Doctor-patient communication: A comparison between telemedicine consultation and face-to-face consultation

被引:86
作者
Liu, Xiao
Sawada, Yoshie
Takizawa, Takako [1 ]
Sato, Hiroko [1 ]
Sato, Mahito [2 ]
Sakamoto, Hironosuke [2 ]
Utsugi, Toshihiro [1 ]
Sato, Kunio [3 ]
Sumino, Hiroyuki
Okamura, Shinichi
Sakamaki, Tetsuo [1 ]
机构
[1] Gunma Univ, Grad Sch Med, Dept Med & Biol Sci, Maebashi, Gunma 3718511, Japan
[2] Gunma Univ, Grad Sch Med, Dept Gen Med, Maebashi, Gunma 3718511, Japan
[3] Watanuki Hosp, Takasaki, Gunma, Japan
关键词
telemedicine; face-to-face consultation; doctor-patient relationship; communication;
D O I
10.2169/internalmedicine.46.1813
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective The objective of this study was to compare doctor-patient communications in clinical consultations via telemedicine technology to doctor-patient communications in face-to-face clinical consultations. Method Five doctors who had been practicing internal medicine for 8 to 18 years, and twenty patients were enrolled in this study; neither doctors nor patients had previous experience of telemedicine. The patients received both a telemedicine consultation and a face-to-face consultation. Three measures - video observation, medical record volume, and participants' satisfaction - were used for the assessment. Results It was found that the time spent on the telemedicine consultation was substantially longer than the time spent on the face-to-face consultation. No statistically significant differences were found in the number of either closed or open-ended questions asked by doctors between both types of consultation. Empathy-utterances, praise-utterances, and facilitation-utterances were, however, seen less in the telemedicine consultations than in the face-to-face consultations. The volume of the medical records was statistically smaller in the telemedicine consultations than in the face-to-face consultations. Patients were satisfied with the telemedicine consultation, but doctors were dissatisfied with it and felt hampered by the communication barriers. Conclusions This study suggests that new training programs are needed for doctors to develop improved communication skills and the ability to express empathy in telemedicine consultations.
引用
收藏
页码:227 / 232
页数:6
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