Marino Filomena, Alby Francesca, Zucchermaglio Cristina, Fatigante Marilena
Department of Social and Developmental Psychology, Sapienza University of Rome, Rome, Italy.
Front Psychiatry. 2023 Jul 27;14:1226225. doi: 10.3389/fpsyt.2023.1226225. eCollection 2023.
With the rapid advances of digital technology, computer-mediated medical practices are becoming increasingly dominant in medical visits. However, the question of how to ensure effective, patient-centered communication in this transition remains crucial. In this mini-review, we explore this topic by reviewing quantitative and survey-based studies, as well as discursive-interactional studies that focus on the visit as a communicative event. The review is organized into four sections: the introductory section provides a brief synthesis of the two main models used in medical practice and describes the effects of patient-centered communication practices on patients' health and well-being. The second section presents and discusses qualitative and quantitative studies that assess the effect of technology on medical interaction and its impact on patient-centered communication. The third section focuses on whether and how the digital medical record represents a "potential communication risk" during doctor-patient interactions and explores how certain pen-and-paper literacy practices could help mitigate these challenges. In the concluding section, we outline and analyze three key considerations for utilizing technologies to foster and enhance patient-centered communication during medical visits.
随着数字技术的飞速发展，以计算机为媒介的医疗实践在就诊过程中变得越来越占主导地位。然而，在这一转变过程中，如何确保有效的、以患者为中心的沟通这一问题仍然至关重要。在这篇小型综述中，我们通过回顾基于定量和调查的研究以及关注就诊作为一种交流事件的话语互动研究来探讨这个话题。该综述分为四个部分：引言部分简要综合了医疗实践中使用的两种主要模式，并描述了以患者为中心的沟通实践对患者健康和福祉的影响。第二部分展示并讨论了评估技术对医疗互动的影响及其对以患者为中心的沟通的影响的定性和定量研究。第三部分关注数字病历在医患互动过程中是否以及如何代表一种“潜在的沟通风险”，并探讨某些纸笔读写实践如何有助于缓解这些挑战。在结论部分，我们概述并分析了在就诊期间利用技术促进和加强以患者为中心的沟通的三个关键考虑因素。
