Abstract:
BACKGROUND:The quality of physician-patient communication is a critical factor influencing treatment outcomes and patient satisfaction with care. To date, there is little research to document the effect of telemedicine (TM) on physician-patient communication. OBJECTIVE:The objectives of this study are to measure and describe verbal and nonverbal communication during clinical TM consultations and to compare TM with in-person (IP) consultations in terms of the quality of physician-patient communication. METHODS:Veteran patients (n = 19) requiring pulmonary medicine consultations were enrolled into the study. The study group included 11 patients from the Iron Mountain Veterans Affairs Hospital (VAMC) remote site. Patients had individual TM consultations with a pulmonary physician at the Milwaukee VAMC hub site. A control group of 8 patients had IP consultations with a pulmonary physician at the Milwaukee VAMC. Video recordings of medical consultations were coded for patient-physician verbal and nonverbal communication patterns using the Roter Interaction Analysis System (RIAS). RESULTS:There were no differences in the length of TM consultations (22.2 minutes) and IP consultations (21.9 minutes). Analysis of visit dialogue indicated that the ratio of physician to patient talk was 1.45 for TM and 1.13 for IP consultations, indicating physician verbal dominance. Physicians were more likely to use orientation statements during IP consultations (P = .047). There were greater requests for repetition from patients during TM consultations (P = .034), indicating perceptual difficulties. CONCLUSIONS:The study findings indicate differences between TM and IP consultations in terms of physician-patient communication style. Results suggest that, when comparing TM and IP consultations in terms of physician-patient communication, TM visits are more physician centered, with the physician controlling the dialogue and the patient taking a relatively passive role. Further research is needed to determine whether these differences are significant and whether they have relevance in terms of health outcomes and patient satisfaction with care.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Agha Z,Roter DL,Schapira RMdoi
10.2196/jmir.1193subject
Has Abstractpub_date
2009-09-30 00:00:00pages
e36issue
3eissn
1439-4456issn
1438-8871pii
v11i3e36journal_volume
11pub_type
杂志文章abstract:BACKGROUND:The prospect of assessing cognition longitudinally and remotely is attractive to researchers, health practitioners, and pharmaceutical companies alike. However, such repeated testing regimes place a considerable burden on participants, and with cognitive tasks typically being regarded as effortful and unenga...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8473
更新日期:2017-11-22 00:00:00
abstract:BACKGROUND:Influenza is a viral respiratory disease capable of causing epidemics that represent a threat to communities worldwide. The rapidly growing availability of electronic "big data" from diagnostic and prediagnostic sources in health care and public health settings permits advance of a new generation of methods ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7101
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:Many health information providers on the Internet and doctors with email accounts are confronted with the phenomenon of receiving unsolicited emails from patients asking for medical advice. Also, a growing number of websites offer "ask-the-doctor" services, where patients can ask questions to health professi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2.1.e1
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:As breast cancer survival rates improve and structural health resources are increasingly being stretched, health providers require people living with and beyond breast cancer (LwBBC) to self-manage aspects of their care. OBJECTIVE:This study aimed to explore how women use and experience social media to self...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16902
更新日期:2020-05-25 00:00:00
abstract:BACKGROUND:Web-based computer-tailored interventions for multiple health behaviors can improve the strength of behavior habits in people who want to reduce their cardiovascular risk. Nonetheless, few randomized controlled trials have tested this assumption to date. OBJECTIVE:The study aim was to test an 8-week Web-bas...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5147
更新日期:2016-04-11 00:00:00
abstract:BACKGROUND:Mental disorders are highly prevalent for the people who are aged between 16 and 25 years and can permanently disrupt the development of these individuals. Easily available mobile health (mHealth) apps for mobile phones have great potential for the prevention and early intervention of mental disorders in you...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6775
更新日期:2017-05-12 00:00:00
abstract:BACKGROUND:There is substantial interest in use of the Internet for surveys, but there have been few health-oriented, large, randomized trials of general population surveys on the Internet. It is unclear whether providing the option to respond via Internet increases the response rate, and to what degree the results wil...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.9.5.e40
更新日期:2007-12-31 00:00:00
abstract:BACKGROUND:Understanding public behavioral responses to the coronavirus disease (COVID-19) epidemic and the accompanying infodemic is crucial to controlling the epidemic. OBJECTIVE:The aim of this study was to assess real-time public awareness and behavioral responses to the COVID-19 epidemic across 12 selected countr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21143
更新日期:2020-08-03 00:00:00
abstract:BACKGROUND:As the process of producing official health statistics for lifestyle diseases is slow, researchers have explored using Web search data as a proxy for lifestyle disease surveillance. Existing studies, however, are prone to at least one of the following issues: ad-hoc keyword selection, overfitting, insufficie...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13347
更新日期:2020-01-27 00:00:00
abstract:BACKGROUND:The last decade has witnessed unprecedented growth in the number of mobile phones in the developing world, thus linking millions of previously unconnected people. The ubiquity of mobile phones, which allow for short message service (SMS), provides new and innovative opportunities for disease prevention effor...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1823
更新日期:2012-01-12 00:00:00
abstract:BACKGROUND:The ease by which the Internet is able to distribute information to geographically-distant users on a wide variety of computers makes it an obvious candidate for a technological solution for electronic patient record systems. Indeed, second-generation Internet technologies such as the ones described in this ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3.1.e8
更新日期:2001-01-01 00:00:00
abstract::[This corrects the article DOI: 10.2196/17595.]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
doi:10.2196/25511
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Worldwide nearly 3 million people die from chronic obstructive pulmonary disease (COPD) every year. Integrated disease management (IDM) improves quality of life for COPD patients and can reduce hospitalization. Self-management of COPD through eHealth is an effective method to improve IDM and clinical outcome...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8262
更新日期:2017-08-16 00:00:00
abstract::Wearable sensor technology could have an important role for clinical research and in delivering health care. Accordingly, such technology should undergo rigorous evaluation prior to market launch, and its performance should be supported by evidence-based marketing claims. Many studies have been published attempting to...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10108
更新日期:2018-07-02 00:00:00
abstract:BACKGROUND:Stress is a common experience in today's society. Smartphone ownership is widespread, and smartphones can be used to monitor health and well-being. Smartphone-based self-assessment of stress can be done in naturalistic settings and may potentially reflect real-time stress level. OBJECTIVE:The objectives of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.6397
更新日期:2017-02-13 00:00:00
abstract:BACKGROUND:Wearable and mobile devices that capture multimodal data have the potential to identify risk factors for high stress and poor mental health and to provide information to improve health and well-being. OBJECTIVE:We developed new tools that provide objective physiological and behavioral measures using wearabl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9410
更新日期:2018-06-08 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) describes the use of portable electronic devices with software applications to provide health services and manage patient information. With approximately 5 billion mobile phone users globally, opportunities for mobile technologies to play a formal role in health services, particularly...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2130
更新日期:2013-01-25 00:00:00
abstract:BACKGROUND:One of the essential elements of a strategic approach to improving patients' experience is to measure and report on patients' experiences in real time. Real-time feedback (RTF) is increasingly being collected using digital technology; however, there are several factors that may influence the success of the d...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9076
更新日期:2019-01-14 00:00:00
abstract:BACKGROUND:A three-dimensional virtual world (3DVW) is a computer-simulated electronic 3D virtual environment that users can explore, inhabit, communicate, and interact with via avatars, which are graphical representations of the users. Since the early 2000s, 3DVWs have emerged as a technology that has much to offer th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3097
更新日期:2014-02-18 00:00:00
abstract:BACKGROUND:Parenting a child through cancer is a distressing experience, and a subgroup of parents report negative long-term psychological consequences years after treatment completion. However, there is a lack of evidence-based psychological interventions for parents who experience distress in relation to a child's ca...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9457
更新日期:2018-04-18 00:00:00
abstract:BACKGROUND:Behavioral interventions can meaningfully improve cardiometabolic conditions. Digital therapeutics (DTxs) delivering these interventions may provide benefits comparable to pharmacologic therapies, displacing medications for some patients. OBJECTIVE:Our objective was to estimate the economic impact of a digi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15814
更新日期:2019-10-09 00:00:00
abstract:BACKGROUND:Women with or at high risk of diabetes have unique health concerns across their life course. Effective methods are needed to engage women living with diabetes to develop and carry out a patient-centered research agenda. OBJECTIVE:This study aimed to (1) describe the creation of DiabetesSistersVoices, a virt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13312
更新日期:2019-05-10 00:00:00
abstract:BACKGROUND:Evaluation of online health interventions should investigate the function of theoretical mechanisms of behavior change in this new milieu. OBJECTIVES:To expand our understanding of how Web-based interventions influence behavior, we examined how changes at 6 months in participants' psychosocial characteristi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1614
更新日期:2011-03-04 00:00:00
abstract:BACKGROUND:Diabetic retinopathy (DR), a common complication of diabetes mellitus, is the leading cause of impaired vision in adults worldwide. Smartphone ophthalmoscopy involves using a smartphone camera for digital retinal imaging. Utilizing smartphones to detect DR is potentially more affordable, accessible, and easi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
doi:10.2196/16658
更新日期:2020-05-15 00:00:00
abstract:BACKGROUND:A growing body of evidence supports the potential effectiveness of electronic health (eHealth) interventions in managing chronic pain. However, research on the needs and preferences of patients with chronic pain in relation to eHealth interventions is scarce. Eliciting user input in the development of eHealt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13205
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:A clinical algorithm (Algo) in paper form is used in Quebec, Canada, to allow health care workers other than occupational therapists (OTs) to make bathroom adaptation recommendations for older adults. An integrated knowledge transfer process around Algo suggested an electronic version of this decision suppor...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16175
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:Videoconferencing-based treatments have shown great potential in increasing engagement and compliance by decreasing the barriers of time and distance. In general, employees tend to experience a lot of stress, but find it difficult to visit a clinic during office hours. OBJECTIVE:The purpose of this study wa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/10760
更新日期:2018-10-22 00:00:00
abstract:BACKGROUND:Youth mental health is a significant public health concern due to the high prevalence of mental health problems in this population and the low rate of those affected seeking help. While it is increasingly recognized that prevention is better than cure, most youth prevention programs have utilized interventio...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3176
更新日期:2014-06-04 00:00:00
abstract:BACKGROUND:The majority of workers, regardless of age or occupational status, report engaging in personal Internet use in the workplace. There is little understanding of the impact that personal Internet use may have on patient care in acute clinical settings. OBJECTIVE:The objective of this study was to investigate t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2421
更新日期:2013-05-17 00:00:00
abstract:BACKGROUND:Advance care planning allows patients to articulate their future care preferences should they no longer be able to make decisions on their own. Early advance care planning in outpatient settings provides benefits such as less aggressive care and fewer hospitalizations, yet it is underutilized due to barriers...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9203
更新日期:2018-06-26 00:00:00