Adapting the Roter Interaction Analysis System for Telemedicine: Lessons in Coding Across Four Specialty Clinics.

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dc.contributor.author Nelson, E
dc.contributor.author Spaulding, R
dc.date.accessioned 2007-11-21T21:56:55Z
dc.date.available 2007-11-21T21:56:55Z
dc.date.issued 2005
dc.identifier.citation Journal of Telemedicine and Telecare. 11(Suppl 1):105-7. en
dc.identifier.issn 1758-1109 en
dc.identifier.uri http://hdl.handle.net/2271/305
dc.description.abstract Four specialists (a child psychiatrist, an oncologist, a cardiologist and a rheumatologist) conducted telemedicine clinics using videoconferencing at a bandwidth of 128-384 kbit/s. The consultations were videorecorded. The coded interactions from the first two patients recruited from each of the four telemedicine clinics were analysed. Tapes were coded by two raters. We adapted the Roter interaction analysis system (RIAS) for the telemedicine context. Utterances were coded into socio-emotional and task-focused categories. There were 1055 utterances in total. Providers generated significantly more utterances across categories than patients. In the patient-provider interactions, only 2% of the total utterances related to the technology. The predominance of socio-emotional utterances compared with task-focused utterances for providers was contrary to our expectations. Further studies are required to establish the reliability of the adapted RIAS measure and to increase understanding of telemedicine communication patterns. en
dc.description.uri http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=DetailsSearch&Term=16036014%5Buid%5D
dc.format.extent 7258 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US en
dc.publisher Royal Society of Medicine Press en
dc.subject Remote Consultation/methods en
dc.subject Videoconferencing en
dc.title Adapting the Roter Interaction Analysis System for Telemedicine: Lessons in Coding Across Four Specialty Clinics. en
dc.type Article en

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