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Patient-Centered Communication in Telehealth Settings.

Lydia Tesfaye1,2, Zahra Ansari3, Michael Curry4

  • 1Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.

JAMA Network Open
|January 29, 2026
PubMed
Summary
This summary is machine-generated.

Patient-centered communication (PCC) in telehealth visits was comparable across racial and ethnic groups but varied by education and English proficiency. Findings suggest telehealth can support optimal PCC, especially in vulnerable counties.

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Area of Science:

  • Health Services Research
  • Telehealth Communication
  • Health Equity

Background:

  • Patient-centered communication (PCC) is crucial for high-quality healthcare.
  • PCC in telehealth remains understudied, particularly concerning disparities.
  • The Minority Health Social Vulnerability Index (MHSVI) identifies counties vulnerable to public health emergencies.

Purpose of the Study:

  • To examine associations between individual characteristics and optimal PCC in telehealth.
  • To assess if these associations differ based on county-level vulnerability (MHSVI).

Main Methods:

  • Cross-sectional online survey of adults (18+) in MHSVI least- or most-vulnerable US counties.
  • Data collected Feb-Aug 2022 from 2754 participants with recent telehealth visits.
  • Multivariable logistic regression analyzed self-reported optimal PCC items, stratified by MHSVI.

Main Results:

  • Optimal PCC varied, with 38.8% reporting sufficient clinician time and 49.8% reporting clinician-ensured understanding.
  • Lower odds of optimal PCC were linked to lower educational attainment and non-English proficiency.
  • Higher odds of optimal PCC were associated with digital health literacy.
  • PCC was comparable across racial/ethnic groups but differed by MHSVI vulnerability.
  • Black/African American participants had lower odds of optimal time in most-vulnerable counties but higher odds of explained information in least-vulnerable counties.

Conclusions:

  • Optimal PCC in telehealth was comparable across racial and ethnic groups.
  • Educational attainment and English proficiency were associated with variations in optimal PCC.
  • Findings suggest telehealth can facilitate optimal PCC, with differing impacts based on county vulnerability.