Physicians’ use of and attitudes toward electronic mail for patient communication

To assess physicians’ use of and attitudes toward electronic mail (e-mail) for patient communication, we conducted a mailin survey of physicians who see patients in outpatient clinics affiliated with a large academic medical center (N=283). Seventy-two percent of physicians reported using e-mail to communicate with patients, averaging 7.7 e-mails from patients per month. The lowest level of use was by community-based primary care physicians (odds ratio, 0.22; 95% confidence interval, 0.08 to 0.59). Those physicians who reported using e-mail with patients reported high satisfaction with its use. Although physicians were concerned about the confidentiality of e-mail, few discussed this issue with patients.

[1]  D D Asmonga.  AHIMA comments on privacy rule. , 2000, Journal of AHIMA.

[2]  Filip De Meyer,et al.  Determination of user requirements for the secure communication of electronic medical record information , 1998, Int. J. Medical Informatics.

[3]  R C Coile.  The digital transformation of health care. , 2000, Physician executive.

[4]  Stephanie L. Prady,et al.  Implementation Brief: Expanding the Guidelines for Electronic Communication with Patients: Application to a Specific Tool , 2001, J. Am. Medical Informatics Assoc..

[5]  A. R. Spielberg,et al.  On call and online: sociohistorical, legal, and ethical implications of e-mail for the patient-physician relationship. , 1998, JAMA.

[6]  Daniel Z. Sands,et al.  Guidelines for the Clinical Use of Electronic Mail with Patients , 1998 .

[7]  C Safran,et al.  Use of electronic mail in a teaching hospital. , 1993, Proceedings. Symposium on Computer Applications in Medical Care.

[8]  B. Mavis,et al.  Postal Surveys versus Electronic Mail Surveys , 1998, Evaluation & the health professions.

[9]  C. Baur,et al.  Limiting Factors on the Transformative Powers of E-Mail in Patient-Physician Relationships: A Critical Analysis , 2000, Health communication.

[10]  James Js.  Major email security flaws discovered: how to protect your data. , 1998 .

[11]  Steven J Katz,et al.  Bridging the electronic divide: patient and provider perspectives on e-mail communication in primary care. , 2002, The American journal of managed care.

[12]  D. Z. Sands,et al.  Electronic patient-centered communication: managing risks, managing opportunities, managing care. , 1999, The American journal of managed care.

[13]  Kenneth Mandl,et al.  Electronic Patient-Physician Communication: Problems and Promise , 1998, Annals of Internal Medicine.