@Article{信息:doi 10.2196 / / jmir。8033,作者=“Tates, Kiek and Antheunis, Marjolijn L and Kanters, Saskia and Nieboer, Theodoor E and Gerritse, Maria BE”,标题=“屏幕对屏幕与面对面会诊对医患沟通的影响:模拟患者的实验研究”,期刊=“J Med Internet Res”,年=“2017”,月=“12”,日=“20”,卷=“19”,数=“12”,页=“e421”,关键词=“远程会诊;通信质量;病人满意度;供应商的满意度;信息交换;人际关系建设;背景:尽管出现了基于网络的医患联系,但目前尚不清楚基于网络的医患互动质量与面对面互动有何不同。目的:本研究旨在探讨(1)会诊媒介对医患双方在信息交流、人际关系建立、共同决策等方面的交流行为的影响;(2)医患双方的交流行为对两种会诊媒介满意度的中介作用。方法:模拟盆腔器官脱垂的医患会诊,包括面对面和屏幕对屏幕(视频)设置。 Twelve medical interns and 6 simulated patients prepared 4 different written scenarios and were randomized to perform a total of 48 consultations. Effects of the consultations were measured by questionnaires that participants filled out directly after the consultation. Results: With respect to patient-related outcomes, satisfaction, perceived information exchange, interpersonal relationship building, and perceived shared decision making showed no significant differences between face-to-face and screen-to-screen consultations. Patients' attitude toward Web-based communication (b=−.249, P=.02 and patients' perceived time and attention (b=.271, P=.03) significantly predicted patients' perceived interpersonal relationship building. Patients' perceived shared decision making was positively related to their satisfaction with the consultation (b=.254, P=.005). Overall, patients experienced significantly greater shared decision making with a female doctor (mean 4.21, SD 0.49) than with a male doctor (mean 3.66 [SD 0.73]; b=.401, P=.009). Doctor-related outcomes showed no significant differences in satisfaction, perceived information exchange, interpersonal relationship building, and perceived shared decision making between the conditions. There was a positive relationship between perceived information exchange and doctors' satisfaction with the consultation (b=.533, P<.001). Furthermore, doctors' perceived interpersonal relationship building was positively related to doctors' satisfaction with the consultation (b=.331, P=.003). Conclusions: In this study, the quality of doctor-patient communication, as indicated by information exchange, interpersonal relationship building, and shared decision making, did not differ significantly between Web-based and face-to-face consultations. Doctors and simulated patients were equally satisfied with both types of consultation medium, and no differences were found in the manner in which participants perceived communicative behavior during these consultations. The findings suggest that worries about a negative impact of Web-based video consultation on the quality of patient-provider consultations seem unwarranted as they offer the same interaction quality and satisfaction level as regular face-to-face consultations. ", issn="1438-8871", doi="10.2196/jmir.8033", url="//www.mybigtv.com/2017/12/e421/", url="https://doi.org/10.2196/jmir.8033", url="http://www.ncbi.nlm.nih.gov/pubmed/29263017" }
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