RESUMO
The process and outcome of clinical tasks in an acute psychiatric unit were compared using four different communication modes: face to face, telephone, hands-free telephone, and a low-cost videoconferencing system. Six doctors and six patients took part in the study. Four assessment measures were used. The videoconferencing system was positively received by both patients and doctors. Both doctors and patients preferred communication modes with visual cues. However, there were few significant differences between communication modes when using single measures; only multiple levels of analysis can adequately assess the differences between such modes of communication.
Assuntos
Comunicação , Psiquiatria/métodos , Consulta Remota/métodos , Adulto , Análise de Variância , Feminino , Humanos , Masculino , Transtornos Mentais/terapia , Cooperação do Paciente , Satisfação do Paciente , Relações Médico-Paciente , Psiquiatria/instrumentação , Valores de Referência , Consulta Remota/instrumentação , Sensibilidade e Especificidade , Interface Usuário-Computador , Gravação em VídeoRESUMO
A double-blind comparison of clonidine and lofexidine in the management of the opioid withdrawal syndrome encountered several difficulties of a non-scientific nature which eventually forced termination of the trial. There were, for example, problems with research beds, self-discharges, staff attitudes, access to haematological monitoring, and worries about exposure to staff to human immunodeficiency virus. The trial collapsed when the manufacturers stopped making lofexidine on commercial grounds and the charitable foundation which was backing the trial withdrew its support. Some of the insecurities of medical research may have little to do with scientific merit.
