Table 3.
Median and interquartile ranges (IQR) for clinician and patient talk in virtual and face-to-face consultations, based on Roter interaction analysis system.
| Clusters of talk | Consultations, median (IQR) | ||||||
|
|
Video | Face-to-face | |||||
|
|
Clinician | Patient | Total | Clinician | Patient | Total | |
| Diabetes (adult or young adult) |
|
|
|
|
|
|
|
|
|
Socioemotional | 72 (26.5) | 55 (34.0) | 120 (51.5) | 54 (30.0) | 88 (71.8) | 117 (71.0) |
|
|
Task-focused | 82 (38.8) | 82 (49.8) | 170 (53.5) | 122 (24.5) | 74 (34.3) | 206 (4.5) |
|
|
Process oriented | 31 (21.5) | 3 (4.0) | 35 (21.5) | 29 (8.3) | 7 (9.5) | 35 (11.8) |
|
|
Technology-related | 1 (6.0) | 1 (2.8) | 2 (8.8) |
|
|
|
|
|
Total number of utterances | 181 (42.3) | 143 (84.3) | 337 (112.5) | 204 (38.8) | 173 (82.5) | 366 (93.8) |
|
|
Clinician dominance |
|
|
1.3 (0.6) |
|
|
1.3 (0.7) |
|
|
Clinician directedness |
|
|
0.7 (0.5) |
|
|
0.5 (0.4) |
| Antenatal diabetes |
|
|
|
|
|
|
|
|
|
Socioemotional | 35 (44.5) | 38 (39.0) | 74 (80.8) | 43 (24.8) | 36 (26.0) | 83 (38.0) |
|
|
Task-focused | 37 (27.5) | 29 (19.0) | 66 (48.5) | 42 (22.3) | 23 (24.2) | 73 (30.2) |
|
|
Process oriented | 6 (8.0) | 2 (2.5) | 8 (10.3) | 11 (12.8) | 1 (2.8) | 14 (13.3) |
|
|
Technology-related | 5 (6.3) | 3 (3.5) | 7 (9.0) |
|
|
|
|
|
Total number of utterances | 89 (66.0) | 77 (59.5) | 167 (125.5) | 103 (38.8) | 69 (51.3) | 168 (76.3) |
|
|
Clinician dominance |
|
|
1.2 (0.3) |
|
|
1.6 (0.5)a |
|
|
Clinician directedness |
|
|
0.8 (1.3) |
|
|
0.8 (0.9) |
| Hepatobiliary cancer surgery |
|
|
|
|
|
|
|
|
|
Socioemotional | 23 (46.5) | 35 (34.5) | 77 (35.0) | 31 (39.0) | 49 (38.0) | 71 (72.5) |
|
|
Task-focused | 42 (40.5) | 33 (26.5) | 73 (39.0) | 70 (38.5) | 35 (44.5) | 114 (63.0) |
|
|
Process oriented | 9 (14.5) | 5 (6.5) | 15 (20.5) | 19 (16.5) | 4 (5.5) | 23 (21.0) |
|
|
Technology-related | 8 (8.5) | 4 (13.5) | 12 (22.0) |
|
|
|
|
|
Total number of utterances | 108 (148.5) | 84 (21.0) | 192 (69.5) | 137 (62.5) | 72 (57.5) | 217 (142.5) |
|
|
Clinician dominanceb |
|
|
1.3 (1.8) |
|
|
1.4 (0.5) |
|
|
Clinician directednessc |
|
|
1.0 (1.6) |
|
|
0.9 (2.5) |
aStatistically significant difference between video and face-to-face at P<.01 level (Mann-Whitney U test).
bClinician dominance=ratio of clinician talk to patient talk (a figure above 1.0 means clinician talks more).
cClinician directedness=ratio of clinician to patient control over consultation (higher number ≥ clinician has more control).