Use of email for patient communication in student health care: A cross-sectional study

被引:14
作者
Castrén J. [1 ,2 ,3 ]
Niemi M. [4 ]
Virjo I. [1 ]
机构
[1] Medical School, Department of General Practice, University of Tampere
[2] Finnish Student Health Service, 00260 Helsinki
[3] Pirkanmaa Hospital District, Department of General Practice
[4] STAKES, Natl. R. and D. Ctr. Welf. and Hlth., Box 220
关键词
Phone Call; Patient Visit; Email Contact; Electronic Patient Record; Patient Communication;
D O I
10.1186/1472-6947-5-2
中图分类号
学科分类号
摘要
Background: Citizens increasingly use email in personal communication. It is not however clear to what extent physicians utilize it for patient communication. Our study was designed to examine physicians' activity in using email and to estimate the proportion of email messages missing from documentation in electronic patient records (EPR). Methods: All physicians (n = 76; 48 general practitioners and 28 specialists) at the Finnish Student Health Service received a questionnaire by email, and were asked to print it and keep a daily tally of visits, phone calls and email messages over the study period of one working week (5.5. - 9.5.2003). The response rate was 70%. The data originating from the questionnaire were compared with statistical data from the EPR during the study period. Results: The majority (79%, 41/52) of doctors reported using email with patients, averaging 8.6 (range: 0-96) email contacts and a percentage rate of "email / visit" 20% (range: 0-185%) in one working week. Doctors in the capital city region and those doctors who had a positive attitude toward email for patient communication were most active in email use. Up to 73% of email contacts were not documented in the EPR. Conclusion: The activity in using email with patients verified among Finnish physicians is compatible with recent study results elsewhere. The notable proportion of un-recorded email messages establishes the need for an electric communication system built into the EPR to improve the quality of patient care and to limit medico-legal risks. © 2005 Castrén et al; licensee BioMed Central Ltd.
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