Kiek Tates|Marjolijn L. Antheunis|Saskia Kanters|Theodoor E. Nieboer|Maria B. E. Gerritse
The Effect of Screen-to-Screen Versus Face-to-Face Consultation on Doctor-Patient Communication: An Experimental Study with Simulated Patients
Tilburg University|Tilburg University|Tilburg University|Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen|Radboud University Medical Center|Ziekenhuis Gelderse Vallei
despite emergence webbased patientprovider contact still unclear quality webbased doctorpatient interactions differs facetoface interactionsthis study aimed examine 1 impact consultation medium doctors patients communicative behavior terms information exchange interpersonal relationship building shared decision making 2 mediating role doctors patients communicative behavior satisfaction types consultation mediumdoctorpatient consultations pelvic organ prolapse simulated facetoface screentoscreen video setting twelve medical interns 6 simulated patients prepared 4 different written scenarios randomized perform total 48 consultations effects consultations measured questionnaires participants filled directly consultationwith respect patientrelated outcomes satisfaction perceived information exchange interpersonal relationship building perceived shared decision making showed significant differences facetoface screentoscreen consultations patients attitude toward webbased communication b249 p02 patients perceived time attention b271 p03 significantly predicted patients perceived interpersonal relationship building patients perceived shared decision making positively related satisfaction consultation b254 p005 overall patients experienced significantly greater shared decision making female doctor mean 421 sd 049 male doctor mean 366 sd 073 b401 p009 doctorrelated outcomes showed significant differences satisfaction perceived information exchange interpersonal relationship building perceived shared decision making conditions positive relationship perceived information exchange doctors satisfaction consultation b533 p001 furthermore doctors perceived interpersonal relationship building positively related doctors satisfaction consultation b331 p003in study quality doctorpatient communication indicated information exchange interpersonal relationship building shared decision making differ significantly webbased facetoface consultations doctors simulated patients equally satisfied types consultation medium differences found manner participants perceived communicative behavior consultations findings suggest worries negative impact webbased video consultation quality patientprovider consultations seem unwarranted offer interaction quality satisfaction level regular facetoface consultations