Miller E A
Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109-2029, USA.
J Telemed Telecare. 2001;7(1):1-17. doi: 10.1258/1357633011936075.
The literature about the effect of telemedicine on doctor-patient communication was reviewed. A total of 38 studies were identified: six were surveys of provider and community attitudes; 21 were post-encounter surveys of participants in a medical consultation; and 11 were qualitative analyses of behaviour in a medical encounter. Twenty-one of the 38 investigations originated in the USA, six in the UK, four in Australia, three in Norway, two in Canada, one in Finland and one in Sweden. All were relatively recent. The findings from each study were coded according to 23 categories developed from the literature and a positive or negative rating was assigned to each of the 213 communication results. Approximately 80% of abstracted findings favoured telemedicine, with all but two of the 23 categories analysed (non-verbal behaviour and lack of touch) reporting more positive than negative results. Verbal content analysis is important for the development of interventions aimed at facilitating doctor-patient telecommunication. However, further research is necessary if the nature and content of the communication process are to be fully understood.
对有关远程医疗对医患沟通影响的文献进行了综述。共确定了38项研究：6项是对医疗服务提供者和社区态度的调查；21项是对医疗咨询参与者的会诊后调查；11项是对医疗会诊中行为的定性分析。38项调查中有21项来自美国，6项来自英国，4项来自澳大利亚，3项来自挪威，2项来自加拿大，1项来自芬兰，1项来自瑞典。所有研究都相对较新。根据从文献中得出的23个类别对每项研究的结果进行编码，并对213个沟通结果中的每一个给予正面或负面评级。大约80%的摘要结果支持远程医疗，在分析的23个类别中，除了两项（非言语行为和缺乏接触）外，其他所有类别报告的正面结果都多于负面结果。言语内容分析对于旨在促进医患远程通信的干预措施的制定很重要。然而，如果要全面理解沟通过程的性质和内容，还需要进一步的研究。
