{"id":2277,"date":"2026-04-22T16:49:11","date_gmt":"2026-04-22T16:49:11","guid":{"rendered":"https:\/\/davormucic.com\/?p=2277"},"modified":"2026-04-22T21:25:17","modified_gmt":"2026-04-22T21:25:17","slug":"potential-disadvantages-of-telepsychiatry","status":"publish","type":"post","link":"https:\/\/davormucic.com\/hr\/uncategorized\/potential-disadvantages-of-telepsychiatry\/","title":{"rendered":"(Potencijalni) nedostaci telepsihijatrije"},"content":{"rendered":"<p><br>Iako telepsihijatrija ima brojne prednosti, va\u017eno je govoriti i o njenim ograni\u010denjima i potencijalnim nedostacima. Ni\u0161ta u \u017eivotu nije savr\u0161eno, pa tako ni telepsihijatrija. Cilj tehnologije nije zamijeniti klasi\u010dnu psihijatriju, nego je dopuniti i u\u010dinti efikasnijom i dostupnijom. No, u tim humanim nastojanjima i tehnologija ima svoju Ahilovu petu... ili vi\u0161e njih:<\/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<h3 class=\"wp-block-heading\">1. Tehni\u010dki problemi<\/h3>\n\n\n\n<p>Jedan od naj\u010de\u0161\u0107ih problema u telepsihijatriji su tehni\u010dke pote\u0161ko\u0107e \u2013 lo\u0161a internet veza, prekidi komunikacije, lo\u0161 zvuk ili slika. Takvi problemi mogu prekinuti razgovor u va\u017enom trenutku, izazvati frustraciju i kod pacijenta i kod terapeuta te smanjiti kvalitetu pregleda.<\/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<h3 class=\"wp-block-heading\">2. Privatnost i sigurnost podataka<\/h3>\n\n\n\n<p>Telepsihijatrija se odvija putem digitalnih platformi, \u0161to otvara pitanja za\u0161tite privatnosti i sigurnosti podataka. Va\u017eno je koristiti sigurne i za\u0161ti\u0107ene platforme kako bi razgovor ostao povjerljiv, kao i u klasi\u010dnoj ordinaciji.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-drop-shadow\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/privatnost-best.png\" alt=\"\" class=\"wp-image-2281\" srcset=\"\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" data-srcset=\"\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">3. Nisu svi pacijenti pogodni za telepsihijatriju<\/h3>\n\n\n\n<p>Telepsihijatrija nije idealna za sve pacijente. Kod te\u0161kih psihoti\u010dnih stanja, akutnih suicidalnih kriza, te\u0161kih poreme\u0107aja pona\u0161anja, te\u0161kih ovisnosti ili kod pacijenata koji nemaju stabilne \u017eivotne uvjete, pregled u\u017eivo je \u010desto nu\u017ean. Tako\u0111er, neki pacijenti jednostavno preferiraju osobni kontakt i osje\u0107aju se sigurnije kada su fizi\u010dki u istoj prostoriji s terapeutom.<\/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<h3 class=\"wp-block-heading\">4. Digitalna nepismenost i pristup tehnologiji<\/h3>\n\n\n\n<p>Older individuals or people with lower socioeconomic status sometimes do not have a computer, smartphone, or sufficient knowledge to use digital platforms. In this way, telepsychiatry can create a new type of inequality \u2013 between those who have access to technology and those who do not.<\/p>\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<h3 class=\"wp-block-heading\">5. Granice izme\u0111u privatnog i terapijskog prostora<\/h3>\n\n\n\n<p>Kada pacijent razgovara iz svog doma, ponekad je te\u0161ko osigurati privatnost. \u010clanovi obitelji mogu biti u drugoj sobi, djeca mogu ulaziti u prostoriju, pacijent mo\u017ee biti na poslu ili u automobilu. Sve to mo\u017ee utjecati na otvorenost razgovora i terapijski proces.<\/p>\n\n\n\n<figure class=\"wp-block-video\"><video controls src=\"https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/zena-koja-puzi.mp4\" playsinline><\/video><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">6. Opasnost pretjerane digitalizacije<\/h3>\n\n\n\n<p>Postoji i opasnost da zdravstveni sustavi po\u010dnu koristiti telepsihijatriju isklju\u010divo zbog u\u0161tede novca, a ne zbog kvalitete lije\u010denja. Telepsihijatrija ne smije postati jeftina zamjena za pregled u\u017eivo, nego dodatna mogu\u0107nost lije\u010denja. Ako se koristi samo kao administrativno ili ekonomsko rje\u0161enje, mo\u017ee do\u0107i do smanjenja kvalitete terapijskog odnosa.<\/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<h3 class=\"wp-block-heading\">7. Neverbalna komunikacija i ograni\u010denja video platformi<\/h3>\n\n\n\n<p>Iako putem videa mo\u017eemo vidjeti lice, mimiku i govor tijela, ipak se gubi dio neverbalne komunikacije koji je prisutan u razgovoru u\u017eivo. Ponekad je va\u017ean na\u010din na koji pacijent ulazi u prostoriju, kako sjedi, kako se kre\u0107e, kako reagira na okolinu. Te sitne stvari ponekad daju dodatne informacije koje se te\u017ee primijete preko ekrana.\nNo, ne treba zaboraviti da se ovi nedostaci uglavnom odnose na telepsihijatriju koja se provodi putem standardnih video platformi na ra\u010dunalima ili telefonima. Me\u0111utim, \u201ezlatni standard\u201c telepsihijatrije nije obi\u010dna videoplatforma (Viber, WhatsApp, Zoom), nego profesionalni videokonferencijski sustav sa stand-alone kamerom koja omogu\u0107ava pan, tilt i zoom, tako da se kamerom mo\u017eemo pribli\u017eiti pacijentu na svega nekoliko centimetara. Kada bismo to u\u010dinili u razgovoru u\u017eivo, pacijent bi se vjerojatno osje\u0107ao neugodno a psihijatar pogre\u0161no shva\u0107eno. U telepsihijatriji, me\u0111utim, to mo\u017eemo u\u010diniti diskretno i bez naru\u0161avanja osobnog prostora.<\/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>However, it should not be forgotten that these disadvantages mainly refer to telepsychiatry conducted via standard video platforms on computers or phones. The \u201cgold standard\u201d of telepsychiatry is not a simple video platform (i.e.Viber, WhatsApp, Zoom etc), but a professional videoconferencing system with a stand-alone camera that allows pan, tilt, and zoom, so that we can move closer to the patient to just a few centimeters. If we did that in a face-to-face consultation, the patient would probably feel uncomfortable and the psychiatrist might be misunderstood. In telepsychiatry, however, this can be done discreetly and without violating personal space.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-7 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>Na taj na\u010din ponekad mo\u017eemo \u010dak i ranije primijetiti suzu u oku, drhtaj usne ili promjenu izraza lica nego kada sjedimo u\u017eivo na metar i pol udaljenosti. U tom smislu, telepsihijatrija ponekad ne smanjuje koli\u010dinu neverbalnih informacija, nego ih \u2013 paradoksalno \u2013 mo\u017ee \u010dak i pove\u0107ati.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-8 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>Zato pitanje nije je li telepsihijatrija bolja ili lo\u0161ija od pregleda u\u017eivo.\nPitanje je kada je bolja, kada je lo\u0161ija i kada je treba kombinirati s pregledom u\u017eivo.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-9 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p>I upravo u toj kombinaciji, u tzv. hibridnom modelu, vjerojatno le\u017ei budu\u0107nost psihijatrije.<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-10 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<p><strong>Tri pitanja za kraj:<\/strong><\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-11 wp-block-group-is-layout-flex\"><\/div>\n\n\n\n<ul class=\"wp-block-list has-palette-3-color has-accent-background-color has-text-color has-background has-link-color wp-elements-d1a1a698bb4c489eee7e80f6f75f58ce\">\n<li>\u0160ta vidite kao najve\u0107e ograni\u010denje telepsihijatrije?<\/li>\n\n\n\n<li>Mo\u017ee li se odnos sa terapeutom izgraditi preko ekrana?<\/li>\n\n\n\n<li>Treba li telepsihijatrija zamijeniti psihijatriju licem u lice ili je samo nadopunjavati?<\/li>\n<\/ul>\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><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4582305\/\">Chakrabarti S. Usefulness of telepsychiatry: A critical evaluation of videoconferencing-based approaches.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3574452\/\">Malhotra S, Chakrabarti S, Shah R. Telepsychiatry: Promise, potential, and challenges.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7026245\/\">Stoll J, M\u00fcller JA, Trachsel M. Ethical issues in online psychotherapy: A narrative review.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7577680\/\">Gajarawala SN, Pelkowski JN. Telehealth Benefits and Barriers.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7736729\/\">De Sousa A et al. Telepsychiatry and telepsychotherapy: Critical issues faced.<\/a><\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large is-style-drop-shadow\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/davormucic.com\/wp-content\/uploads\/2026\/04\/3.-potencijalni-nedostaci-TP.png\" alt=\"\" class=\"wp-image-2283\" srcset=\"\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" data-srcset=\"\" \/><\/figure>","protected":false},"excerpt":{"rendered":"<div class=\"entry-summary\">\nAlthough telepsychiatry has many advantages, it is important to also discuss its limitations and potential disadvantages. No method of treatment is perfect, and telepsychiatry is no exception. The goal is not to&hellip;\n<\/div>\n<div class=\"link-more-container\"><a href=\"https:\/\/davormucic.com\/hr\/uncategorized\/potential-disadvantages-of-telepsychiatry\/\" class=\"link-more\" aria-label=\"Continue reading (Potential) Disadvantages 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":[1],"tags":[],"class_list":["post-2277","post","type-post","status-publish","format-standard","hentry","category-uncategorized","entry","entry-type-post"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/posts\/2277","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=2277"}],"version-history":[{"count":11,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/posts\/2277\/revisions"}],"predecessor-version":[{"id":2295,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/posts\/2277\/revisions\/2295"}],"wp:attachment":[{"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/media?parent=2277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/categories?post=2277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/davormucic.com\/hr\/wp-json\/wp\/v2\/tags?post=2277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}