The Open UniversitySkip to content
 

Diagnosis and Decision-Making in Telemedicine

Pappas, Yannis; Vseteckova, Jitka; Mastellos, Nikolas; Greenfield, Geva and Randhawa, Gurch (2019). Diagnosis and Decision-Making in Telemedicine. Journal of Patient Experience, 6(4) pp. 296–304.

Full text available as:
[img]
Preview
PDF (Version of Record) - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (183kB) | Preview
DOI (Digital Object Identifier) Link: https://doi.org/10.1177/2374373518803617
Google Scholar: Look up in Google Scholar

Abstract

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 decisionmaking. 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.

Item Type: Journal Item
Copyright Holders: 2018 The Authors
ISSN: 2374-3743
Keywords: telemedicine; conversation analysis; eHealth; decision-making; patient-centered care
Academic Unit/School: Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care > Health and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS)
Item ID: 57022
Depositing User: Jitka Vseteckova
Date Deposited: 09 Oct 2018 09:10
Last Modified: 22 Nov 2019 16:32
URI: http://oro.open.ac.uk/id/eprint/57022
Share this page:

Metrics

Altmetrics from Altmetric

Citations from Dimensions

Download history for this item

These details should be considered as only a guide to the number of downloads performed manually. Algorithmic methods have been applied in an attempt to remove automated downloads from the displayed statistics but no guarantee can be made as to the accuracy of the figures.

Actions (login may be required)

Policies | Disclaimer

© The Open University   contact the OU