The technical and interpersonal aspects of telemedicine: effects on doctor–patient communication

2003 ◽  
Vol 9 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Edward Alan Miller
Keyword(s):  
Communication Technologies ◽  
Patient Communication ◽  
The Other ◽  
Third Party ◽  
Patient Relationship ◽  
Medical Encounter ◽  
Technical Aspects ◽  
Doctor Patient Communication ◽  
The One ◽  
Interpersonal Environment

The influence of telemedicine on the nature and content of doctor–patient communication stems from both its technical and its interpersonal aspects. While the technical aspects are concerned with the communication technologies used and the clinical processes enabled by those technologies, the interpersonal aspects are concerned with relationships between system personnel, providers and patients, and the way in which those relationships are organized. On the one hand, this paper posits that the influence of the technical environment stems from depersonalization of the doctor–patient relationship, participatory enhancements and impediments, and sensory and non-verbal limitations. On the other hand, it posits that the influence of the interpersonal environment stems from third-party participation, social and professional distancing, and underdeveloped norms and standards. A combined positivist and interpretivist evaluation strategy would enable researchers to make better-informed connections between telemedicine, medical encounter behaviour and health outcomes.

Exploring web-mediated communication: A genre-based linguistic study for new patterns of doctor–patient interaction in online environment

2016 ◽  
Vol 12 (2-3) ◽  
Author(s):  
Marianna Zummo
Keyword(s):  
Patient Communication ◽  
Online Environment ◽  
Patient Relationship ◽  
Medical Visit ◽  
Mediated Communication ◽  
Web Based ◽  
Doctor Patient Communication ◽  
Patient Interaction ◽  
Computer Mediated ◽  
New Form

This paper questions the nature of the communicative event that takes place in online contexts between doctors and web-users, showing computer-mediated linguistic norms and discussing the nature of the participants’ roles. Based on an analysis of 1005 posts occurring between doctors and the users of health service websites, I analyse how doctor–patient communication is affected by the medium and how health professionals overcome issues concerning the virtual medical visit. Results suggest that (a) online medical answers offer a different service from that expected by users, as doctors cannot always fulfill patient requests, and (b) net consultations use aspects of traditional doctor–patient exchange and yet present a language and a style that are affected by the computer-mediated environment. Additionally, it seems that this new form leads to a different model of doctor–patient relationship. The findings are intended to provide new insights into web-based discourse in doctor–patient communication and to demonstrate the emergence of a new style in medical communication.

scholarly journals TECHNOLOGIES IN CREATIVE ECONOMY AND CREATIVE SOCIETY

2015 ◽  
Vol 21 (6) ◽  
pp. 855-868 ◽  
Author(s):  
Tomas KAČERAUSKAS
Keyword(s):  
New Technologies ◽  
Communication Technologies ◽  
Creative Industries ◽  
The Other ◽  
Creative Economy ◽  
Other Hand ◽  
Political Media ◽  
The One ◽  
Media And Communication

The article deals with issues of technologies in the environment of creative economy and creative society, mostly focusing on the following topics: 1) invasion of technologies, which is accompanied by technical illiteracy or simplification of intellection presupposed by a certain technique (e.g. computers); 2) new technologies emerge in the environment dominated by consumption in order to boost consumption; 3) political, media and communication technologies are intertwined to the extent that allows us to speak about the technologized society; 4) technologies are inseparable from creative activities: on the one hand, development of technologies needs creativity, on the other hand, every branch of creative industries needs certain technologies; 5) technologic development is conditioned by their syncretism, i.e. their ability to serve the art (technē) of life and creative intentions; 6) in the creative society, happiness does not depend on constantly upgraded (i.e. consumed) technologies but is rather possible in spite of them; 7) unlimitedness is the greatest limitation of global technologies: unconnected with any existential region, they billow in the wind of ever newer technologies.

scholarly journals Public Private Partnerships and the Prospects for Sustainable ICT Projects in the Developing World

2007 ◽  
Vol 2 (3) ◽  
Author(s):  
Elizabeth Fife ◽  
Laura Hosman
Keyword(s):  
Case Studies ◽  
Success Factors ◽  
Public Services ◽  
Developing World ◽  
The Other ◽  
Third Party ◽  
Non Profit ◽  
Current State ◽  
The One

This paper analyses the recent phenomenon of private/public partnerships (PPPs) in the ICT sector of the developing world. The partners may come to these projects with divergent motivations: profit on the one hand and the provision of public services on the other, but at the end of the day, the interests of the partners that are symbiotic can – and indeed should – be aligned to ensure successful long-term projects. To investigate what can be done to promote successful and sustainable PPPs, this paper extends the traditional two-actor analysis to include both a third-party non-profit-oriented facilitating organization and the technology recipients that are the targets of these projects. Following an overview of the current state of PPPs in the developing world, the paper provides two case studies, based in Vietnam, where all four of the above-mentioned stakeholders were involved. The cases reveal important success factors that can be applied to future PPPs in the ICT sector.

Research Ethics in the Social Sciences

2022 ◽  
pp. 54-64
Author(s):  
Gianluca Attademo ◽  
Alessia Maccaro
Keyword(s):  
Risk Management ◽  
Research Ethics ◽  
Information And Communication Technologies ◽  
Codes Of Conduct ◽  
Communication Technologies ◽  
The Other ◽  
The Social ◽  
Information And Communication ◽  
The One ◽  
The Relationship

The formulation of Charts for research ethics and Codes of conduct has been growing in the last few decades, on the one hand due to a renewed awareness of the ethical dimensions of research governance and the relationship between regulators and researchers, and on the other hand for the expansion of possibilities achieved by innovation in information and communication technologies. The voluntary involvement of research participants, risk management and prevention, data protection, community engagement, reflexivity of researchers are some of the centres of gravity of a debate that involves researchers, institutions, and citizens.

Use of Information and Communication Technologies Tools to Capture, Store, and Disseminate Indigenous Knowledge

2017 ◽  
pp. 225-247
Author(s):  
Petros Nhlavu Dlamini
Keyword(s):  
Indigenous Knowledge ◽  
Information And Communication Technologies ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Personal Communication ◽  
Communication Technologies ◽  
The Other ◽  
Technology Tools ◽  
Information And Communication ◽  
The One

This chapter explores the role played by Information and Communication Technology tools in the management of indigenous Knowledge in general. Of importance to note, therefore, is the fact that the emergence of Information and Communication Technology tools has opened new avenues in Indigenous Knowledge Management (IKM) which have the potential of playing important roles in the society by making the valuable knowledge available to everyone who recognizes and uses it. Given the nature of indigenous knowledge which is commonly exchanged through personal communication and demonstration exemplified as deriving from the master to the apprentice, from the parents to the children, from the one neighbour to the other and so on. Information and Communication Technology tools appear to be providing as a solution in forestalling the possible extinction of IK.

Use of Information and Communication Technologies Tools to Capture, Store, and Disseminate Indigenous Knowledge

2020 ◽  
pp. 325-347
Author(s):  
Petros Nhlavu Dlamini
Keyword(s):  
Indigenous Knowledge ◽  
Information And Communication Technologies ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Personal Communication ◽  
Communication Technologies ◽  
The Other ◽  
Technology Tools ◽  
Information And Communication ◽  
The One

This chapter explores the role played by Information and Communication Technology tools in the management of indigenous Knowledge in general. Of importance to note, therefore, is the fact that the emergence of Information and Communication Technology tools has opened new avenues in Indigenous Knowledge Management (IKM) which have the potential of playing important roles in the society by making the valuable knowledge available to everyone who recognizes and uses it. Given the nature of indigenous knowledge which is commonly exchanged through personal communication and demonstration exemplified as deriving from the master to the apprentice, from the parents to the children, from the one neighbour to the other and so on. Information and Communication Technology tools appear to be providing as a solution in forestalling the possible extinction of IK.

scholarly journals Effectiveness of clinical scenario dramas to teach doctor-patient relationship and communication skills

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yinan Jiang ◽  
Lili Shi ◽  
Jinya Cao ◽  
Liming Zhu ◽  
Yue Sha ◽  
...  
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Patient Communication ◽  
Clinical Scenario ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Clinical Communication ◽  
Doctor Patient Communication ◽  
Self Confidence ◽  
Chinese Medical Students

Abstract Background The doctor-patient relationship in China has deteriorated in recent years, and poor doctor-patient communication is one of the main reasons. How to effectively carry out doctor-patient communication training originated from the West among Chinese medical students still to be studied. In the past decade, Peking Union Medical College has adopted clinical scenario drama to teach doctor-patient relationship and clinical communication skills. The aim of this study was to introduce clinical scenario dramas and evaluate its effectiveness in promoting doctor-patient relationships and clinical communication skills through students’ self-perceptions in Chinese medical students. Methods This study was a retrospective, self-controlled study and conducted from March 2009 to October 2018. Doctor-patient relationship and communication skills training were administered to all sixth-year medical students, which involved lectures and various clinical scenario dramas. The program totaled 24 h, of which each class session was 3 h, with 8 sessions in total. All students were requested to complete an anonymous 5 likert self-rating survey including self-confidence in using communication skills and self-perceived learning attitude and ability before and at the end of the course. In addition, they were requested to evaluate the curriculum after completion of the course. Results Clinical scenario dramas helped students improve their self-confidence in clinical communication skills except for psychosomatic history taking (p < 0.05). The interests for participation in clinical scenario dramas were higher compared to attending lectures (4.39 ± 0.610 Vs 4.07 ± 0.831, p<0.01). Study participants were highly satisfied in the course setting, teaching instructors and content (4.61 ± 0.546, 4.65 ± 0.535, 4.63 ± 0.534). The self-evaluation results demonstrated that clinical scenario dramas improved the learning ability of medical students (p < 0.05). Conclusion The use of clinical scenario dramas was helpful in teaching doctor-patient communication skills.

scholarly journals Euthanasia under French law

2021 ◽  
pp. 145-152
Author(s):  
A. Haddadi ◽  
F. Ravaz
Keyword(s):  
Criminal Law ◽  
Question Answering ◽  
Common Law ◽  
The Other ◽  
Third Party ◽  
Right To Die ◽  
French Law ◽  
The Face ◽  
The One ◽  
The Right

Under criminal law, euthanasia can have two distinct qualifications: that of homicide in the event that the act of directly killing another person is characterized, or that of assisting a third party in the suicide. These two qualifications are applicable on the condition that the agent — the author of the act of causing death — is not the one who went through it. In fact, selfeuthanasia is nothing more than suicide.In addition to euthanasia imposed to a third party (such as in the case of Malevre, nurse from Mantes-la-Jolie, tried in 2003), the euthanasia requested and subscribed constitutes a complex legal question. Answering this question first involves specifying the position of contemporary criminal law in the face of suicide.In the event that suicide is only decriminalized, in fact, the author of the act — regardless of the outcome of his actions, who is himself the victim, cannot be prosecuted. Nor ultimately receive any condemnation.However, this lack of prosecution and conviction is by no means an endorsement of the act — suicide — by the law.Moreover, in the event that suicide is a right, it would then be necessary to agree that any candidate for this act can request assistance in the accomplishment of his death. Given these two opposing approaches, imposed on us the question of whether there is a right to die.Although the euthanasia imposed is unequivocally under ordinary criminal law, the euthanasia requested and granted is not based on any rights. To date, there is no right to approve a death request, but on the other hand, it does allow it to be respected and to some extent promotes its approach with dignity. This work will focus on two central points which are the possibility that euthanasia is a homicide under common law (I) and the attitude of French law concerning the right to death (II).

“Completely impartial opinion, okay?”

2021 ◽  
Vol 10 (3) ◽  
pp. 368-396
Author(s):  
Maarten Bogaards
Keyword(s):  
Argumentation Theory ◽  
The Other ◽  
Research Interest ◽  
Third Party ◽  
Multidisciplinary Study ◽  
Considerable Research ◽  
Audience Adaptation ◽  
The One ◽  
The Relationship

Abstract Sponsorships on YouTube – i.e., video creators on YouTube promoting a third-party product or service to their audience – have attracted considerable research interest recently in various disciplines. This multidisciplinary study analyzes it from the perspective of argumentation theory, specifically pragma-dialectics, which offers valuable new insights into the discursive tensions inherent to this type of promotion. These tensions arise between the creator’s relationship with their audience on the one hand, which is built upon ‘parasocial’ evaluations of authenticity and community, and the commercial third party brand on the other. The insights provided by the pragma-dialectic analysis are demonstrated by means of a case study examining a sponsorship segment by YouTuber PewDiePie, which shows that creators can employ specific types of presentational choices and audience adaptation strategically to undercut commitment to the sponsor while furthering the relationship with their viewers.

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction

2021 ◽  
Author(s):  
Caixia Han ◽  
Qing Wu ◽  
Chenchen Liu ◽  
Pei Wang
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract Objective To explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.Methods From November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results 1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.Conclusion The age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implications: Medical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

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