Imperial College London


Faculty of MedicineSchool of Public Health

Research Fellow in Public Health



+44 (0)20 7594 8595g.greenfield Website




314Reynolds BuildingCharing Cross Campus






BibTex format

author = {Pappas, Y and Vetekov√°, J and Mastellos, N and Greenfield, G and Randhawa, G},
doi = {10.1177/2374373518803617},
journal = {Journal of Patient Experience},
pages = {296--304},
title = {Diagnosis and decision-making in telemedicine},
url = {},
volume = {6},
year = {2019}

RIS format (EndNote, RefMan)

AB - This article provides an analysis of the skills that health professionals and patients employ in reaching diagnosis and decision-making in telemedicine consultations. As governmental priorities continue to emphasize patient involvement in the management of their disease, there is an increasing need to accurately capture the provider–patient interactions in clinical encounters. Drawing on conversation analysis of 10 video-mediated consultations in 3 National Health Service settings in England, this study examines the interaction between patients, General Practitioner (GPs), nurses, and consultants during diagnosis and decision-making, with the aim to identify the range of skills that participants use in the process and capture the interprofessional communication and patient involvement in the diagnosis and decision-making phases of telemedicine consultations. The analysis shows that teleconsultations enhance collaborative working among professionals and enable GPs and nurses to develop their skills and actively participate in diagnosis and decision-making by contributing primary care–specific knowledge to the consultation. However, interprofessional interaction may result in limited patient involvement in decision-making. The findings of this study can be used to inform training programs in telemedicine that focus on the development of effective skills for professionals and the provision of information to patients.
AU - Pappas,Y
AU - Vetekov√°,J
AU - Mastellos,N
AU - Greenfield,G
AU - Randhawa,G
DO - 10.1177/2374373518803617
EP - 304
PY - 2019///
SN - 2374-3735
SP - 296
TI - Diagnosis and decision-making in telemedicine
T2 - Journal of Patient Experience
UR -
UR -
UR -
VL - 6
ER -