Document Detail


Patient satisfaction with physician-patient communication during telemedicine.
MedLine Citation:
PMID:  19919189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Zia Agha; Ralph M Schapira; Purushottam W Laud; Gail McNutt; Debra L Roter
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
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:
Created Date:  2009-11-20     Completed Date:  2010-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959949     Medline TA:  Telemed J E Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  830-9     Citation Subset:  IM    
Affiliation:
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
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MeSH Terms
Descriptor/Qualifier:
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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