@Article{信息:doi 10.2196 / / jmir。1193，作者="Agha, Zia and Roter, Debra L and Schapira, Ralph M"，标题="远程医疗会诊中医患沟通方式的评估"，期刊="J医学互联网研究"，年="2009"，月="Sep"，日="30"，卷="11"，数="3"，页数="e36"，关键词="远程医疗;远程会诊;背景:医患沟通质量是影响治疗结果和患者护理满意度的关键因素。迄今为止，很少有研究记录远程医疗(TM)对医患沟通的影响。目的:本研究的目的是测量和描述临床TM会诊期间的口头和非口头沟通，并就医患沟通质量与面对面(IP)会诊进行比较。方法:将需要肺部内科会诊的老年患者19例纳入研究。研究小组包括11名来自铁山退伍军人事务医院(VAMC)偏远地区的患者。患者在密尔沃基VAMC中心与肺部医生进行了单独的TM会诊。对照组8例患者在密尔沃基VAMC与肺部医生进行了IP会诊。 Video recordings of medical consultations were coded for patient-physician verbal and nonverbal communication patterns using the Roter Interaction Analysis System (RIAS). Results: There were no differences in the length of TM consultations (22.2 minutes) and IP consultations (21.9 minutes). Analysis of visit dialogue indicated that the ratio of physician to patient talk was 1.45 for TM and 1.13 for IP consultations, indicating physician verbal dominance. Physicians were more likely to use orientation statements during IP consultations (P = .047). There were greater requests for repetition from patients during TM consultations (P = .034), indicating perceptual difficulties. Conclusions: The study findings indicate differences between TM and IP consultations in terms of physician-patient communication style. Results suggest that, when comparing TM and IP consultations in terms of physician-patient communication, TM visits are more physician centered, with the physician controlling the dialogue and the patient taking a relatively passive role. Further research is needed to determine whether these differences are significant and whether they have relevance in terms of health outcomes and patient satisfaction with care. ", issn="1438-8871", doi="10.2196/jmir.1193", url="//www.mybigtv.com/2009/3/e36/", url="https://doi.org/10.2196/jmir.1193", url="http://www.ncbi.nlm.nih.gov/pubmed/19793720" }