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Diagnosis and Decision-Making in Telemedicine
Yannis Pappas1, Jitka Vseteckova2, Nikolas Mastellos3
1Institute for Health Research, University of Bedfordshire, Luton, Bedfordshire, United Kingdom.
Journal of Patient Experience
|December 20, 2019
Summary
Telemedicine consultations improve professional collaboration and skill development for General Practitioners (GPs) and nurses. However, increased interprofessional communication may reduce patient involvement in decision-making.
Area of Science:
- Health Services Research
- Medical Communication
- Digital Health
Background:
- Growing emphasis on patient involvement in disease management.
- Need for understanding provider-patient interactions in telemedicine.
Purpose of the Study:
- Analyze skills used in telemedicine diagnosis and decision-making.
- Examine interprofessional communication and patient involvement.
Main Methods:
- Conversation analysis of 10 video-mediated consultations.
- Study conducted in 3 National Health Service settings in England.
- Involved patients, General Practitioners (GPs), nurses, and consultants.
Main Results:
- Teleconsultations foster collaborative work among health professionals.
- GPs and nurses enhance skills and contribute primary care knowledge.
- Interprofessional interaction may limit patient engagement in decision-making.
Conclusions:
- Telemedicine enhances professional collaboration but may reduce patient involvement.
- Findings can inform telemedicine training for professionals and patients.
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