Document Detail


The clinical interview and the doctor-patient relationship in telemedicine.
MedLine Citation:
PMID:  15785228     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The doctor-patient relationship is one of the most complex interpersonal relationships, in that it involves individuals who are not on the same level, it has not been sought by both individuals, it is emotionally loaded and it requires close mutual co-operation towards a shared goal. A well-managed clinical interview lays the grounds for a good doctor-patient relationship which in turn leads to further advantages. In a classical ambulatory setting the doctor-patient relationship should take into account a number of context variables: physical environment, doctor's clothing and instrumental vs. affective behavior. The classical medical consultation takes place with the doctor and patient facing each other in the same room. Human contact, interaction and communication condition the course and treatment of the illness. This classical setting has been radically changed with the advent of videoconferencing. Video-communication reduces personal contact with the general doctor or specialist. Medical philosophy and the social sciences have often discussed the risk of alienating or "objectifying" the patient. The setting of a videoconferencing interview is completely different as interaction is not direct but occurs via a technological system that enables an unusual form of visual and auditory interaction that may be more or less realistic depending on the technology employed. The growing use of telemedicine and videoconferencing has led to new reflections on the doctor-patient relationship in non-conventional settings and warrants in-depth studies on the dynamics of this form of consultation so as to increase the patients' level of satisfaction in telemedicine. The next step will be to verify experimentally and with adequate tools what the demands of patients are in a videoconferencing setting.
Authors:
M L Onor; S Misan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Telemedicine journal and e-health : the official journal of the American Telemedicine Association     Volume:  11     ISSN:  1530-5627     ISO Abbreviation:  Telemed J E Health     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-23     Completed Date:  2005-04-21     Revised Date:  2006-10-13    
Medline Journal Info:
Nlm Unique ID:  100959949     Medline TA:  Telemed J E Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  102-5     Citation Subset:  IM    
Affiliation:
Department of Clinical, Morphological and Technological Science, U.C.O. of Clinical Psychiatry, University of Trieste, Trieste, Italy. marialuisa.onor@libero.it
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MeSH Terms
Descriptor/Qualifier:
Health Status
Humans
Italy
Medical History Taking*
Physician-Patient Relations*
Quality of Life
Telemedicine*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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