re: Telemedicine Dilemma: Savings Or Healing Hands More Important?
As far clinician's presence being therapeutic, it really depends on the clinician. If you read the book "Blink" by Malcolm Gladwell, one of the interesting first impressions we make very quickly is about our doctors. A study showed that people can determine within seconds if the physician has a caring nature. The study supported the theory that some physicians who have a bad bedside manner during an in-person visit are sued more often when they make mistakes than doctors with a good bedside manner. I believe the same will hold true for telemedicine. Physicians should not do telemedicine until they understand how to use the equipment effectively and how they need to adapt their bedside manner to see remote patients. One other factor worth mentioning is that the lower level provider at the patient's end of the telemedicine visit needs this same kind of technological and social training. Too often medical, nursing and PA schools depend on the innate "caring nature" of people wanting to practice medicine to take over when they actually start seeing patients. Let's face it. Some physicians would be better radiologists who don't have direct contact with patients.