{"id":"https://openalex.org/W4366549560","doi":"https://doi.org/10.1145/3544548.3581014","title":"Constraints and Workarounds to Support Clinical Consultations in Synchronous Text-based Platforms","display_name":"Constraints and Workarounds to Support Clinical Consultations in Synchronous Text-based Platforms","publication_year":2023,"publication_date":"2023-04-19","ids":{"openalex":"https://openalex.org/W4366549560","doi":"https://doi.org/10.1145/3544548.3581014"},"language":"en","primary_location":{"id":"doi:10.1145/3544548.3581014","is_oa":false,"landing_page_url":"https://doi.org/10.1145/3544548.3581014","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040350204","display_name":"Brenna Li","orcid":"https://orcid.org/0000-0003-3692-243X"},"institutions":[{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Brenna Li","raw_affiliation_strings":["Computer Science, University of Toronto, Canada"],"affiliations":[{"raw_affiliation_string":"Computer Science, University of Toronto, Canada","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016731767","display_name":"Tetyana Skoropad","orcid":null},"institutions":[{"id":"https://openalex.org/I200280692","display_name":"Lviv University","ror":"https://ror.org/01s7y5e82","country_code":"UA","type":"education","lineage":["https://openalex.org/I200280692"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"Tetyana Skoropad","raw_affiliation_strings":["Informational Systems, Ivan Franko National University of Lviv, Ukraine"],"affiliations":[{"raw_affiliation_string":"Informational Systems, Ivan Franko National University of Lviv, Ukraine","institution_ids":["https://openalex.org/I200280692"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011156357","display_name":"Puneet Seth","orcid":"https://orcid.org/0000-0003-0102-3581"},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Puneet Seth","raw_affiliation_strings":["Department of Family Medicine, McMaster University, Canada"],"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, McMaster University, Canada","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069671912","display_name":"Mohit Jain","orcid":"https://orcid.org/0000-0002-7106-164X"},"institutions":[{"id":"https://openalex.org/I4210124949","display_name":"Microsoft Research (India)","ror":"https://ror.org/02w7f3w92","country_code":"IN","type":"company","lineage":["https://openalex.org/I1290206253","https://openalex.org/I4210124949"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Mohit Jain","raw_affiliation_strings":["Microsoft Research, India"],"affiliations":[{"raw_affiliation_string":"Microsoft Research, India","institution_ids":["https://openalex.org/I4210124949"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021879561","display_name":"Khai N. Truong","orcid":"https://orcid.org/0000-0003-0774-5964"},"institutions":[{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Khai Truong","raw_affiliation_strings":["Computer Science, University of Toronto, Canada"],"affiliations":[{"raw_affiliation_string":"Computer Science, University of Toronto, Canada","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5058862746","display_name":"Alex Mariakakis","orcid":"https://orcid.org/0000-0002-9986-3345"},"institutions":[{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Alex Mariakakis","raw_affiliation_strings":["Computer Science, University of Toronto, Canada"],"affiliations":[{"raw_affiliation_string":"Computer Science, University of Toronto, Canada","institution_ids":["https://openalex.org/I185261750"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5040350204"],"corresponding_institution_ids":["https://openalex.org/I185261750"],"apc_list":null,"apc_paid":null,"fwci":4.0579,"has_fulltext":false,"cited_by_count":14,"citation_normalized_percentile":{"value":0.93802244,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"17"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9966999888420105,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/workaround","display_name":"Workaround","score":0.845967173576355},{"id":"https://openalex.org/keywords/conversation","display_name":"Conversation","score":0.7351788282394409},{"id":"https://openalex.org/keywords/affordance","display_name":"Affordance","score":0.695999264717102},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6002265810966492},{"id":"https://openalex.org/keywords/empathy","display_name":"Empathy","score":0.5748549103736877},{"id":"https://openalex.org/keywords/virtual-patient","display_name":"Virtual patient","score":0.5162091851234436},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5057294368743896},{"id":"https://openalex.org/keywords/active-listening","display_name":"Active listening","score":0.4956580400466919},{"id":"https://openalex.org/keywords/subconscious","display_name":"Subconscious","score":0.4818081259727478},{"id":"https://openalex.org/keywords/modalities","display_name":"Modalities","score":0.47813689708709717},{"id":"https://openalex.org/keywords/action","display_name":"Action (physics)","score":0.4613170325756073},{"id":"https://openalex.org/keywords/multimedia","display_name":"Multimedia","score":0.3642065227031708},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.2966216504573822},{"id":"https://openalex.org/keywords/human\u2013computer-interaction","display_name":"Human\u2013computer interaction","score":0.27651098370552063},{"id":"https://openalex.org/keywords/medical-education","display_name":"Medical education","score":0.2362922728061676},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.20647481083869934},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.1092769205570221},{"id":"https://openalex.org/keywords/communication","display_name":"Communication","score":0.09809324145317078}],"concepts":[{"id":"https://openalex.org/C194541083","wikidata":"https://www.wikidata.org/wiki/Q457174","display_name":"Workaround","level":2,"score":0.845967173576355},{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.7351788282394409},{"id":"https://openalex.org/C194995250","wikidata":"https://www.wikidata.org/wiki/Q531136","display_name":"Affordance","level":2,"score":0.695999264717102},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6002265810966492},{"id":"https://openalex.org/C2779885105","wikidata":"https://www.wikidata.org/wiki/Q182263","display_name":"Empathy","level":2,"score":0.5748549103736877},{"id":"https://openalex.org/C2778533338","wikidata":"https://www.wikidata.org/wiki/Q7935148","display_name":"Virtual patient","level":2,"score":0.5162091851234436},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5057294368743896},{"id":"https://openalex.org/C177291462","wikidata":"https://www.wikidata.org/wiki/Q423038","display_name":"Active listening","level":2,"score":0.4956580400466919},{"id":"https://openalex.org/C96851999","wikidata":"https://www.wikidata.org/wiki/Q848369","display_name":"Subconscious","level":3,"score":0.4818081259727478},{"id":"https://openalex.org/C2779903281","wikidata":"https://www.wikidata.org/wiki/Q6888026","display_name":"Modalities","level":2,"score":0.47813689708709717},{"id":"https://openalex.org/C2780791683","wikidata":"https://www.wikidata.org/wiki/Q846785","display_name":"Action (physics)","level":2,"score":0.4613170325756073},{"id":"https://openalex.org/C49774154","wikidata":"https://www.wikidata.org/wiki/Q131765","display_name":"Multimedia","level":1,"score":0.3642065227031708},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2966216504573822},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.27651098370552063},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.2362922728061676},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.20647481083869934},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.1092769205570221},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.09809324145317078},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1145/3544548.3581014","is_oa":false,"landing_page_url":"https://doi.org/10.1145/3544548.3581014","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.5199999809265137,"display_name":"Quality Education","id":"https://metadata.un.org/sdg/4"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":68,"referenced_works":["https://openalex.org/W1508978328","https://openalex.org/W1598820975","https://openalex.org/W1792483523","https://openalex.org/W1966733106","https://openalex.org/W1970357959","https://openalex.org/W2000191857","https://openalex.org/W2010994706","https://openalex.org/W2032952795","https://openalex.org/W2047899427","https://openalex.org/W2049878072","https://openalex.org/W2059216172","https://openalex.org/W2059552963","https://openalex.org/W2068146554","https://openalex.org/W2076822116","https://openalex.org/W2080130299","https://openalex.org/W2087411274","https://openalex.org/W2103080990","https://openalex.org/W2115002915","https://openalex.org/W2122363138","https://openalex.org/W2139368629","https://openalex.org/W2157524060","https://openalex.org/W2174274518","https://openalex.org/W2332038321","https://openalex.org/W2402175092","https://openalex.org/W2411813461","https://openalex.org/W2462153608","https://openalex.org/W2475538916","https://openalex.org/W2518231970","https://openalex.org/W2611572080","https://openalex.org/W2611847232","https://openalex.org/W2744519557","https://openalex.org/W2770571427","https://openalex.org/W2795386701","https://openalex.org/W2884977363","https://openalex.org/W2887649431","https://openalex.org/W2888326236","https://openalex.org/W2900012103","https://openalex.org/W2940774894","https://openalex.org/W2945029204","https://openalex.org/W2955926508","https://openalex.org/W2987657081","https://openalex.org/W3002082332","https://openalex.org/W3009056360","https://openalex.org/W3010304478","https://openalex.org/W3013913074","https://openalex.org/W3015345229","https://openalex.org/W3016802478","https://openalex.org/W3020806837","https://openalex.org/W3024139804","https://openalex.org/W3041199590","https://openalex.org/W3089164807","https://openalex.org/W3094347363","https://openalex.org/W3095354079","https://openalex.org/W3096402020","https://openalex.org/W3130132414","https://openalex.org/W3130222794","https://openalex.org/W3134495992","https://openalex.org/W3163905180","https://openalex.org/W3169917875","https://openalex.org/W3197313070","https://openalex.org/W3204313537","https://openalex.org/W3205928582","https://openalex.org/W4200043507","https://openalex.org/W4212883731","https://openalex.org/W4245134933","https://openalex.org/W4281647106","https://openalex.org/W6720911449","https://openalex.org/W6754314443"],"related_works":["https://openalex.org/W4381612620","https://openalex.org/W2950380533","https://openalex.org/W2998499456","https://openalex.org/W2893207040","https://openalex.org/W3127868735","https://openalex.org/W1840516357","https://openalex.org/W2753986652","https://openalex.org/W4387616455","https://openalex.org/W971576836","https://openalex.org/W4385829408"],"abstract_inverted_index":{"Medical":[0],"consultations":[1],"over":[2,62],"synchronous":[3,143],"text-based":[4,108,144],"platforms":[5,145],"are":[6],"becoming":[7],"increasingly":[8],"popular":[9],"for":[10,114,122,140],"virtual":[11],"care,":[12],"yet":[13],"little":[14],"is":[15],"known":[16],"about":[17],"how":[18,141],"physicians":[19,39,65,82],"translate":[20],"their":[21],"training":[22],"to":[23,56,75,96,116,124],"this":[24],"healthcare":[25],"medium.":[26],"We":[27,52,102],"report":[28],"the":[29,57,64,77,81,84,112,118],"constraints,":[30],"workarounds,":[31],"and":[32,72,89,99,121],"opportunities":[33,139],"highlighted":[34],"by":[35,92],"eight":[36],"primary":[37],"care":[38],"who":[40],"used":[41],"such":[42,110],"a":[43,126],"platform":[44],"in":[45],"simulated":[46],"medical":[47,149],"scenarios":[48],"with":[49],"standardized":[50],"patients.":[51],"found":[53],"that":[54],"due":[55],"perceived":[58],"inefficiency":[59],"of":[60,69,86,107,128],"communicating":[61],"text,":[63],"made":[66],"subconscious":[67],"use":[68],"double-barreled":[70],"questions":[71],"action":[73],"multiplexing":[74],"streamline":[76],"conversation.":[78],"In":[79],"addition,":[80],"overcame":[83],"lack":[85],"missing":[87],"verbal":[88],"visual":[90],"cues":[91],"adding":[93],"explicit":[94],"messages":[95],"convey":[97],"empathy":[98],"active":[100],"listening.":[101],"also":[103],"identify":[104],"several":[105],"affordances":[106],"platforms,":[109],"as":[111],"ability":[113],"users":[115],"reference":[117],"conversation":[119],"history":[120],"patients":[123],"feel":[125],"sense":[127],"privacy":[129],"during":[130],"sensitive":[131],"disclosure.":[132],"From":[133],"these":[134],"findings,":[135],"we":[136],"propose":[137],"design":[138],"future":[142],"can":[146],"better":[147],"support":[148],"consultations.":[150]},"counts_by_year":[{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":7}],"updated_date":"2026-03-27T05:58:40.876381","created_date":"2025-10-10T00:00:00"}