Telemed J E Health - Content and style comparison of physician communication in teledermatology and in-person visits.

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Resumo

CKGROUND: The body of research is rapidly growing regarding the use of telemedicine in patient care, including cost-effectiveness, patient access, patient outcomes, etc. Less has been done describing physician communication during different aspects of the clinical visit (i.e., education, assessment, treatment, etc.) during actual versus virtual patient visits. The purpose of this study was to evaluate dermatology healthcare providers' communication via both modalities with regard to content and style.SUBJECTS AND METHODS: In-person and teledermatology patient visits were observed, audio-recorded, and transcribed over an 8-month period. A content analysis was performed.RESULTS: The Wilcoxon rank sum test was used to compare the content differences between visit modalities for each category. A p value of 0.05 was considered as significant for all tests. There were no statistically significant differences between modalities in the average number of physician words in seven of eight communication categories: small talk, clinical assessment, psychosocial issues, patient education, patient compliance, patient treatment, and administrative issues (p value range, 0.16-0.91). As well, the same communication themes occurred in each modality to essentially the same degree. For instance, assessment and discussion of treatment occurred in 100% of in-person and teledermatology visits, as did small talk.CONCLUSIONS: This research indicates that physician providers communicate with similar style and content whether using teledermatology or in-person.

Resumo Limpo

ckground bodi research rapid grow regard use telemedicin patient care includ costeffect patient access patient outcom etc less done describ physician communic differ aspect clinic visit ie educ assess treatment etc actual versus virtual patient visit purpos studi evalu dermatolog healthcar provid communic via modal regard content stylesubject method inperson teledermatolog patient visit observ audiorecord transcrib month period content analysi performedresult wilcoxon rank sum test use compar content differ visit modal categori p valu consid signific test statist signific differ modal averag number physician word seven eight communic categori small talk clinic assess psychosoci issu patient educ patient complianc patient treatment administr issu p valu rang well communic theme occur modal essenti degre instanc assess discuss treatment occur inperson teledermatolog visit small talkconclus research indic physician provid communic similar style content whether use teledermatolog inperson

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