TY - JOUR AU - Tates, Kiek AU - Antheunis, Marjolijn L AU - Kanters, Saskia AU - Nieboer, Theodoor E AU - Gerritse, Maria BE PY - 2017 DA - 2017/12/20 TI -屏幕对屏幕与面对面咨询对医患沟通的影响:JO - J Med Internet Res SP - e421 VL - 19 IS - 12kw -远程咨询KW -沟通质量KW -患者满意度KW -提供者满意度KW -信息交换KW -人际关系建立KW -共享决策AB -背景:尽管出现了基于网络的患者-提供者联系，但仍不清楚基于网络的医患互动的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。12名医学实习生和6名模拟患者准备了4种不同的书面情景，并随机进行了总共48次咨询。咨询的效果由参与者在咨询后直接填写的问卷来衡量。结果:在与患者相关的结果方面，满意度、感知信息交换、人际关系建立和感知共享决策在面对面咨询和屏幕对屏幕咨询之间没有显着差异。患者对网络交流的态度(b=−;249, P =。2和患者感知时间和注意力(b=。271, P=.03)显著预测患者感知的人际关系建立。 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. SN - 1438-8871 UR - //www.mybigtv.com/2017/12/e421/ UR - https://doi.org/10.2196/jmir.8033 UR - http://www.ncbi.nlm.nih.gov/pubmed/29263017 DO - 10.2196/jmir.8033 ID - info:doi/10.2196/jmir.8033 ER -