A Scoping Review of Challenges and Existing Tools

In light of the COVID-19 public health restrictions, the use of telemedicine has been on the rise. This care delivery model is valued for its potential to increase care access while providing safe care. However, it changes the way patients and providers interact. Communication during video consultat...

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Main Authors: Marie Dominique Antoine, Maria Cherba, Sylvie Grosjean, Sylvain Boet, Richard Waldolf
Format: Article
Language:English
Published: University of Ottawa 2023-02-01
Series:University of Ottawa Journal of Medicine
Subjects:
Online Access:https://uottawa.scholarsportal.info/ottawa/index.php/uojm-jmuo/article/view/6320
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author Marie Dominique Antoine
Maria Cherba
Sylvie Grosjean
Sylvain Boet
Richard Waldolf
author_facet Marie Dominique Antoine
Maria Cherba
Sylvie Grosjean
Sylvain Boet
Richard Waldolf
author_sort Marie Dominique Antoine
collection DOAJ
description In light of the COVID-19 public health restrictions, the use of telemedicine has been on the rise. This care delivery model is valued for its potential to increase care access while providing safe care. However, it changes the way patients and providers interact. Communication during video consultations requires embodied engagement to compensate for the physical distance. This study aimed to identify patient-provider communication challenges during video consultations and assess the tools developed to support patient-provider communication according to the published literature from 2019 to 2022. Searches of eight databases (Medline (Ovid), PubMed, ProQuest Nursing and Allied Health, CINAHL, Web of Science, Scopus, PsychInfo, and Social Services Abstracts), and a Google search for grey literature were conducted. Nineteen articles met inclusion criteria. Findings show that patients and providers share the same concerns, such as a lack of trust relating to physical distance, the ability to establish a meaningful relationship, and a lack of confidence in clinical assessment. The available tools, however, are based on guidelines that are difficult to adapt to the diversity of interaction contexts. There is a need for tools that consider the complexity of patient-provider communication in order to address the challenges stemming from the lack of trust in the context of video consultations. These findings can inform strategies for effective patient-provider communication during video consultations to improve the quality of care and optimize outcomes in this context. 
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spelling doaj.art-8cd3ecf5a3574b059b6e20b8f3633bb92023-02-27T13:00:05ZengUniversity of OttawaUniversity of Ottawa Journal of Medicine2292-650X2292-65182023-02-0112110.18192/uojm.v12i1.6320A Scoping Review of Challenges and Existing ToolsMarie Dominique Antoine0Maria Cherba1Sylvie Grosjean2Sylvain Boet3Richard Waldolf4University of OttawaUniversity of OttawaUniversity of OttawaUniversity of OttawaInstitut du Savoir MontfortIn light of the COVID-19 public health restrictions, the use of telemedicine has been on the rise. This care delivery model is valued for its potential to increase care access while providing safe care. However, it changes the way patients and providers interact. Communication during video consultations requires embodied engagement to compensate for the physical distance. This study aimed to identify patient-provider communication challenges during video consultations and assess the tools developed to support patient-provider communication according to the published literature from 2019 to 2022. Searches of eight databases (Medline (Ovid), PubMed, ProQuest Nursing and Allied Health, CINAHL, Web of Science, Scopus, PsychInfo, and Social Services Abstracts), and a Google search for grey literature were conducted. Nineteen articles met inclusion criteria. Findings show that patients and providers share the same concerns, such as a lack of trust relating to physical distance, the ability to establish a meaningful relationship, and a lack of confidence in clinical assessment. The available tools, however, are based on guidelines that are difficult to adapt to the diversity of interaction contexts. There is a need for tools that consider the complexity of patient-provider communication in order to address the challenges stemming from the lack of trust in the context of video consultations. These findings can inform strategies for effective patient-provider communication during video consultations to improve the quality of care and optimize outcomes in this context.  https://uottawa.scholarsportal.info/ottawa/index.php/uojm-jmuo/article/view/6320Telemedicine consultationvideo consultationhealth communicationperson-centred care
spellingShingle Marie Dominique Antoine
Maria Cherba
Sylvie Grosjean
Sylvain Boet
Richard Waldolf
A Scoping Review of Challenges and Existing Tools
University of Ottawa Journal of Medicine
Telemedicine consultation
video consultation
health communication
person-centred care
title A Scoping Review of Challenges and Existing Tools
title_full A Scoping Review of Challenges and Existing Tools
title_fullStr A Scoping Review of Challenges and Existing Tools
title_full_unstemmed A Scoping Review of Challenges and Existing Tools
title_short A Scoping Review of Challenges and Existing Tools
title_sort scoping review of challenges and existing tools
topic Telemedicine consultation
video consultation
health communication
person-centred care
url https://uottawa.scholarsportal.info/ottawa/index.php/uojm-jmuo/article/view/6320
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