MetadataShow full item record
AbstractThis article provides an analysis of the skills that health professionals and patients employ in reaching diagnosis and decision-making in telemedicine consultations. As governmental priorities continue to emphasize patient involvement in the management of their disease, there is an increasing need to accurately capture the provider-patient interactions in clinical encounters. Drawing on conversation analysis of 10 video-mediated consultations in 3 National Health Service settings in England, this study examines the interaction between patients, General Practitioner (GPs), nurses, and consultants during diagnosis and decision-making, with the aim to identify the range of skills that participants use in the process and capture the interprofessional communication and patient involvement in the diagnosis and decision-making phases of telemedicine consultations. The analysis shows that teleconsultations enhance collaborative working among professionals and enable GPs and nurses to develop their skills and actively participate in diagnosis and decision-making by contributing primary care-specific knowledge to the consultation. However, interprofessional interaction may result in limited patient involvement in decision-making. The findings of this study can be used to inform training programs in telemedicine that focus on the development of effective skills for professionals and the provision of information to patients.
CitationPappas Y, Vseteckova J, Mastellos N, Greenfield G, Randhawa G (2019) 'Diagnosis and decision-making in telemedicine', Journal of patient experience, 6 (4), pp.296-304.
JournalJournal of patient experience
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc-nd/4.0/
- A qualitative systematic review of internal and external influences on shared decision-making in all health care settings.
- Authors: Truglio-Londrigan M, Slyer JT, Singleton JK, Worral P
- Issue date: 2012
- The opening phase of telemedicine consultations: an analysis of interaction.
- Authors: Pappas Y, Seale C
- Issue date: 2009 Apr
- Medical communication and technology: a video-based process study of the use of decision aids in primary care consultations.
- Authors: Kaner E, Heaven B, Rapley T, Murtagh M, Graham R, Thomson R, May C
- Issue date: 2007 Jan 10
- Needs of parents and professionals to improve shared decision-making in interprofessional maternity care practice: A qualitative study.
- Authors: Molenaar J, Korstjens I, Hendrix M, de Vries R, Nieuwenhuijze M
- Issue date: 2018 Sep