Effect of computer use on physician-patient communication using a validated instrument: Patient perspective

Shaarani, Issam; Taleb, Rim; Antoun, Jumana

doi:10.1016/j.ijmedinf.2017.10.007

Cited by 23 publications

(18 citation statements)

References 22 publications

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“…In this evolving era of medicine and communication, the purpose of our study was to inquire about the general public’s perspectives about the use of telemedicine as well as suggest some methods for improvement. We found that majority of people were comfortable with their doctors communicating with them directly via computer, also known as synchronous telemedicine, a finding common to prior studies [ 12 - 14 ]. However, previous studies did not analyze these opinions according to patient characteristics.…”

Section: Discussionsupporting

confidence: 70%

A Cross-Sectional Survey on Telemedicine Use for Doctor-Patient Communication

Akbar

Iqbal

Gaziano

et al. 2020

Cureus

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Introduction Use of computers for doctor-patient communication is increasing. Considering effective doctor-patient communication is important for good health outcomes. This study helps to determine the level of acceptance of telemedicine in general public and factors associated with it. Methods: This survey with cross-sectional analysis comprised a brief survey with 15 questions. The survey was distributed in public places to determine the opinions of the general public. Results Randomly selected 125 participants completed the questionnaire. Synchronous telemedicine was favored by young people (82% in the 18-34 age group vs 37.5% of participants aged >55 years; p<0.01), those with a higher education level (46.7% of non-college-educated persons vs 80.6% of college-educated persons; p<0.01), and frequent computer users (67% who used a computer for less than two hours a month vs 86.5% of those who used a computer more than hours a month; p=0.03). Asynchronous communication, like sending health information to doctors via a safe portal was acknowledged mostly by people who had used patient portals in the past (84.1% vs 65.4%; p=0.02). Use of patient portals was less among older users and senior citizens (20.8% use in the age group >55 vs. 51.3% in the age group 35-53 years vs. 71% in age group 18-34 years). Receiving video education for specific health concerns was favored by those who used a computer frequently (94.6% who used a computer more than two hours a month vs 77% who used a computer less than two hours a month; p =0.02). Conclusion Telemedicine is generally favored, but physicians should be mindful about older people as they may not feel comfortable. Step by step guidance should be provided especially to senior citizens for telemedicine and portal use.

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Section: Discussionsupporting

confidence: 70%

A Cross-Sectional Survey on Telemedicine Use for Doctor-Patient Communication

Akbar

Iqbal

Gaziano

et al. 2020

Cureus

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“…The patients, on the other hand, viewed the physician’s preoccupation with medical records in the lowest pentile as a barrier to communication. This mirrored a recent study conducted by Shaarani and colleagues in Lebanon, which found that two-thirds of patients did not consider the physician’s preoccupation with medical records negatively impacting their communication [ 15 ]. Consequently, this issue might represent an element of personal stress on the side of the physician rather than being of great hindrance to communication.…”

Section: Discussionsupporting

confidence: 65%

Barriers to effective communication between family physicians and patients in walk-in centre setting in Dubai: a cross-sectional survey

Albahri

Abushibs

2018

BMC Health Serv Res

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BackgroundEffective communication between family physicians and their patients is crucial to improving healthcare outcomes and patients’ satisfaction. However, the barriers to effective communication have been weakly studied in the Gulf region with no reported studies in Dubai. This study aims to identify the main perceived barriers to effective communication between patients and their family physicians in Dubai from both the physicians’ and the patients’ viewpoints.MethodsThe study was conducted at 12 primary healthcare centres in Dubai between October 2016 – July 2017. Two self-administered questionnaires were used, one measuring the patients’ perceived frequency of encounters with barriers to communication, while the other was for the family physicians’ perceived level of risk to communication posed by the barriers. The barriers were assessed in the following four domains: personal characteristics and attitudes, organisational factors, communication of information, and linguistic and cultural factors.ResultsThere were a total of 1122 patients and 170 family physicians, with 75% and 85% response rates, respectively. Having a time limitation was the highest ranking barrier, with 23.4% of patients encountering it half of the time-always, and 50.6% of physicians perceiving it as moderate-very high risk. This was followed by barriers in the communication of information domain, especially not checking the patient’s understanding and not educating the patient (16.0–16.9%) from the patients’ perception and presentation with multiple problems and not following with a treatment plan (51.2% and 35.9%, respectively), from the physicians’ perception. Preoccupation with medical records ranked in the second pentile for the physicians, and in the lowest pentile for the patients. Barriers related to the failure of rapport building and linguistic/cultural factors ranked in the fourth and fifth pentiles for both patients and physicians.ConclusionTime pressure is the major perceived barrier to communication between patients and family physicians. In addition, a greater focus needs to be placed on training the physicians to convey their messages to the patients clearly, checking their understanding and managing poor historians.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3457-3) contains supplementary material, which is available to authorized users.

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“…Interpersonal relationships remain cornerstones of health staff motivation, provided they facilitate understanding and improve the exchange of health information between clinicians and patients (Weiner & Biondich, 2006). This translates into detailed health histories and better health treatment plans and outcomes (Shaarani, Taleb, & Antoun, 2017).…”

Section: Health Staff Motivation Barriersmentioning

confidence: 99%

Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh

Zobair

Sanzogni

Sandhu

2020

AJIS

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This article investigates potential barriers to telemedicine adoption in centres hosted by rural public hospitals in Bangladesh. Little is known of the barriers related to telemedicine adoption in this context. Analysis of data collected from rural telemedicine patients identified seven broad categories of barriers: lack of organisational effectiveness, information and communication technology infrastructure, quality of care, allocation of resources, health staff motivation, patient satisfaction and trustworthiness. Their significance is explored. This research is based on the quantitative analysis of a data set of 500 telemedicine patients, from rural areas in Bangladesh. A conceptual model showing the interaction of pre-determined classes of barriers was established and hypotheses set up and tested using partial least squares structural equation modelling. Exemplary barriers to telemedicine adoption were identified and confirmed (p<.01) namely, lack of organisational effectiveness, health staff motivation, patient satisfaction, and trustworthiness collectively explaining 62% of the variance in barriers to adoption and providing for the first-time empirical support of their existence. These barriers offer considerable resistance to the adoption and maintenance of current telemedicine projects in rural Bangladesh. Further, lack of information and communication technology infrastructure, allocation of resources and quality of care are indirect barriers affecting successful deployment of telemedicine in rural settings. These findings illuminate adoption impediments faced by existing telemedicine projects and institutionalise favourable policy guidelines to improve Bangladesh’s and similar emerging economies’ healthcare industries. Policy interventions and recommendations are provided, including current research limitations leading to opportunities for future research.

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Effect of computer use on physician-patient communication using a validated instrument: Patient perspective

Cited by 23 publications

References 22 publications

A Cross-Sectional Survey on Telemedicine Use for Doctor-Patient Communication

A Cross-Sectional Survey on Telemedicine Use for Doctor-Patient Communication

Barriers to effective communication between family physicians and patients in walk-in centre setting in Dubai: a cross-sectional survey

Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh

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