| Patient satisfaction with physician-patient communication during telemedicine. | |
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MedLine Citation:
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PMID: 19919189 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The quality of physician-patient communication is a critical factor in treatment outcomes and patient satisfaction with care. To date, few studies have specifically conducted an in-depth evaluation of the effect of telemedicine (TM) on physician-patient communication in a medical setting. Our objective was to determine whether physical separation and technology used during TM have a negative effect on physician-patient communication. In this noninferiority randomized clinical trial, patients were randomized to receive a single consultation with one of 9 physicians, either in person (IP) or via TM. Patients (n = 221) were recruited from pulmonary, endocrine, and rheumatology clinics at a Midwestern Veterans Administration hospital. Physician-patient communication was measured using a validated self-report questionnaire consisting of 33 items measuring satisfaction with visit convenience and physician's patient-centered communication, clinical competence, and interpersonal skills. Satisfaction for physician's patient-centered communication was similar for both consultation types (TM = 3.76 versus IP = 3.61), and noninferiority of TM was confirmed (noninferiority t-test p = 0.002). Patient satisfaction with physician's clinical competence (TM = 4.63 versus IP = 4.52) and physician's interpersonal skills (TM = 4.79 versus IP = 4.74) were similar, and noninferiority of TM was confirmed (noninferiority t-test p = 0.006 and p = 0.04, respectively). Patients reported greater satisfaction with convenience for TM as compared to IP consultations (TM = 4.41 versus IP = 2.37, noninferiority t-test p < 0.001). Patients were equally satisfied with physician's ability to develop rapport, use shared decision making, and promote patient-centered communication during TM and IP consultations. Our data suggest that, despite physical separation, physician-patient communication during TM is not inferior to communication during IP consultations. |
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Authors:
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Zia Agha; Ralph M Schapira; Purushottam W Laud; Gail McNutt; Debra L Roter |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Telemedicine journal and e-health : the official journal of the American Telemedicine Association Volume: 15 ISSN: 1556-3669 ISO Abbreviation: Telemed J E Health Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-11-20 Completed Date: 2010-01-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100959949 Medline TA: Telemed J E Health Country: United States |
Other Details:
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Languages: eng Pagination: 830-9 Citation Subset: IM |
Affiliation:
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V.A. San Diego Health Services Research and Development and Department of Medicine, University of California San Diego, San Diego, California, USA. zia.agha@va.gov |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Communication* Female Hospitals, Veterans Humans Male Middle Aged Outcome and Process Assessment (Health Care) Patient Satisfaction / statistics & numerical data* Physician-Patient Relations* Questionnaires Telemedicine* Wisconsin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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