Communication during telemedicine consultations in general practice: perspectives from general practitioners and their patients.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL
Amy D Nguyen, Sarah J White, Tim Tse, John A Cartmill, Peter Roger, Sarah Hatem, Simon M Willcock
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Abstract

Background: Telemedicine allows delivery of healthcare to occur between parties that are not in the same location. As telemedicine users are not co-present, effective communication methods are crucial to the delivery and reception of information. The aim of this study was to explore perspectives of general practitioners (GPs) and patients on the interactional components of telemedicine consultations.

Methods: Semi-structured qualitative interviews were held with telemedicine users; 15 GPs and nine patients self-selected from a larger telemedicine study. Participants were asked about their preparation for telemedicine consultations, conducting telemedicine consultations and post-consultation activities. Deidentified transcripts from the interviews were analysed thematically.

Results: GPs and patients discussed factors they used to decide whether a consultation would be best conducted by telemedicine or in-person; the condition to be discussed, the existing doctor-patient relationship and whether physical examination was required. Participants also described how they prepared for their telemedicine consultations, gathering relevant documents, and reading previous notes. Participants described strategies they employed to optimise the telemedicine interaction; improving conversational flow and building rapport, as well as difficulties they experienced when trying to provide and receive care via telemedicine.

Conclusions: Patient factors including health literacy and familiarity with technology affect the transfer of information shared during telemedicine consultations and consideration of these factors when choosing patients for telemedicine is required. Many GPs and patients have innate communication skills to effectively deliver and receive care through telemedicine. However, they may not be aware of these subconscious techniques to use to optimise telemedicine consultations. Communication training could be delivered to increase conversational flow, build rapport, and establish safety netting.

全科远程医疗会诊期间的沟通:全科医生及其患者的观点。
背景:远程医疗允许在不在同一地点的双方之间提供医疗服务。由于远程医疗用户不在同一地点,有效的沟通方法对信息的传递和接收至关重要。本研究旨在探讨全科医生(GPs)和患者对远程医疗会诊中互动环节的看法:对远程医疗用户进行了半结构化定性访谈;15 名全科医生和 9 名患者是从一项大型远程医疗研究中自主选择的。访谈内容包括远程医疗会诊的准备工作、远程医疗会诊的开展以及会诊后的活动。对访谈中的去身份化记录进行了专题分析:结果:全科医生和患者讨论了他们用来决定远程医疗会诊还是面对面会诊的因素;需要讨论的病情、现有的医患关系以及是否需要进行身体检查。与会者还介绍了他们如何为远程医疗会诊做准备、收集相关文件和阅读以前的笔记。参与者描述了他们为优化远程医疗互动而采用的策略;改善对话流程和建立融洽关系,以及他们在尝试通过远程医疗提供和接受护理时遇到的困难:包括健康知识和对技术的熟悉程度在内的患者因素会影响远程医疗会诊期间共享信息的传输,因此在选择远程医疗患者时需要考虑这些因素。许多全科医生和患者都具备与生俱来的沟通技能,可以通过远程医疗有效地提供和接受医疗服务。然而,他们可能没有意识到这些潜意识技巧可用于优化远程医疗会诊。可以提供沟通培训,以增加对话的流畅性,建立融洽关系,并建立安全网。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.40
自引率
0.00%
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