Bonner Timethia J, Noss Bryant, Hayes Sharonne N, Ennis Katie, Warner David O, Buckner Skye, Milam Adam J
Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ, USA.
J Patient Exp. 2024 Nov 3;11:23743735241293618. doi: 10.1177/23743735241293618. eCollection 2024.
While studies have evaluated the utility of telehealth in replacing in-person clinical encounters, there is a dearth of literature examining the quality of patient-physician communication with telehealth encounters. Accordingly, this study assessed the feasibility of using virtual cardiology clinical encounters to examine patient-physician interaction, communication, and perceptions of the clinical encounter. Telemedicine cardiology clinical encounters were audio- and video-recorded following the encounter, patients, and cardiologists completed an electronic survey to assess perceptions of the encounter. Qualitative analysis of the communication and statistical analysis of the survey data was conducted, providing descriptive data. The study included 11 patient-physician dyads; all patients were non-Hispanic White. Cardiologists were more racially and ethnically diverse (63% Asian). Most patients agreed telemedicine was comparable to in-person encounters (85.7%), with all cardiologists reporting that patients appeared satisfied with the encounter. We utilized an assessment tool to examine patient-physician communication in the recorded virtual encounters. This study suggests examining patient-physician communication using virtual clinical encounters is feasible, although there are barriers that need addressing for larger studies.
虽然已有研究评估了远程医疗在替代面对面临床会诊方面的效用，但缺乏关于远程医疗会诊中患者与医生沟通质量的文献。因此，本研究评估了使用虚拟心脏病学临床会诊来检查患者与医生的互动、沟通以及对临床会诊的看法的可行性。远程医疗心脏病学临床会诊结束后进行了音频和视频录制，患者和心脏病专家完成了一项电子调查，以评估对会诊的看法。对沟通进行了定性分析，并对调查数据进行了统计分析，提供了描述性数据。该研究纳入了11对患者与医生组合；所有患者均为非西班牙裔白人。心脏病专家的种族和民族更为多样化（63%为亚洲人）。大多数患者认为远程医疗与面对面会诊相当（85.7%），所有心脏病专家均表示患者似乎对会诊感到满意。我们使用一种评估工具来检查录制的虚拟会诊中的患者与医生沟通情况。本研究表明，使用虚拟临床会诊来检查患者与医生沟通是可行的，尽管对于更大规模的研究而言，仍存在一些需要解决的障碍。
