Centre for Information and Communication Technology, Bruno Kessler Foundation, Trento, Italy.
Sociol Health Illn. 2019 Oct;41 Suppl 1:116-131. doi: 10.1111/1467-9566.12947.
Remote monitoring has often been thought to lead to a highly structured and standardised care process. Several studies have stressed that patient-provider communication could be hindered if mediated by technologies, leading to an impoverished relationship. We argue that while remote monitoring leads to a redefinition of the patient-provider relationship, it could also offer the opportunity to develop a more intimate acquaintance not possible via only routine visits. The study is part of a clinical trial aimed at assessing the acceptability of a remote monitoring platform for type 1 diabetes. Drawing on practice-based studies, we focused our analysis on the practice of text message exchange between patients and providers. The 396 conversations were coded with a template analysis, leading to the identification of two main categories: 'knowing the patient' and 'knowing about the patient'. The analysis reveals that the practice of messaging led to the development of a 'digital intimacy', a relationship characterised by a thorough familiarity made possible by electronic devices that extends to face-to-face encounters. Drawing on our case, we argue that remote monitoring can foster greater intimacy between patients and providers, which is made possible by the overall increase in the quantity and quality of communication between patients and providers.
远程监测通常被认为会导致高度结构化和标准化的护理过程。有几项研究强调，如果通过技术进行医患沟通，可能会阻碍沟通，导致关系恶化。我们认为，虽然远程监测导致了医患关系的重新定义，但它也提供了一个机会，可以发展出一种更亲密的关系，而不仅仅是通过常规访问。这项研究是一项旨在评估 1 型糖尿病远程监测平台可接受性的临床试验的一部分。我们借鉴基于实践的研究，将分析重点放在患者和提供者之间的短信交流实践上。对 396 次对话进行了模板分析，确定了两个主要类别：“了解患者”和“了解患者的情况”。分析表明，短信交流的实践导致了“数字亲密关系”的发展，这种关系的特点是通过电子设备实现了彻底的熟悉，这种熟悉程度可以延伸到面对面的接触。通过我们的案例，我们认为远程监测可以促进患者和提供者之间的更大亲密关系，这是通过患者和提供者之间沟通的数量和质量的总体增加实现的。
