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J Med Internet Res. 2003 Apr-Jun;5(2):e9.

Doctors who are using e-mail with their patients: a qualitative exploration.

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  • 1Johns Hopkins University, Baltimore, MD, USA.

Abstract

BACKGROUND:

Despite the potential for rapid, asynchronous, documentable communication, the use of e-mail for physician-patient communication has not been widely adopted.

OBJECTIVE:

To survey physicians currently using e-mail with their patients daily to understand their experiences.

METHODS:

In-depth phone interviews of 45 physicians currently using e-mail with patients were audio taped and transcribed verbatim. Two investigators independently qualitatively coded comments. Differences were adjudicated by group consensus.

RESULTS:

Almost all of the 642 comments from these physicians who currently use e-mail with patients daily could be grouped into 1 of 4 broad domains: (1) e-mail access and content, (2) effects of e-mail on the doctor-patient relationship, (3) managing clinical issues by e-mail, and (4) integrating e-mail into office processes. The most consistent theme was that e-mail communication enhances chronic-disease management. Many physicians also reported improved continuity of care and increased flexibility in responding to nonurgent issues. Integration of e-mail into daily workflow, such as utilization of office personnel, appears to be a significant area of concern for many of the physicians. For other issues, such as content, efficiency of e-mail, and confidentiality, there were diverging experiences and opinions. Physicians appear to be selective in choosing which patients they will communicate with via e-mail, but the criteria for selection is unclear.

CONCLUSION:

These physician respondents did perceive benefits to e-mail with a select group of patients. Several areas, such as identifying clinical situations where e-mail communication is effective, incorporating e-mail into office flow, and being reimbursed for online medical care/communication, need to be addressed before this mode of communication diffuses into most practices.

PMID:
12857665
PMCID:
PMC1550557
DOI:
10.2196/jmir.5.2.e9
[PubMed - indexed for MEDLINE]
Free PMC Article
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