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Mediated telemedicine vs. face-to-face medicine: efficiency in distress reduction

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Abstract

In the not so distant future, the concept of “seeing” a physician might be quite extended. Telemedicine enables the fascinating synergy of technological improvements in the field of distant communication on the one hand, and the ongoing need to find cheaper but still effective ways to receive medical consultation for people living in rural areas, on the other hand. Thus, reducing the physical and social gap caused by geographical distances. The current study compared patients who received face-to-face (F2F) medical consultation (N \(=\) 95), to patients who received a phone (AC) consultation (N \(=\) 100), and patients who received camera (VC) consultation (N \(=\) 97). All subjects filled out The international positive and negative affect schedule short form (I-PANAS-SF) before and after the consultation and the Biocca, Harms and Gregg questionnaire for social presence at the end of the consultation. Our findings demonstrate that telemedicine helps reduce distress as well as F2F counseling. The causes for this decrease differ between F2F, VC and AC consultations. In the phone group the decrease in distress is connected to the sense of receiving attention and being understood. In the camera group this decrease is connected to the sense that the physician is aware of their presence, and in the F2F group this decrease is connected to a sense of mutual emotional connection with the physician.

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References

  1. Kaplan B, Litewka S (2008) Ethical challenges of telemedicine and telehealth. Cambridge Q Healthc Ethics 17:401–416

    Article  Google Scholar 

  2. Rahmqvist M, Bara A (2010) Patient characteristics and quality dimensions related to patient satisfaction. Int J Qual Health Care 22(2):86–92

    Article  Google Scholar 

  3. Bauer KA (2001) Home-based telemedicine: a survey of ethical issues. Cambridge Q Healthc Ethics 10:137–146

    Article  Google Scholar 

  4. Street R, Wheeler E, McCaughan W (2000) Specialist-primary care provider–patient communication in telemedical consultations. Telemed J 6(1):45–54

    Article  Google Scholar 

  5. Zerzan J (1988) Elements of refusal. Left Bank Books, Seattle

    Google Scholar 

  6. Agha Z, Schapira R, Laud P, McNutt G, Roter D (2009) Patient satisfaction with physician–patient communication during telemedicine. Telemed J E Health 15(9):830–839

  7. Eisenberg L (1992) Treating depression and anxiety in primary care. Closing the gap between knowledge and practice. N Engl J Med 326(16):1080–1084

    Article  Google Scholar 

  8. Demiris G, Oliver D, Courtney K (2006) Ethical considerations for the utilization of telehealth technologies in home and hospice care by the nursing profession. Nurs Adm Q 30(1):56–66

    Article  Google Scholar 

  9. Astbury J (2001) Gender disparities in mental health. In: Mental health. Ministerial round tables, 54th World health assemble. WHO, Geneva

  10. Watson D, Pennebaker JW (1989) Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychol Rev 96(2):234–254

    Article  Google Scholar 

  11. Jackson JL, Passamonti M, Kroenke K (2007) Outcome and impact of mental disorders in primary care at 5 years. Psychosom Med 69(3):270–276

    Article  Google Scholar 

  12. Skinner P, Deans HD (1992) Doctors’ views on anxiety management in general practice. J R Soc Med 85(2):83–86

    Google Scholar 

  13. Waisman Y, Siegal N, Chemo M, Siegal G, Amir L, Blachar Y, Mimouni M (2003) Do parents understand emergency department discharge instructions? A survey analysis. IMAJ 5:567–570

    Google Scholar 

  14. Etzion D, Tuval A, Berkenshtat H (2006) Association among psychological, physiological and behavioral measures in situations of acute stress. Thesis, Tel-Aviv University

  15. Watson D, Clark LA, Tellegen A (1988) Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 54:1063–1070

    Article  Google Scholar 

  16. Miller L, Dell Smith A (1993) The stress solution. Pocket Books, New York

    Google Scholar 

  17. Lee KM (2004) Presence, explicated. Comm Theory 14(1):27–50

    Article  Google Scholar 

  18. Witmer BG, Singer MJ (1998) Measuring presence in virtual environments: a presence questionnaire. Presence Teleo Virtual Environ 7:225–240

  19. Wallach HS, Safir MP, Samana R, Almog I, Horef R (2011) How can presence in psychotherapy employing VR be increased? In: Brahnam S, Jain LC (eds) Advanced computational intelligence paradigms in healthcare 6: virtual reality in psychotherapy, rehabilitation, and assessment. Springer, Berlin, pp 129–147

  20. Knudsen C (2002) Video mediated communication: producing a sense of presence between individuals in shared virtual reality. In Baggaley J, Fahy P, O’Hagan C (eds) Educational conferencing: video and text traditions. Proceedings of the first international symposium on educational conferencing (ISEC), Banff, Alberta, co-sponsored by Athabasca University and the Social Sciences and Humanities Research Council of Canada

  21. Biocca F, Harms C, Gregg J (2002) The networked minds measure of social presence: pilot test of the factor structure and concurrent validity. In: Paper presented at Presence 2001, Philadelphia, USA, 9–11 Oct 2001

  22. Sävenstedt S, Zingmark K, Sandman O (2004) Being Present in a distant Room: aspects of teleconsultations with older people in a nursing home. Qual Health Res 14:1046–1057

    Article  Google Scholar 

  23. Kurt C, Stephen J, Zyzanski C et al (1998) Illuminating the ‘black box’: a description of 4454 patient visits to 138 family physicians. J Family Pract 46(5):377–389

    Google Scholar 

  24. Almagor M, Ben-Porath YS (1989) The two-factor model of self-reported mood: a cross-cultural replication. J Pers Assess 53:10–21

    Article  Google Scholar 

  25. Thompson ER (2007) Development and validation of an internationally reliable short-form of the positive and negative affect schedule (PANAS). J Cross Cultur Psychol 38(2):227–242

    Article  Google Scholar 

  26. Pruessner M, Hellhammer DH, Pruessner JC, Lupien SJ (2003) Selfreported depressive symptoms and stress levels in healthy young men: associations with the cortisol response to awakening. Psychosom Med 65:92–99

    Article  Google Scholar 

  27. Hauber J (2008) Understanding remote collaboration in video collabrative virtual enivironments. Thesis, Univeristy of Canterbury

  28. Norman G (2010) Likert scales, levels of measurement and the “laws” of statistics. Adv Health Sci Educ. doi:10.1007/s10459-010-9222-y

  29. Federation of state medical boards. “Model policy for the appropriate use of telemedicine technologies in the practice of medicin”. http://www.fsmb.org/Media/Default/PDF/FSMB/Advocacy/FSMB_Telemedicine_Policy.pdf. Accessed Apr 2014

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Acknowledgments

This research was partially sponsored by the Israel National Institute for Health Policy Research.

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Correspondence to Almog Idan.

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Idan, A., Wallach, H.S., Almagor, M. et al. Mediated telemedicine vs. face-to-face medicine: efficiency in distress reduction. J Multimodal User Interfaces 9, 333–339 (2015). https://doi.org/10.1007/s12193-015-0181-8

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  • DOI: https://doi.org/10.1007/s12193-015-0181-8

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