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Face-to-Face with the Doctor Online: Phenomenological Analysis of Patient Experience of Teleconsultation
Human Studies ( IF 0.431 ) Pub Date : 2022-11-28 , DOI: 10.1007/s10746-022-09652-4
Māra Grīnfelde 1
Affiliation  

The global crisis of the COVID-19 pandemic has considerably accelerated the adoption of teleconsultation—a form of consultation between patient and health care professional that occurs via videoconferencing platforms. For this reason, it is important to investigate the way in which this form of interaction modifies the nature of the clinical encounter and the extent to which this modification impacts the healing process. For this purpose, I will refer to insights into the clinical encounter as a face-to-face encounter drawn from the phenomenology of medicine (R. Zaner, K. Toombs, E. Pellegrino). I will also take into account a criticism that has been expressed by various contemporary phenomenologists (H. Dreyfus, T. Fuchs, L. Dolezal, H. Carel), namely, that due to the lack of physical proximity to the other in all types of online encounters, such encounters lack significant features that are present in face-to-face encounters, with the most important of these being the possibility of attaining an empathetic perception of the other and a sense of embodied risk. As these elements are essential features of the clinical encounter, the aim of this paper is to determine whether teleconsultation exhibits these features. To do that, I will integrate phenomenological philosophy with qualitative research drawing materials from both the philosophical tradition, particularly with respect to the concepts of the face-to-face encounter and embodied risk (A. Schutz and H. Dreyfus), and qualitative research study regarding patient experiences of teleconsultation. I will argue that teleconsultation does involve both the possibility of perceiving the other empathetically and the possibility of experiencing a sense of embodied risk.



中文翻译:

在线与医生面对面:远程会诊患者体验的现象学分析

COVID-19 大流行的全球危机大大加速了远程会诊的采用——一种通过视频会议平台在患者和医疗保健专业人员之间进行的咨询形式。出于这个原因,重要的是要研究这种形式的相互作用如何改变临床遭遇的性质,以及这种改变对愈合过程的影响程度。为此,我将把对临床遭遇的见解称为从医学现象学(R. Zaner、K. Toombs、E. Pellegrino)中提取的面对面接触。我还将考虑各种当代现象学家(H. Dreyfus、T. Fuchs、L. Dolezal、H. Carel)所表达的批评,即由于在所有类型中都缺乏彼此的物理接近性在线相遇,这种遭遇缺乏面对面接触中存在的重要特征,其中最重要的特征是有可能获得对他人的同理心感知和具体风险感。由于这些要素是临床会诊的基本特征,本文的目的是确定远程会诊是否具有这些特征。为此,我会将现象学哲学与来自哲学传统的定性研究相结合,特别是关于面对面接触和具身风险的概念(A. Schutz 和 H. Dreyfus),以及定性研究关于远程会诊患者体验的研究。

更新日期:2022-11-29
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