Effect of Telemedicine on Physician-Patient Communication - Article Informed Consent; Ombudsman Programs; Patient's Rights
Clinical Trial: Effect of Telemedicine on Physician-Patient Communication
This study is currently recruiting patients.
The Veterans Administration system supports telemedicine to provide medical consultations between patients and physicians via videoconference. At present, little is known about the impact of such telemedicine consultations on physician-patient communication and related health outcomes. Analyses of in-person medical encounters have shown that effective physician-patient communication is associated with improved health outcomes. To determine whether the physical separation between patient and physician required during telemedicine has an affect on physician-patient communication and related outcomes, including, patient and physician satisfaction, patient compliance, and patient understanding of medical care. The randomized controlled trial will randomize 238 patients to receive either consultative care at the remote site via telemedicine with a consultant physician located the Milwaukee VA (intervention) OR by an in-person consultation with a consultant physician at the Milwaukee VA (control). The same group of consultant physicians will provide both in-person and telemedicine consultations.
Patients in both arms of the study will have their medical encounter video recorded. Patterns and quality of physician-patient communication for the telemedicine and in-person encounters will be compared using the Roter Interaction Analysis System. Data on patient and physician satisfaction with the encounter and patient understanding of their medical problems will be collected at the end of each medical encounter. Patient compliance (medication refill behavior) will be assessed at 90 days post visit. The frequency of communication behaviors during the telemedicine and in-person encounters will be compared using the analysis of a Linear Mixed Model. Comparison of patient satisfaction, physician satisfaction, patient compliance, and patient knowledge measures between telemedicine and in-person groups will be conducted with similar Linear Mixed Models.
|Condition||Treatment or Intervention|
| Procedure: Telemedicine Care |
MedlinePlus consumer health information
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Expected Total Enrollment: 238
Study start: July 2002; Expected completion: June 2007
Ages Eligible for Study: 18 Years and above, Genders Eligible for Study: Both
Location and Contact Information
Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, 53295, United States; Recruiting
Record last reviewed: March 2005
Last Updated: March 18, 2005
Record first received: March 27, 2003
ClinicalTrials.gov Identifier: NCT00057083
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-04-08
Cache Date: April 9, 2005
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