u0107nosti imati jo\u0161 zna\u010dajniju ulogu u oblikovanju mentalnog zdravlja.<\/p>\n\n\n\n<p><strong>Za one koje zanima vi\u0161e \u2013 evo jo\u0161 nekoliko tekstova:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Shore, J. H. (2015). Telepsychiatry: Videoconferencing in the delivery of psychiatric care. <em>American Journal of Psychiatry, 172<\/em>(3), 256\u2013262. <a href=\"https:\/\/doi.org\/10.1176\/appi.ajp.2014.14081064\">https:\/\/doi.org\/10.1176\/appi.ajp.2014.14081064<\/a><\/li>\n\n\n\n<li>Bashshur, R. L., Shannon, G. W., Bashshur, N., &amp; Yellowlees, P. M. (2016). The empirical foundations of telemedicine interventions in primary care. <em>Telemedicine and e-Health, 22<\/em>(5), 342\u2013375. <a href=\"https:\/\/doi.org\/10.1089\/tmj.2016.0045\">https:\/\/doi.org\/10.1089\/tmj.2016.0045<\/a><\/li>\n\n\n\n<li>Yellowlees, P., Shore, J., &amp; Roberts, L. (2010). Practice guidelines for videoconferencing-based telemental health. <em>Telemedicine and e-Health, 16<\/em>(10), 1074\u20131089. <a href=\"https:\/\/doi.org\/10.1089\/tmj.2010.0148\">https:\/\/doi.org\/10.1089\/tmj.2010.0148<\/a><\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<div class=\"entry-summary\">\nTelepsihijatrija, kao specijalizirana grana telemedicine, odnosi se na kori\u0161tenje telekomunikacijskih tehnologija za pru\u017eanje psihijatrijske procjene, konzultacija i lije\u010denja na daljinu. Njen razvoj odra\u017eava \u0161iri tehnolo\u0161ki napredak, ali i rastu\u0107e potrebe unutar sustava mentalnog zdravlja \u0161irom svijeta.\n<\/div>\n<div class=\"link-more-container\"><a href=\"https:\/\/davormucic.com\/hr\/telepsychiatry-blog\/a-brief-history-of-telepsychiatry\/\" class=\"link-more\" aria-label=\"Continue reading A brief history of telepsychiatry\">Continue reading&hellip;<\/a><\/div>","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-2264","post","type-post","status-publish","format-standard","hentry","category-telepsychiatry-blog","entry","entry-type-post"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/posts\/2264","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/comments?post=2264"}],"version-history":[{"count":3,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/posts\/2264\/revisions"}],"predecessor-version":[{"id":2308,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/posts\/2264\/revisions\/2308"}],"wp:attachment":[{"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/media?parent=2264"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/categories?post=2264"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/tags?post=2264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}