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Toward a digitalized medicine: the Covid-19 pandemic as a disclosure of the importance of digital communication in the clinical world

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Abstract

This paper focuses on the importance of digital communication between medical teams and patients and their families when mediated by technological tools. Medicine is changing following the fourth industrial (the digital) revolution: from CAT scans, to X-rays, to UV radiation, to electronic records, to treatment tracking apps, to telemedicine, and the use of AI in doctors' decision-making processes. The COVID-19 pandemic highlighted both the fruitful and problematic sides of this medical evolution. Digital tools such as tablets, smartphones, and video calling apps proved to be essential. Accordingly, I analyze three cases that reveal the helpfulness and the limitations of new communication technologies: on physicians and non-hospitalized patients, on families and patients, and on healthcare professionals and patients' families. Since the medical relationship is not only clinical but also relational and human, one must pay attention to the communicative dimensions of it to remain at least partly human-e.

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Notes

  1. Italy faced the so-called 'first wave' from February 2020 until approximately the end of May 2020.

  2. My translation from the original Italian version: “Il medico, facendo uso dei sistemi telematici, non può sostituire la visita medica che si sostanzia nella relazione diretta con il paziente, con una relazione esclusivamente virtuale; può invece utilizzare gli strumenti di telemedicina per le attività di rilevazione o monitoraggio a distanza, dei parametri biologici e di sorveglianza clinica.” [13].

References

  1. Silverman, Jonathan, and Paul Kinnersley. 2010. Doctors’ non-verbal behaviour in consultations: Look at the patient before you look at the computer. British Journal of General Practice 60 (571): 76–78.

    Article  Google Scholar 

  2. Heritage, John, and Douglas W. Maynard. 2006. Communication in Medical Care. Interaction between Primary Care Physicians and Patients. Cambridge: Cambridge University Press.

  3. Street Jr Richard, L., Gregory Makoul, Neeraj K. Arora, and Ronald M. Epstein. 2009. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Education and Counseling 74 (3): 295–301.

    Article  Google Scholar 

  4. Street Jr , L. Richard, and Kathleen M. Mazor. 2017. Clinician-patient communication measures: Drilling down into assumptions, approaches, and analyses. Patient Education and Counseling 100 (8): 1612–1618.

    Article  Google Scholar 

  5. Berkey, Franklin J., Joseph P. Wiedemer, and Nicki D. Vithalani. 2018. Delivering Bad or Life-Altering News. American Family Physicians 98 (2): 99–104.

    Google Scholar 

  6. Feng, Bo., Robert A. Bell, Anthony F. Jerant, and Richard L. Kravitz. 2011. What Do Doctors Say When Prescribing Medications?: An Examination of Medical Recommendations From a Communication Perspective. Health Communication 26 (3): 286–296.

    Article  Google Scholar 

  7. Jacobsen, Juliet, Craig Blinderman, Corinne Alexander Cole, and Vicki Jackson. 2018. “I’d Recommend …” How to Incorporate Your Recommendation Into Shared Decision Making for Patients With Serious Illness. Journal of Pain and Symptom Management 55 (4): 1224–1230.

    Article  Google Scholar 

  8. Breen, Catherine M., Amy P. Abernethy, Katherine H. Abbott, and James A. Tulsky. 2001. Conflict Associated with Decisions to Limit Life-sustaining Treatment in Intensive Care Units. Journal of General Internal Medicine 16 (5): 283–289.

    Article  Google Scholar 

  9. Klitzman, Robert. 2018. Impediments to communication and relationships between infertility care providers and patients. BMC Women’s Health 18 (1): 84.

    Article  Google Scholar 

  10. Botrugno, Carlo. 2019. Information technologies in healthcare: Enhancing or dehumanising doctor-patient interaction? Health 25 (4): 475–493.

    Article  Google Scholar 

  11. Fasoli, Marco. 2019. Il benessere digitale. Bologna: Il Mulino.

    Google Scholar 

  12. WHO. 1998. A health telematics policy in support of WHO’s Health-For-All strategy for global health development: Report of the WHO group consultation on health telematics. Geneva: World Health Organization.

    Google Scholar 

  13. FNOMCeo. 2014. Codice di deontologia medica. https://portale.fnomceo.it/wp-content/uploads/2020/04/CODICE-DEONTOLOGIA-MEDICA-2014-e-aggiornamenti.pdf. (Accessed 02, 19, 2024).

  14. Negrini, Stefano. 2020. Covid19 Assistenza Riabilitativa - Teleriabilitazione. Testimonianze dirette e confronto tra i professionisti che stanno vivendo situazioni analoghe in questa difficile contingenza. SIMFER conference. https://www.youtube.com/watch?v=7_xG5r0HrMQ&feature=youtu.be. (Accessed 02, 19, 2024).

  15. SIAARTI, Aniarti, SCP, SIMEU. 2020. COMUNICovid Position Paper. Come comunicare con i familiari in condizioni di completo isolamento. English version: https://www.flipsnack.com/siaarti/siaarti_-_covid-19_-_how_to_communicate_with_families_living/full-view.html. (Accessed 02, 19, 2024).

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Correspondence to Monica Consolandi.

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Consolandi, M. Toward a digitalized medicine: the Covid-19 pandemic as a disclosure of the importance of digital communication in the clinical world. Theor Med Bioeth (2024). https://doi.org/10.1007/s11017-024-09667-1

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