Physicians slow to e-mail routinely with patients.

Ellyn R Boukus, Joy M Grossman, Ann S O'Malley
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Abstract

Some experts view e-mail between physicians and patients as a potential tool to improve physician-patient communication and, ultimately, patient care. Despite indications that many patients want to e-mail their physicians, physician adoption and use of e-mail with patients remains uncommon--only 6.7 percent of office-based physicians routinely e-mailed patients in 2008, according to a new national study from the Center for Studying Health System Change (HSC). Overall, about one-third of office-based physicians reported that information technology (IT) was available in their practice for e-mailing patients about clinical issues. Of those, fewer than one in five reported using e-mail with patients routinely; the remaining physicians were roughly evenly split between occasional users and non-users. Physicians in practices with access to electronic medical records and those working in health maintenance organizations (HMOs) or medical school settings were more likely to adopt and use e-mail to communicate with patients compared with other physicians. However, even among the highest users--physicians in group/staff-model HMOs--only 50.6 percent reported routinely e-mailing patients.

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医生与病人的常规电子邮件往来缓慢。
一些专家认为,医生和病人之间的电子邮件是一种潜在的工具,可以改善医患沟通,最终改善病人护理。尽管有迹象表明,许多病人想给他们的医生发电子邮件,但医生采用和使用电子邮件与病人交流的情况仍然很少——根据卫生系统变化研究中心(HSC)的一项新的全国性研究,2008年,只有6.7%的办公室医生经常给病人发电子邮件。总的来说,大约三分之一的办公室医生报告说,在他们的实践中,信息技术(IT)可以通过电子邮件向患者发送有关临床问题的信息。其中,不到五分之一的人报告说,他们经常用电子邮件与病人沟通;剩下的医生大致平均分为偶尔使用和不使用。与其他医生相比,拥有电子医疗记录的医生、在健康维护组织(HMOs)或医学院工作的医生更有可能采用和使用电子邮件与患者沟通。然而,即使是在使用率最高的群体中,也只有50.6%的医生报告说他们经常给病人发电子邮件。
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Small employers and self-insured health benefits: too small to succeed? Employer-sponsored health insurance: down but not out. Rising hospital employment of physicians: better quality, higher costs? Key findings from HSC's 2010 site visits: health care markets weather economic downturn, brace for health reform. Physicians slow to e-mail routinely with patients.
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