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Evolving techniques in text-based medical consultation: Physicians' long-term experiences at an Ask the doctor service
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin.
2017 (engelsk)Inngår i: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 105, s. 83-88Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: Both the demands and the options for patients to communicate with health care providers utilizing eHealth solutions are increasing. Some patients, or relatives to patients, want to consult another health care provider than the regular one, merely in text.

Objective: To improve text-based medical consultation by learning from long-term experiences.

Materials and methods: Physicians with comprehensive experience of answering free-text medical inquiries at an official health portal in Sweden were interviewed. The interviews were analyzed using a grounded theory approach.

Results: Over time, the interviewed physicians developed strategies on how to formulate the answer to a medical inquiry from a previously unknown inquirer. The answering physicians experienced their primary role as providers of medical information and as mediators between an inquirer and the regular health care provider. Many of the answering physicians experienced a personal development with improved communication skills, also in face-to-face meetings with patients.

Conclusion: Text-based medical consultation is part of an expanding area in eHealth. The development of strategies, guidelines, ethical considerations as well as educational efforts are needed to optimize the skills of asynchronous text-based health consultation.

sted, utgiver, år, opplag, sider
ELSEVIER IRELAND LTD , 2017. Vol. 105, s. 83-88
Emneord [en]
e-Health, Remote consultation, Consumer health information, Health information needs, Information and communication techniques, Telehealth
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-139622DOI: 10.1016/j.ijmedinf.2017.05.013ISI: 000407778900009PubMedID: 28750914OAI: oai:DiVA.org:umu-139622DiVA, id: diva2:1146700
Tilgjengelig fra: 2017-10-03 Laget: 2017-10-03 Sist oppdatert: 2018-06-09bibliografisk kontrollert

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