scholarly journals “Smart watch” as a Factor for the Formation of Hybrid Doctor–Patient Communication

Communicology ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 15-28
Author(s):  
S. A. Kravchenko ◽  
K. V. Rakova
Keyword(s):  
Health Information ◽  
Modern Society ◽  
Patient Communication ◽  
Smart Devices ◽  
High Tech ◽  
Doctor Patient Communication ◽  
Inaccurate Information ◽  
Smart Watch ◽  
The One ◽  
Background Mode

The relevance of the research derives from the necessity to analyze the influence of new non-human digital actants on the nature of doctor-patients communication. The authors prove that in modern society the digitalization of the healthcare system is proceeding at an accelerated pace and pushes individuals to monitor their health status regularly in background mode by using such digital actants as smartwatches with pre-installed medical applications. The active use of high-tech devices for self-diagnosis of health transforms the doctor-patient communication, making it hybrid and exerting ambivalent influence on the treatment process. On the one hand, individuals can collect health information continuously. However, on the other hand, the study reveals that smartwatches provide users with less accurate health information in comparison with the health information obtained via stationary medical equipment. The use of inaccurate information without the supervision of medical workers may lead to unforeseen consequences and health risks. The results of the content analysis of modern scientific research on the effectiveness of smart devices’ use in online health diagnostics indicate that formal and pragmatic trends take place in doctor-patient communication. In this regard, the authors prove that hybrid social communication in medicine needs a new vector of development in accordance with the principles of the proposed “humanistic turn”.

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.

Das Problem der zweiten Meinung: Vom Umgang mit Vertrauen und Misstrauen in onkologischen Therapieplanungsgesprächen

2017 ◽  
Vol 67 (1) ◽  
Author(s):  
Wolfgang Imo
Keyword(s):  
Empirical Analysis ◽  
Patient Communication ◽  
Second Opinion ◽  
Therapy Planning ◽  
Doctor Patient Communication ◽  
Sensitive Question ◽  
Therapeutic Measures ◽  
Pre Treatment ◽  
The One ◽  
Interactional Processes

AbstractThe interactional negotiation of trust and distrust is something that can often be observed within doctor-patient-communication. Patients typically fear that the diagnosis might not be correct or that the proposed therapy might not be the best possible for them, while doctors can doubt the frankness and sincerity of their patients. The aim of this analysis is to focus on an interactional aspect which is important for both doctors and patients: The negotiation of trust and distrust regarding the proposed therapy in cancer pre-treatment discussions. For the patients, this negotiation is important because they wish the best possible treatment for themselves and therefore have to ensure that the proposed therapy is indeed the best one and that there are no better alternative options. For the doctors, reducing distrust and establishing trust is important, because trust in the proposed therapy leads to patients’ compliance, i.e. their active co-operation with the therapeutic measures, which may be decisive for the success or failure of the treatment. On the basis of a corpus of oncological therapy planning talks, a qualitative empirical analysis of the interactional processes of dealing with distrust in the context of the sensitive question of getting a ‘second opinion’ concerning the proposed therapy will be presented. The question of the ‘second opinion’ is a sensitive one because it can be interpreted as signaling a patient’s distrust in the competence of the doctor, thus leading to a face-threat. In order to answer the question of how distrust is negotiated interactionally, the paper proceeds as follows: First, the research project will be presented in whose context the data were collected. Then, a short overview of typical problems within doctor-patient-communication in general and of the negotiation of trust and distrust in particular will be given. Next, strategies will be discussed with which – on the one hand – patients introduce the topic of the ‘second opinion’ within a therapy planning talk and with which the doctors react to this topic. Finally, doctors’ ‘pre-emptive’ strategies with which they try to remove patients’ distrust and establish trust in their diagnosis and proposed therapy will be analyzed.

scholarly journals The era of «steel apples» and «green robots». Smartphone addiction: a medical problem, a cultural phenomenon, or a fiction media?

2019 ◽  
pp. 8-21
Author(s):  
Irina Vladimirovna Dubatova ◽  
Andrey Viktorovich Antsyborov
Keyword(s):  
Medical Problem ◽  
Smart Devices ◽  
High Tech ◽  
Smartphone Addiction ◽  
Addictive Disorders ◽  
Problematic Use ◽  
Cultural Phenomenon ◽  
Cultural Boundaries ◽  
Software Platforms ◽  
The One

The article is devoted to the one of acute problems of society, that is smartphone addiction, because in recent decades, «smart» devices become ingrained in our everyday lives of almost every person. The sphere of interest of many scientific studies is the study of «high-tech» addictions. One of the particular forms of this type of addictive disorder is smartphone addiction. Currently, there is an expansive increase in the prevalence of smartphones on various hardware and software platforms. The authors of the article wonder whether smartphone addiction can be a form of behavioral addiction or we may consider it a part of the «problematic» use by healthy people? To solve this problem, this review examines the correlation relationships between substantive and behavioral addictions based on existing criteria for diagnosing addictive disorders, and also outlines the socio-cultural boundaries of smartphones use.

scholarly journals Designing Patient-facing Health Information Technologies for the Outpatient Settings: A Literature Review

2016 ◽  
Vol 23 (1) ◽  
pp. 441 ◽  
Author(s):  
Yushi Yang ◽  
Onur Asan
Keyword(s):  
Health Information ◽  
Information Technologies ◽  
Patient Communication ◽  
Easy Access ◽  
Patient Centred Care ◽  
Health Information Technologies ◽  
Doctor Patient Communication ◽  
Study Results ◽  
Outpatient Settings ◽  
The Impact

 Introduction: The implementation of health information technologies (HITs) has changed the dynamics of doctor–patient communication in outpatient settings. Designing patient-facing HITs provides patients with easy access to healthcare information during the visit and has the potential to enhance the patient-centred care. Objectives: The objectives of this study are to systematically review how the designs of patient-facing HITs have been suggested and evaluated, and how they may potentially affect the doctor–patient communication and patient-centred care. Method: We conducted an online database search to identify articles published before December 2014 relevant to the objectives of this study. A total of nine papers have been identified and reviewed in this study. Results: Designing patient-facing HITs is at an early stage. The current literature has been exploring the impact of HITs on doctor–patient communication dynamics. Based on the findings of these studies, there is an emergent need to design more patient-centred HITs. There are also some papers that focus on the usability evaluation of some preliminary prototypes of the patient-facing HITs. The design styles of patient-facing HITs included sharing the health information with the patients on: (1) a separate patient display, (2) a projector, (3) a portable tablet, (4) a touch-based screen and (5) a shared computer display that can be viewed by both doctors and patients. Each of them had the strengths and limitations to facilitate the patient-centred care, and it is worthwhile to make a comparison of them in order to identify future research directions. Conclusion: The designs of patient-facing HITs in outpatient settings are promising in facilitating the doctor-patient communication and patient engagement. However, their effectiveness and usefulness need to be further evaluated and improved from a systems perspective. 

Doctor-patient communication: Guidelines for improvements

2006 ◽  
Author(s):  
Jamye M. Hickman ◽  
Kelly E. Caine ◽  
Aideen J. Stronge ◽  
Richard Pak ◽  
Wendy A. Rogers ◽  
...  
Keyword(s):  
Patient Communication ◽  
Doctor Patient Communication

Eliminating Invisible Barriers: Health Web Site Accessibility

2003 ◽  
Vol 1 (1) ◽  
pp. 70-86
Author(s):  
Christine Rzepka
Keyword(s):  
Health Information ◽  
Web Sites ◽  
Web Site ◽  
People With Disabilities ◽  
High Tech ◽  
Accessibility Issues ◽  
Accessibility Guidelines ◽  
Use Of The Internet ◽  
Simple Evaluation ◽  
The Web

One of the top reasons given for use of the internet is the ability to search for health information. However, much of the planning for web-based health information often fails to consider accessibility issues. If health care organizations and community agencies’ web sites have the latest, most wellresearched information on the health topics of the day, it is useless to those who cannot access it because of invisible technological barriers. Many flashy, high-tech sites were designed only to appeal to the needs of the mainstream population, with no consideration given to how people with disabilities must adapt their use of the web in order to access information. This article addresses issues of access specific to web site development, and will explore barriers to accessibility frequently experienced by web users with disabilities, requirements for ADA compliance, and how people with disabilities use the web. Web site accessibility guidelines, as well as simple evaluation tools, will be discussed. A thorough review of the article will enable even the least tech-savvy of health educators to enhance their skills in planning and evaluating web sites to promote access for people with disabilities.

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