Review Article
Volume 10 Issue 3 - 2021
To See or Not to See… Does Virtual Medical Encounter Harm Communication?
Fabien Gagnon*
Forensic Psychiatrist, Quebec Medico-Legal Institute, and Emeritus Professor, Department of Psychiatry and Neurosciences, Université Laval, Quebec City, Canada
*Corresponding Author: Fabien Gagnon, Forensic Psychiatrist, Quebec Medico-Legal Institute, and Emeritus Professor, Department of Psychiatry and Neurosciences, Université Laval, Quebec City, Canada.
Received: January 27, 2021; Published: February 27, 2021



Abstract

With the COVID-19 pandemic, the use of telemedicine and telehealth (telemedicine applied to health care) is becoming an important part of the tools used by medical and health care clinicians. The use of synchronous (real-time) audio-video communication (AVC) which connects physicians and patients through various technical platforms has advantages and disadvantages. The author explores how the limits associated with the use of AVC with narrow angle camera may negatively impact medical communication, depriving clinicians from non-verbal clues.

Keywords: Non-Verbal Communication; Telemedicine; Camera’s Angle

References

  1. Bradshaw P. “Good communication reduces risk of a complaint or claim”. British Medical Journal 367 (2019): l6160.
  2. Medical Protection. Complaints culture (2013).
  3. McCreaddie M., et al. “Traumatic journeys; understanding the rhetoric of patients. Complaints”. BMC Health Services Research 18 (2018): 551.
  4. Fong HJ and Longnecker N. “Doctor-Patient Communication: A Review”. The Ochsner Journal 10 (2010): 38-43.
  5. Iedema R and Manidis M. “Patient‐Clinician Communication: An Overview of Relevant Research and Policy Literatures”. Sydney: Australian Commission on Safety and Quality in Health Care and UTS Centre for Health Communication (2013).
  6. Emanuel EJ and Emanuel LL. “Four Models of the Physician-Patient Relationship”. The Journal of the American Medical Association 267 (1992): 16.
  7. Lee AV., et al. “What can we learn from patient dissatisfaction? An analysis of dissatisfying events at an academic medical center”. Journal of Hospital Medicine 9 (2010): 514-520.
  8. Krupat E., et al. “The practice orientations of physicians and patients: the effect of doctor-patient congruence on satisfaction”. Patient Education and Counseling 1 (2000): 49-59.
  9. Sofaer S and Firminger K. “Patient perceptions of the quality of health services”. Annual Review of Public Health 26 (2005): 513-559.
  10. DeVito JA. “Essential Elements of Public Speaking, 6th Edition”. Pearson, New York (2017).
  11. Schwartzman R. “Fundamentals of Oral Communication, 3rd edition”. Kendall Hunt Publication (2016).
  12. Kichloo A., et al. “Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA”. Family Medicine and Community Health 8 (2020): e000530.
  13. Brigham, C.R. et al. “Virtual Médical and Impairment Assessments.” May/June 2020. AMA Guides Newsletter. 3-11 https://vww.ama-assn.org/system/files/2020-06/virtual-medical-impairmentassessments.pdf.
  14. Greenhalgh T., et al. “Virtual online consultations: advantages and limitations (VOCAL) study”. BMJ Open 6 (2016): e009388.
  15. Weissman SM. “Face to face: The role of vision and the smiling response”. The Psychoanalytic Study of the Child 32 (1977): 421-450.
  16. Wiener J. “The analytic setting today: using the couch or the chair?” The Journal of Analytical Psychology 4 (2015): 462-476.
  17. Rees CS and Stone S. “Therapeutic Alliance in Face-to-Face Versus Video conferenced Psychotherapy”. Professional Psychology: Research and Practice6 (2005): 649-653.
  18. David C., et al. “Effect of Telephone-Administered vs Face-to-face Cognitive Behavioral Therapy on Adherence to Therapy and Depression Outcomes Among Primary Care Patients: A Randomized Trial”. The Journal of the American Medical Association 21 (2012): 2278-2285.
  19. Brenna N., et al. “Preference for in-person psychotherapy versus digital psychotherapy options for depression: survey of adults in the U.S”. npj Digital Medicine 2 (2019): 6.
  20. Verderber KS., et al. “Communicate! 15th edition”. Cengage Learning (2017).
  21. General Medical Council. “Remote-consultation”.
  22. General Medical Council. “Regulatory approaches to telemedicine”. (2020).
  23. American Medical Association. “Telehealth Implementation Playbook” (2020).
  24. American Medical Association. “AMA quick guide to telemedicine practice” (2020).
  25. The Royal Australian College of General Practitioners. “Telehealth video consultations guide” (2019).
  26. American Psychological Association. “Guidelines for the practice of telepsychology” (2020).
  27. Erbe D., et al. “Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review”. Journal of Medical Internet Research 9 (2017): e306.
Citation: Fabien Gagnon. “To See or Not to See… Does Virtual Medical Encounter Harm Communication?”. EC Psychology and Psychiatry 10.3 (2021): 52-57.

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