Revisiting Effective Communication Between Patients and Physicians: Cross-Sectional Questionnaire Study Comparing Text-Based Electronic Versus Face-to-Face Communication
Revisiting Effective Communication Between Patients and Physicians: Cross-Sectional Questionnaire Study Comparing Text-Based Electronic Versus Face-to-Face Communication
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DOI：
10.2196/16965
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发表时间：
2020-05-13
影响因子：
7.4
通讯作者：
Kashian, Nicole
中科院分区：
文献类型：
--
作者：
Mirzaei, Tala;Kashian, Nicole
背景资料：研究表明，通过远程医疗进行的基于文本的通信将继续成为患者和医生未来使用的通信模式。然而，很少有研究探讨病人的观点，越来越多地使用基于文本的沟通与面对面（FtF）communication.Objective：本研究旨在了解和比较潜在的差异，病人的看法，沟通的有效性与他们的医生通过不同的沟通模式。我们对345名患者进行了一项基于网络的调查，以探讨不同渠道对有效沟通和感知健康行为及结果的影响。我们分别针对基于文本的信息技术（IT）介导的沟通和FtF沟通，测试了患者感知的沟通和媒体有效性对其自我效能、沟通满意度和感知的健康结果的影响。此外，我们进行了一组比较，以确定这两个groups.Results显着差异：我们发现没有显着差异患者的看法，有效的沟通，无论是IT介导的通信或FtF与他们的医生沟通。然而，我们发现患者对媒体有效性的感知存在显著差异：患者认为FtF沟通是一种更有利的媒体（P=.02）。有趣的是，我们发现，（P= 0.09）成功（P= 0.08）的IT介导的沟通与FtF沟通。这项研究的结果表明，患者可以实现相同水平的沟通效果与他们的医生使用IT介导的沟通，因为他们将在可比的FtF互动，但患者认为FtF通信是比IT介导的通信更有利的媒介。
Background: Research has shown that text-based communication via telemedicine will continue to be a mode of communication that patients and physicians use in the future. However, very few studies have examined patients' perspectives regarding the increased use of text-based communication versus face-to-face (FtF) communication.Objective: This study aimed to understand and compare the potential differences in patients' perceptions of communication effectiveness with their physicians through different modes of communication.Methods: We conducted a web-based survey of 345 patients to explore the impact of different channels on effective communication and perceived health behavior and outcomes. We tested the impact of patients' perceived communication and media effectiveness on their self-efficacy, communication satisfaction, and perceived health outcomes, separately for text-based information technology (IT)-mediated communication and FtF communication. Furthermore, we conducted a group comparison to identify significant differences across these 2 groups.Results: We found no significant differences between patients' perceptions of effective communication using either IT-mediated communication or FtF communication with their physicians. However, we found significant differences in patients' perception of media effectiveness: patients perceived FtF communication to be a more favorable medium (P=.02). Interestingly, we found no significant difference in terms of benefits (P=.09) and success (P=.08) of IT-mediated communication versus FtF communication.Conclusions: The results of this study imply that patients can achieve the same level of communication effectiveness with their physicians using IT-mediated communication as they would in comparable FtF interactions, but patients view FtF communication to be a more favorable medium than IT-mediated communication.