ENG 3259 English Discourse

Assessment Task 3: Literature-review Matrix (10 research articles); Deadline: October 28, 2022

Name: Major, Year & Section: 3ELS

Research Title/Topic:

Research Article 1: (EFFECT OF COMPUTER USE ON PHYSICIAN-PATIENT COMMUNICATION USING A VALIDATED

INSTRUMENT: PATIENT PERSPECTIVE)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Shaarani I, Taleb R, Antoun J. Effect of computer use on physician-patient Shaarani, Taleb and Antoun
communication using a validated instrument: patient perspective. Int J
Med Inf. 2017;108:152–7.
Research Questions/Objectives: This Approach and Design: Study Site/s (if applicable):
study uses a validated communication Cross-Sectional Survey American University of Beirut
assessment measure to gauge how the Medical Center (AUBMC).
patient perceives the impact of the
doctor's computer use during the
clinical encounter on the doctor's
interpersonal and communication
abilities (CAT).
Data-collection Tool/s: The clinical Analysis Technique/s: Source(s) of Data/Participants:
assistant approached the patients after The use of a computer by a doctor Three hundred eighty-two patients
the doctor's appointment to have during a visit was not something that who visited the family medicine
them discreetly complete a paper- nearly two-thirds of patients (62%) clinics (FMC) 
based questionnaire in the waiting thought would be detrimental to the
area in order to assess the doctors' patient-doctor relationship. When a
CAT communication abilities. patient and doctor had a continuing
relationship, patients gave their
doctor better marks for
 communication. In comparison to less
use, doctors who used the computer
extensively to check outcomes (p
0.001), access patient record
information (p 0.001), and instruct
patients (p 0.001) reported higher
communication scores.
Salient Findings: According to patients, the use of Recommendations for Future Research:
computers by doctors did not have a detrimental impact Future research must look at the patient's perspective
on communication between them and their patients. Even because the majority focused on the doctor's.
with the use of computers, having a long-term relationship
with the doctor remains a highly significant predictor of
improved communication between the two parties.
Miscellany (Other Interesting Points) [Optional]:

Research Article 2: (COMMUNICATION SKILLS BETWEEN PHYSICIANS’ INSIGHTS AND PARENTS’PERCEPTIONS IN A

TEACHING HOSPITAL IN KSA)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Alnasser YS, Bin Nafisah HM, Almubarak ZA, Aleisa LA, El Sarrag AI, Babiker Alnasser
AM. Communication skills between physicians’ insights and parents’ Bin
perceptions in a teaching hospital in KSA. J Taibah Univ Med Sci. Almubarak
2017;12(1):34–40. Aleisa
El Sarrag,
Babiker
Research Questions/Objectives: The Approach and Design: Study Site/s (if applicable):
key to achieving their shared objective A randomly chosen sample of doctors King Saud University Medical City
of greater child health is and parents from general pediatrics (KSUMC), Riyadh, KSA
communication between parents and wards at King Saud University
doctors. A doctor needs to learn Medical City (KSUMC), Riyadh, KSA,
specific skills that are not taught in provided the data.
medical school or throughout The researchers employed a translated
paediatric residency training in Saudi version of the Criteria Cognitive
Arabia in order to give good Aptitude Test (CAT-T) questionnaire
communication. This study examined for the parents and a validated CAT-T
how doctors felt about their questionnaire for the clinicians.
communication methods in light of Following that, the data were
how parents perceive them. examined using a variety of
qualitative and quantitative statistical
techniques.
Data-collection Tool/s: Translated Analysis Technique/s: Source(s) of Data/Participants:
version of the Criteria Cognitive The information was gathered from 100 parents and 63 doctors who
Aptitude Test (CAT-T) questionnaire 100 parents and 63 doctors who worked in the pediatric wards at
for the parents and a validated CAT-T worked in the pediatric wards at KSUMC.
questionnaire for the clinicians. KSUMC. While young doctors
expressed concerns about their
communication with parents on
decision-making, we noticed an
increase in communication skills (CS)
confidence among experienced
doctors. Parents gave the doctors'
ability to actively listen a low rating.
The parents gave the doctors'
introduction a better rating than they
gave themselves, though.
Additionally, the parents' level of
education had an adverse relationship
with how satisfied they were with the
doctors' CS.
Salient Findings: According to the findings, there is a Recommendations for Future Research:
considerable difference between the doctors' observations In order to increase communication and parents'
and the parents' views of the CS. satisfaction in in-patient general pediatric settings in KSA,
This research highlights the need for additional training it is clear which competency should be addressed in the
for doctors in order to appease parents and ultimately future given the absence of discrepancy between
improve child health in the KSA. physicians' and parents' evaluations in particular
categories.
Miscellany (Other Interesting Points) [Optional]:

Research Article 3: (RELATIONSHIP, COMMUNICATION, AND EFFICIENCY IN THE MEDICAL ENCOUNTERCREATING A

CLINICAL MODEL FROM A LITERATURE REVIEW)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Mauksch LB, Dugdale DC, Dodson S, Epstein R. Relationship, communication, Mauksch
and efficiency in the medical encounter: creating a clinical model from a Dugdale
literature review. Arch Intern Med. 2008;168(13):1387–95. Dodson
Epstein
Research Questions/Objectives: The Approach and Design: Study Site/s (if applicable):
goal of the study was to determine Between January 1973 and October N/A
which patient-physician interactions 2006, the researchers searched
and communication techniques PubMed, EMBASE, and PsychINFO
increase effectiveness. for descriptive or experimental
English-language studies that
identified interpersonal and
communication skills that improved
patient-physician interactions and
were linked to effectiveness.
For the purpose of defining
"efficiency," the researchers created
three inclusion criteria. The
recognized skill must have either: (1)
increased quality without lengthening
visits, (2) decreased visit length, or (3)
 assisted in time management without
sacrificing quality. The researchers
next looked for related reports written
by the citations' authors or by
specialists in the field of
communication between doctors and
patients.
Data-collection Tool/s: The 2 Analysis Technique/s: Source(s) of Data/Participants:
reviewers separately read the 9 Three domains were identified by the  PubMed
papers, categorize them by research nine publications that may be linked EMBASE
type, outcomes, and restrictions. to the effectiveness and quality of PsychINFO 
Consensus was used to settle relationships and communication:
disagreements. While establishing a clear objective up
front and paying attention to patients'
social and emotional cues may both
improve quality of care and time
management, rapport-building may
improve treatment without adding
time to the process.
Salient Findings: Based on these findings, the researchers Recommendations for Future Research:
present a model that combines the time management and In order to study the links between physician behaviors,
quality-improving aspects of a few chosen communication time consumption, patient and physician satisfaction,
and relationship abilities. More study is required to resource utilization, and health outcomes in the future,
determine the communication techniques that improve research of physician-patient communication will need
effectiveness and quality. efficient training designs and should mix qualitative and
quantitative approaches.
Miscellany (Other Interesting Points) [Optional]:
Research Article 4: (PATIENTS' EVALUATIONS OF THEIR CONSULTATIONS WITH PRIMARY HEALTH CLINIC DOCTORS IN
THE UNITED ARAB EMIRATES)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Harrison A. Patients’ evaluations of their consultations with primary health Harrison
clinic doctors in the United Arab Emirates. Fam Pract. 1996;13(1):59–66.
Research Questions/Objectives: The Approach and Design: Study Site/s (if applicable):
study's objectives were to describe the Using a standardized questionnaire, a Oud Al Toba Primary Health Clinic in
makeup of appointments with convenience sample of 152 patients Al-Ain, UAE
government primary care physicians who visited the Oud Al Toba Primary
in the United Arab Emirates and Health Clinic in Al-Ain during July
investigate the variables that affect and August 1994 were interrogated.
how satisfied Emirati patients are All participants were needed to give
with their care. their informed permission. The only
requirements for selection were that
all applicants must be UAE citizens,
be at least 16 years old, and come
from roughly equal proportions of the
following three groups: males and
females seeking medical attention for
their own health, and moms seeking
medical attention for a young child
(less than 5 years old).
Data-collection Tool/s: Analysis Technique/s: Source(s) of Data/Participants:
Structured Questionnaire The majority of patients who were 152 patients who visited the Oud Al
interviewed said they were happy Toba Primary Health Clinic in Al-Ain
with their consultation, but only during July and August 1994
slightly more than half said they
would be happy to continue receiving
care from the same doctor. Less than
10 percent of respondents chose
"totally satisfied" and "extremely
 happy" from the options. Patients
were less enthusiastic when asked if
they would be delighted to receive
treatment from the doctor again, and
their reactions to this question were a
stronger indicator of whether or not
consultation components had been
included, even if the two probes'
results were strongly associated.
Males were generally more content
than females, but they weren't any
more prepared to visit the doctor
again. Asking patients how they felt
about receiving care from the same
doctor again turned out to be the
more effective question in the current
study.
Salient Findings: Recommendations for Future Research:
One of the topics raised is whether doctors should address The current study and the earlier studies mentioned both
social, family, and affective issues more frequently, so had the drawback that no attempt was made to define or
influencing patients' views that such components are limit the medical issues that individuals were coming
normal and occasionally essential. Given the lack of with. This is ideal when the goals are to gather a
continuity of service in primary health clinics, it can be representative portrait of patient satisfaction and
challenging, however the current study reveals that investigate the mediating components, as they are
Emirati patients would value the incorporation of such currently.
elements and be at ease with it.
Miscellany (Other Interesting Points) [Optional]:
Research Article 5: (Barriers to effective communication between family physicians and patients in walk-in centre setting in Dubai:
a cross-sectional survey)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Albahri, A. H., Abushibs, A. S., & Abushibs, N. S. (2018, August 14). Barriers to Albahri
effective communication between family physicians and patients in Abushibs
walk-in centre setting in Dubai: a cross-sectional survey. BMC Health Abushibs
Services Research, 18(1). https://doi.org/10.1186/s12913-018-3457-3
Research Questions/Objectives: Approach and Design: Study Site/s (if applicable):
This study attempts to identify the Between October 2016 and July 2017, 12 primary healthcare centres in Dubai
major perceived obstacles to good the study was done at 12 primary
patient-physician communication in healthcare facilities in Dubai. Two
Dubai from the perspectives of both self-administered questionnaires were
the patients and the doctors. utilized; one assessed how frequently
patients believed they encountered
barriers to communication, and the
other assessed how much risk the
family doctors believed the barriers
represented to their ability to
communicate. The following four
categories—personal traits and
attitudes, organizational factors,
information communication, and
linguistic and cultural variables—
were used to evaluate the hurdles.
Data-collection Tool/s: Analysis Technique/s: Source(s) of Data/Participants:
Two self-administered questionnaires  There were 170 family doctors and 1122 patients and 170 family
1122 patients in total, with response physicians
rates of 75% and 85%, respectively.
The biggest obstacle was time
constraints, which 23.4% of patients
encountered half the time or always
 and which 50.6% of doctors rated as
moderate to very high risk. Following
this were obstacles in the information-
sharing domain, specifically failing to
verify the patient's comprehension
and failing to inform the patient (16.0–
16.9%) from the patients' perspective
and failing to follow a treatment plan
(51.2% and 35.9%, respectively), from
the physicians' perspective.
Preoccupation with medical records
fell into the lowest pentile for patients
and the second pentile for doctors.
Both patients and doctors put barriers
linked to the inability to establish
rapport and linguistic/cultural
problems in the fourth and fifth
pentiles, respectively.
Salient Findings: The main perceived obstacle to contact Recommendations for Future Research:
between patients and family doctors is time constraints. The causes and remedies of time pressure require further
Additionally, a bigger emphasis needs to be put on research, which should compare the newly introduced,
teaching doctors how to communicate with patients fully electronic medical records with the partially
properly, check for understanding, and deal with bad electronic records in use at the time of the study. It would
historians. also be necessary to evaluate and research the best ways to
help doctors become better at educating their patients and
dealing with difficult patients.
Miscellany (Other Interesting Points) [Optional]:

Research Article 6: (THE USE OF TELEMEDICINE FOR DELIVERING HEALTHCARE IN JAPAN: SYSTEMATIC REVIEW OF
LITERATURE PUBLISHED IN JAPANESE AND ENGLISH LANGUAGES)
APA (7th Edition) Reference Citation: Last Name/s of Author/s:
Ito, J., Edirippulige, S., Aono, T., & Armfield, N. R. (2017, October 28). The use Ito
of telemedicine for delivering healthcare in Japan: Systematic review of Edirippulige
literature published in Japanese and English languages. Journal of Aono
Telemedicine and Telecare, 23(10), 828–834. Armfield
https://doi.org/10.1177/1357633x17732801
Research Questions/Objectives: The Approach and Design: Study Site/s (if applicable):
purpose of this study was to conduct The researchers searched Ichushi and Japan
a thorough evaluation of the literature CiNii for studies that were written in
in Japanese and English that deals Japanese. We looked through the
with the clinical application of Cochrane Library, PubMed, Embase,
telemedicine in Japan. and Web of Science for publications
that were written in English. Between
2007 and 2016, all peer-reviewed
studies describing the clinical use of
telemedicine were included. Data on
the clinical setting, study design,
employed technology, and
communication style were gathered.
Prevention, screening, diagnostic,
surveillance, and therapy studies were
divided into categories.
Data-collection Tool/s: Analysis Technique/s: Source(s) of Data/Participants:
Between 2007 and 2016, all peer- 1476 records were found in the search; 1476 records; 26 Japanese language
reviewed studies describing the 26 articles in Japanese and 15 in and 15 English language articles
clinical use of telemedicine were English were chosen for examination.
included. There were numerous clinical
specialties represented, but studies
connected to home care and lifestyle
predominated. More than half of the
research dealt with early detection
 and prevention. The bulk of research
conducted in Japan featured doctor-
to-doctor discussions. The two main
technological platforms were
smartphones and remote monitoring
devices.
Salient Findings: Recommendations for Future Research:
This study is the first to present an overview of the clinical Although it may be of widespread interest, the role of
usage of telemedicine in Japan. Since the majority of telemedicine in the Japanese healthcare system has not yet
telemedicine studies in Japan are published in the been thoroughly investigated and documented.
Japanese language, they are generally inaccessible to
readers outside of Japan. The therapeutically relevant
studies are a reflection of the Japanese culture's emphasis
on health promotion.
Miscellany (Other Interesting Points) [Optional]:

Research Article 7: (EVALUATION OF THE TELECONSULTATION PROCESS FROM THE PERSPECTIVE OF THE
PROVIDER--OAXACA TELEHEALTH PROGRAM, MEXICO)
APA (7th Edition) Reference Citation: Last Name/s of Author/s:
Velazquez M, Pacheco A, Silva M, et al. Evaluation of the teleconsultation Velazquez
process from the perspective of the provider (Oaxaca Telehealth Pacheco
Program, Mexico). Rev Panam Salud Publica. 2017;41: UNSP:e22. Silva
Research Questions/Objectives: Approach and Design: Study Site/s (if applicable):
In order to create strategies to enhance The use of the teleconsultation service Mexico
the operation of the program, it is was investigated using a process
necessary to identify obstacles to the assessment technique. The operating
teleconsultation process' execution. guides for the program were
contrasted with the quantitative and
qualitative data gathered on the actual
application of the teleconsultation
process.
Data-collection Tool/s: Analysis Technique/s: Source(s) of Data/Participants:
Process Evaluation Strategy Slow Internet connections, public The program’s operating manuals
hours, the availability of specialist
services, and a lack of clinical history
provided in teleconsultation requests
were all listed as barriers to the
teleconsultation process. It was found
that 44% of patients on the
gynecological service and 60% of
patients in internal medicine had two
or more teleconsultations during the
study period. 75% of the
teleconsultations were performed by
four consulting medical units, and the
remaining 25% were split among 12
medical units.
Salient Findings: Although consulting physicians are Recommendations for Future Research:
mostly affected by the teleconsultation process hurdles, Standardizing implementation and doing follow-up
productivity is still increasing. It was discovered that some research on patients' health conditions are tasks for future
patients obtain follow-up through the program, which researchers.
promotes access to care, despite the obstacles that still
exist. Standardizing implementation is required, as is
conducting follow-up research on patients' health status.
Miscellany (Other Interesting Points) [Optional]:

Research Article 8: (PHYSICIAN'S PERCEPTIONS OF TELEMEDICINE IN HIV CARE PROVISION: A CROSS-SECTIONAL

WEB-BASED SURVEY)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Anderson K, Francis T, Ibanez-Carrasco F, et al. Physician’s perceptions of Anderson
telemedicine in hiv care provision: a cross-sectional web-based survey. Francis
JMIR Public Health Surveill. 2017;3(2):6896. Ibanez-Carrasco
Research Questions/Objectives: Approach and Design: Study Site/s (if applicable):
This study's objective was to An online, anonymous, cross-sectional Ontario, Canada
investigate how doctors perceived the survey that was self-administered and
difficulties, dangers, and advantages anonymized was sent to doctors in
of using telemedicine to treat patients Ontario, Canada, who were known to
with the human immunodeficiency treat HIV-positive patients. Physician
virus (HIV). perceptions and participant
characteristics were investigated
using descriptive statistics and
frequencies.
Data-collection Tool/s: Analysis Technique/s: Source(s) of Data/Participants:
A Web-based, self-administered, 48 (94%) of the invited 51 participants 51 invited participants/physicians
anonymous, cross-sectional survey finished the survey. 62 percent (29/47)
of respondents said they employed
telemedicine in some capacity to treat
HIV patients in their practice.
Telephone (86%, 25/29 respondents
who said they utilized telemedicine in
their practice), email (69%, 20/29),
 and teleconsultation (24%, 7/29) were
the most frequently used modalities.
A sizable percentage of doctors (83%,
38/46) said that their belief that
telemedicine does not allow for a
thorough examination of their
patients' health is a barrier to
adoption. Additionally, 65% (28/43)
of doctors said that telemedicine
might make it difficult for patients to
connect with them as a provider.
However, 85% (39/46) of respondents
said telemedicine may increase the
number of times doctors can connect
with their patients while also
enhancing access to and timeliness of
treatment.
Salient Findings: According to doctors, telemedicine has Recommendations for Future Research:
potential for the treatment of individuals with HIV. More For doctors to feel more at ease utilizing telemedicine,
than half of the respondents had used telemedicine future study must concentrate on risks and problems such
techniques in the past. While many doctors worry that technology gaps, confidentiality, and medicolegal issues.
they won't be able to completely examine a patient's health
via telemedicine, the majority of doctors agree that it is
necessary to cut down on travel times for patients, lessen
their exposure to stigma, and increase efficiency and
prompt access to treatment. For doctors to feel more at
ease adopting telemedicine, risks and challenges such
technology limitations, confidentiality, and medicolegal
issues must be addressed.
Miscellany (Other Interesting Points) [Optional]:
Research Article 9: (A METHOD FOR GROUP DECISION MAKING WITH MULTI-GRANULARITY LINGUISTIC ASSESSMENT
INFORMATION)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Jiang YP, Fan ZP, Ma J. A method for group decision making with multi- Jiang
granularity linguistic assessment information. Inf Sci. 2008;178(4):1098– Fan
109. Ma
Research Questions/Objectives: Approach and Design: Study Site/s (if applicable):
In this research, a strategy to use In the resolution procedure, a goal China
multi-granularity linguistic programming model is built to
assessment data to address group evaluate the overall ranking values of
decision making (GDM) issues is alternatives once the multi-granularity
proposed. linguistic information is represented
as fuzzy integers.
Data-collection Tool/s: Analysis Technique/s: Source(s) of Data/Participants:
Multi-Granularity Linguistic By building a fuzzy preference Linguistic Professionals from different
Assessment relation on pairwise comparisons of organizations
the collective ranking values of
alternatives and applying a non-
dominance choice degree to this fuzzy
preference relation, the ranking of
alternatives is established and the
most desired alternative(s) is/are
chosen.
Salient Findings: The GDM issue may now be solved Recommendations for Future Research:
using multi-granularity linguistic data, according to this It is important to note that experts benefit from using
article. The method relies on a linear goal programming linguistic word sets with small cardinality to represent
model to include expert evaluation data and calculate the their precise evaluation information, but experts benefit
overall ranking values of alternatives without the from using term sets with big cardinality since it gives
requirement for data transformation. To demonstrate the them more options for doing so.
possible uses and efficiency of the suggested strategy, an
example is looked at. By evaluating its benefits in
comparison to the current.
Miscellany (Other Interesting Points) [Optional]:

Research Article 10: (INTERACTIVE TELEMEDICINE: EFFECTS ON PROFESSIONAL PRACTICE AND HEALTH CARE
OUTCOMES)

APA (7th Edition) Reference Citation: Last Name/s of Author/s:

Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S, et al. Interactive Flodgren
telemedicine: effects on professional practice and health care Rachas
outcomes. Cochrane Database of Systematic. 2015. 2015;9:CD002098– Farmer
CD002098. Inzitari
Shepperd
Research Questions/Objectives: Approach and Design: Study Site/s (if applicable):
To evaluate the efficiency, Using fixed effect meta-analysis, the USA
acceptability, and costs of interactive researchers combined outcome data
TM as a supplement to, or an for each condition that were
alternative to, standard medical sufficiently homogeneous. For binary
treatment (i.e. face-to-face care, or outcomes, the researchers provided
telephone consultation). risk ratios (RR) and 95% confidence
intervals (CI), and for continuous
outcomes, mean differences (MD).

Data-collection Tool/s: Fixed effect Analysis Technique/s: Source(s) of Data/Participants:

meta‐analysis Using either alone or in combination, 22,047 participants
telemedicine offered remote
monitoring (55 studies) or real-time
video conferencing (38 studies).
Depending on the clinical state, the
primary TM function often fell into
one of the following six categories,
with considerable overlap: I
 monitoring a chronic condition to
identify early warning signs of
deterioration and provide prompt
treatment and advice, (41); ii)
providing treatment or rehabilitation
(12), such as delivering cognitive
behavioral therapy or incontinence
training; iii) providing education and
advice for self-management (23), such
as nurses educating diabetic patients
or supporting parents of very low
birth weight infants or patients with
home parenteral nutrition; (1).
Salient Findings: According to the research’s findings, Recommendations for Future Research:
using TM to treat heart failure seems to provide Future researches are needed to recognize how TM may
comparable health results to face-to-face or telephone care affect patients, medical staff, and the way treatment is
delivery. There is also evidence that TM may help people organized.
with diabetes better regulate their blood sugar levels. Due
to the little evidence that has been provided for these
outcomes, it is unclear how much a health service would
cost and if patients and healthcare professionals will
embrace it. The severity of the condition and the course of
the participants' disease, the function of the intervention,
such as whether it is used to monitor a chronic condition
or to provide access to diagnostic services, as well as the
healthcare provider and healthcare system involved in
delivering the intervention, may all affect how effective
TM is.
Miscellany (Other Interesting Points) [Optional]: