Ignite Creation Date:
2024-05-05 @ 11:28 AM
Last Modification Date:
2024-10-26 @ 9:08 AM
Study NCT ID:
NCT00057083
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2003-03-27
Brief Title:
Effect of Telemedicine on Physician-Patient Communication
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Effect of Telemedicine on Physician-Patient Communication
Status:
COMPLETED
Status Verified Date:
2008-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is 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
Detailed Description:
BACKGROUNDRATIONALE
The Veterans Administration system supports telemedicine TM to provide medical consultations between patients and physicians via videoconference At present little is known about the impact of such TM consultations on patient-physician communication and related health outcomes Analyses of in-person IP medical encounters have shown that effective patient-physician communication is associated with improved health outcomes
OBJECTIVES
To determine whether the physical separation between patient and physician required during TM has an affect on patient-physician communication and related outcomes including patient and physician satisfaction patient compliance and patient understanding of medical care
METHODS
In this clinical trial 238 patients were randomized to receive either consultative care at the remote site via TM with a consultant physician located the Milwaukee VA intervention OR by an IP consultation with a consultant physician at the Milwaukee VA control The same group of consultant physicians provided both IP and TM consultations
Patients in both study arms had their medical encounter video recorded We compared patterns and quality of patient-physician communication for the TM and IP encounters using the Roter Interaction Analysis System Data on patient and physician satisfaction with the encounter and patients understanding of their medical problems were collected at the end of each medical encounter Patient compliance medication refill behavior was assessed at 90 days post visit The frequency of communication behaviors during the TM and IP encounters was compared using the analysis of a Linear Mixed Model Comparison of patient satisfaction physician satisfaction patient compliance and patient knowledge measures between TM and IP groups were conducted with similar Linear Mixed Models
The Veterans Administration system supports telemedicine TM to provide medical consultations between patients and physicians via videoconference At present little is known about the impact of such TM consultations on patient-physician communication and related health outcomes Analyses of in-person IP medical encounters have shown that effective patient-physician communication is associated with improved health outcomes
OBJECTIVES
To determine whether the physical separation between patient and physician required during TM has an affect on patient-physician communication and related outcomes including patient and physician satisfaction patient compliance and patient understanding of medical care
METHODS
In this clinical trial 238 patients were randomized to receive either consultative care at the remote site via TM with a consultant physician located the Milwaukee VA intervention OR by an IP consultation with a consultant physician at the Milwaukee VA control The same group of consultant physicians provided both IP and TM consultations
Patients in both study arms had their medical encounter video recorded We compared patterns and quality of patient-physician communication for the TM and IP encounters using the Roter Interaction Analysis System Data on patient and physician satisfaction with the encounter and patients understanding of their medical problems were collected at the end of each medical encounter Patient compliance medication refill behavior was assessed at 90 days post visit The frequency of communication behaviors during the TM and IP encounters was compared using the analysis of a Linear Mixed Model Comparison of patient satisfaction physician satisfaction patient compliance and patient knowledge measures between TM and IP groups were conducted with similar Linear Mixed Models
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None