Original Investigation

Patient-Centered Communication in Telehealth Settings

JAMA Network Open 10.1001/jamanetworkopen.2025.56291

January 29, 2026 at 11:00 AM EST

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Are individual-level characteristics associated with optimal patient-centered communication (PCC) in telehealth visits and do these associations differ by county-level factors per the Minority Health Social Vulnerability Index (MHSVI)?In this cross-sectional study of 2754 US adults, approximately 40% to 50% self-reported optimal levels of 7 PCC items, which were largely comparable by race and ethnicity and MHSVI strata, whereas English nonproficiency and educational attainment were associated with lower odds of optimal PCC. When stratified by MHSVI, associations were evident across both strata for English nonproficiency but only in the most vulnerable counties for educational attainment.Findings indicate that telehealth may facilitate optimal PCC.

Corresponding Author: Sherine El-Toukhy, PhD, MA, Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, 11545 Rockville Pike, Rockville, MD 20852 (sherine.el-toukhy@nih.gov).

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