Beyond Convenience: Patients' Perceptions of Physician Interactional Skills and Compassion via Telemedicine

Tania Elliott; Ian Tong; Arwen Sheridan; Beth A Lown

doi:10.1016/j.mayocpiqo.2020.04.009

Beyond Convenience: Patients' Perceptions of Physician Interactional Skills and Compassion via Telemedicine

Mayo Clin Proc Innov Qual Outcomes. 2020 Jun 5;4(3):305-314. doi: 10.1016/j.mayocpiqo.2020.04.009. eCollection 2020 Jun.

Authors

Tania Elliott¹, Ian Tong², Arwen Sheridan³, Beth A Lown^{4

5

6}

Affiliations

¹ NYU Langone Health, New York, NY.
² Department of Medicine, Stanford University School of Medicine, Stanford, CA.
³ Doctor On Demand, San Francisco, CA.
⁴ Department of Medicine, Harvard Medical School, Boston, MA.
⁵ Department of Faculty Development, Mount Auburn Hospital, Cambridge, MA.
⁶ The Schwartz Center for Compassionate Healthcare, Boston, MA.

Abstract

Objectives: To understand the interpersonal and communication behaviors that are perceived positively by patients in a video encounter and whether patient-centered relationships can be established virtually.

Patients and methods: A qualitative analysis of patient visit feedback was performed to build consensus around exemplary interpersonal and communication practices during a virtual urgent care visit. Voluntarily submitted patient comments associated with a 5-star review after a visit were randomly selected from more than 49,000 comments in an 11-month period, from January 1, 2016, through November 30, 2016. Researchers used a consensus-based, widely used health care communications framework as a sensitizing scaffold to develop a preliminary set of codes.

Results: More than 30% of the comments coded were classified as Building Rapport. The next most frequently assigned code was Shares Information/Provides Guidance. Among codable comments, the third most frequently assigned code was Elicits Information. Provided Treatment accounted for only 2% of comments.

Conclusion: These results suggest that patients who are satisfied with telemedicine encounters appreciate their relational experiences with the clinician and overall user experience, including access and convenience. Highly satisfied patients who interacted with providers on this platform commented on key aspects of medical communication, particularly skills that demonstrate patient-centered relationship building. This supports the notion that clinician-patient relationships can be established in a video-first model, without a previous in-person encounter, and that positive ratings do not seem to be focused solely on prescription receipt.