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E-mail Access May Improve Patient-Surgeon Communication
E-mail access to one's surgeon has can improve doctor-patient
communication. Additionally, this seems to occur without affecting
levels of patient satisfaction. This was reported on February 18, 2008
in Archives of Surgery, one of the JAMA/Archives
journals.
write the authors. E-mail has influenced industries worldwide,
including banking and retail, but there has been minimal research about
its use in health care, The physician-patient relationship
traditionally has not utilized electronic means of communication. "The
fundamental basis of the physician-patient
relationship has always been face-to-face communication. However,
advances in communications technology have, from time to time,
challenged that assumption, "other than dire warnings about the
potential minefield of legal disasters and litigation that might
accompany its use."
Peter Stalberg, M.D., Ph.D., of the Royal North Shore Hospital, Sydney,
Australia, and colleagues canvassed 100 patients before they underwent
thyroid or parathyroid surgery. Half of these patients were assigned
were set to receive a contact sheet including the e-mail address of the
surgeon, with a statement to inform them that the surgeon preferred
e-mail to other forms of communication. The average age of this group
was 45.1 years. The other half of these patients received an
information sheet without an e-mail address or statement about the
preferred method of communication of the surgeon. The average age of
the second set was 48.2 years. The e-mail address was made available to
all patients on the appointment card as well as on an associated
website.
The researchers analyzed patient communication with the surgeon outside
of consultation, in addition to information provided on patient
satisfaction questionnaires. Of the 100 participants, 26 of the
patients initiated communication with the surgeon near the time of the
operation. Of these, 19 came from the e-mail-encouraged group and 7
came from the e-mail-discouraged group. Of those 26 who initiated
communication, 22 did so by e-mail, three by fax, and one by telephone.
In the group of 22 who used e-mail, 18 were in the group provided with
e-mail information, while 4 were in the group that did not receive
special e-mail information.
Generally, e-mails only addressed one issue, through some exceptions
addressed as many as four separate issues in one e-mail. The most
popular types of issues were general information (21 e-mails),
postoperative recovery (eight e-mails), results (five e-mails) and
reassurance (four e-mails.) Patient satisfaction was found to be
comparable in both groups.
The authors conclude, tying e-mail preference to the patients. "People
who use e-mail certainly would like to have e-mail access to their
physicians," they write. "Despite the many concerns, we believe that
this study shows that the provision to patients of readily available
e-mail access to their surgeon provides a very effective means of
improving communication prior to patients undergoing elective surgery."
E-mail Access and Improved Communication Between Patient and
Surgeon
Peter Stalberg, MD, PhD; Michael Yeh, MD; Geraldine Ketteridge; Hilary
Delbridge, BEd; Leigh Delbridge, MD, FRACS
Arch Surg. 2008;143(2):164-168
Click
Here For Abstract
Written by Anna Sophia McKenney
Copyright: Start Sanatate
Not to be reproduced without permission of Start Sanatate
E-mail de acces pot îmbunãtãþi comunicarea pacient-chirurg - E-mail Access May Improve Patient-Surgeon Communication - articole medicale engleza - startsanatate