A comparison of communication models of traditional and video-mediated health care delivery.
BACKGROUND
While there may be benefits that accrue to the use of telemedicine technology in patient care, such as decreased costs and improved access, it has yet to be determined how telemedicine impacts patients' ability to express themselves and accordingly, how it impacts health care providers' communication of instructions or expressions of empathy.


OBJECTIVE
The aim of this study was to examine the effect of telemedicine technology on communication by comparing the style and content of communication between actual (i.e., face to face) and virtual (i.e., non-face to face, telemedical) dermatology visits. The hypothesis was that there is no difference in the content and style of communication between actual and virtual visits in dermatology.


METHODS
Face-to-face and video-mediated dermatology sessions were observed and also audiotaped, timed and transcribed. A content analysis was performed.


RESULTS
Average duration of a face-to-face session was 11 min (S.D. 0.08) and of a telemedical session 9 min (S.D. 0.002). Small talk occurred in 20% of all face-to-face and 29.6% of all telemedical visits. Clinical assessment occurred in all sessions. Patient education occurred in 90% of face-to-face and 78% of telemedical visits. Other themes were also identified (e.g., discussion of treatment, promotion of compliance, psychosocial issues). In 14.8% of telemedical sessions technical issues were raised. Findings indicate that communication patterns in the two modes of care delivery are comparable.
Demiris
George
G
Department of Health Management and Informatics, University of Missouri-Columbia, 324 Clark Hall, Columbia, MO 65211, USA. demirisg@health.missouri.edu
Edison
Karen
K
Vijaykumar
Santosh
S
D003142:Communication; D003695:Delivery of Health Care / Q000379:methods; D003880:Dermatology; D006801:Humans; D010817:Physician-Patient Relations; D017216:Telemedicine; D017748:Time Management; D014584:User-Computer Interface; D014741:Video Recording