Diagnosis and Decision-Making in Telemedicine
This 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...
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2019-12-01
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Series: | Journal of Patient Experience |
Online Access: | https://doi.org/10.1177/2374373518803617 |
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doaj-34285ccf196047509d8dead362f556042020-11-25T03:35:04ZengSAGE PublishingJournal of Patient Experience2374-37352374-37432019-12-01610.1177/2374373518803617Diagnosis and Decision-Making in TelemedicineYannis Pappas PhD0Jitka Vseteckova1Nikolas Mastellos2Geva Greenfield3Gurch Randhawa4 Institute for Health Research, University of Bedfordshire, Luton, Bedfordshire, United Kingdom Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, United Kingdom Department of Primary Care and Public Health, Imperial College London, London, United Kingdom Department of Primary Care and Public Health, Imperial College London, London, United Kingdom Institute for Health Research, University of Bedfordshire, Luton, Bedfordshire, United KingdomThis 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.https://doi.org/10.1177/2374373518803617 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yannis Pappas PhD Jitka Vseteckova Nikolas Mastellos Geva Greenfield Gurch Randhawa |
spellingShingle |
Yannis Pappas PhD Jitka Vseteckova Nikolas Mastellos Geva Greenfield Gurch Randhawa Diagnosis and Decision-Making in Telemedicine Journal of Patient Experience |
author_facet |
Yannis Pappas PhD Jitka Vseteckova Nikolas Mastellos Geva Greenfield Gurch Randhawa |
author_sort |
Yannis Pappas PhD |
title |
Diagnosis and Decision-Making in Telemedicine |
title_short |
Diagnosis and Decision-Making in Telemedicine |
title_full |
Diagnosis and Decision-Making in Telemedicine |
title_fullStr |
Diagnosis and Decision-Making in Telemedicine |
title_full_unstemmed |
Diagnosis and Decision-Making in Telemedicine |
title_sort |
diagnosis and decision-making in telemedicine |
publisher |
SAGE Publishing |
series |
Journal of Patient Experience |
issn |
2374-3735 2374-3743 |
publishDate |
2019-12-01 |
description |
This 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. |
url |
https://doi.org/10.1177/2374373518803617 |
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