Doctor-Patient Communication: A Comparison betweenTelemedicine Consultation and Face-to-Face Consultation
スポンサーリンク
概要
- 論文の詳細を見る
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.
著者
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Sakamoto Hironosuke
Department Of General Medicine Gunma University School Of Medicine
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Sakamaki Tetsuo
Medical Informatics and Decision Sciences, Gunma University School of Medicine
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Sawada Yoshie
Medical Informatics, Gunma University Graduate School of Medicine
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Sumino Hiroyuki
Medical Care Information Center, Gunma University Hospital
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Takizawa Takako
Department Of Cardiology Isesaki-sawa Medical Association Hospital
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Sato Mahito
Department Of Cardiovascular Medicine Gunma University
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Sato Hiroko
Department Of Bacteriology National Institute Of Health
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Liu Xiao
Medical Informatics and Decision Sciences, Gunma University Graduate School of Medicine, Maebashi
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Takizawa Takako
Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, Maebashi
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Utsugi Toshihiro
Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, Maebashi
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Sato Kunio
Watanuki Hospital, Takasaki
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Okamura Shinichi
Medical Informatics and Decision Sciences, Gunma University Graduate School of Medicine, Maebashi
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Sakamaki Tetsuo
Medical Informatics and Decision Sciences, Gunma University Graduate School of Medicine
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Sato Mahito
Department of General Medicine, Gunma University Graduate School of Medicine, Maebashi
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Sawada Yoshie
Medical Informatics and Decision Sciences, Gunma University Graduate School of Medicine, Maebashi
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Sakamoto Hironosuke
Department of General Medicine, Gunma University Graduate School of Medicine, Maebashi
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Sumino Hiroyuki
Medical Informatics and Decision Sciences, Gunma University Graduate School of Medicine, Maebashi
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