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首页> 外文期刊>Journal of Oncology Practice >E-Mail Communication Practices and Preferences Among Patients and Providers in a Large Comprehensive Cancer Center
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E-Mail Communication Practices and Preferences Among Patients and Providers in a Large Comprehensive Cancer Center

机译：大型综合癌症中心的患者和提供者之间的电子邮件交流习惯和偏爱

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AbstractPurpose:Little is known about how electronic mail (e-mail) is currently used in oncology practice to facilitate patient care. The objective of our study was to understand the current e-mail practices and preferences of patients and physicians in a large comprehensive cancer center.Methods:Separate cross-sectional surveys were administered to patients and physicians (staff physicians and clinical fellows) at the Princess Margaret Cancer Centre. Logistic regression was used to identify factors associated with current e-mail use. Record review was performed to assess the impact of e-mail communication on care.Results:The survey was completed by 833 patients. E-mail contact with a member of the health care team was reported by 41% of respondents. The team members contacted included administrative assistants (52%), nurses (45%), specialist physicians (36%), and family physicians (18%). Patient factors associated with a higher likelihood of e-mail contact with the health care team included younger age, higher education, higher income, enrollment in a clinical trial, and receipt of multiple treatments. Eighty percent of physicians (n = 63 of 79) reported previous contact with a patient via e-mail. Physician factors associated with a greater likelihood of e-mail contact with patients included older age, more senior clinical position, and higher patient volume. Nine hundred sixty-two patient records were reviewed, with e-mail correspondence documented in only 9% of cases.Conclusion:E-mail is commonly used for patient care but is poorly documented. The use of e-mail in this setting can be developed with appropriate guidance; however, there may be concerns about widening the gap between certain groups of patients.
机译：摘要目的：对于目前在肿瘤实践中如何使用电子邮件（电子邮件）来促进患者护理知之甚少。我们的研究目的是了解大型综合癌症中心当前的电子邮件做法以及患者和医生的偏好。方法：在公主医院对患者和医生（职员医生和临床研究员）进行单独的横断面调查玛格丽特癌症中心。使用逻辑回归来确定与当前电子邮件使用相关的因素。进行了记录审查，以评估电子邮件通信对护理的影响。结果：这项调查由833名患者完成。 41％的受访者报告了与医疗保健团队成员的电子邮件联系。联系的团队成员包括行政助理（52％），护士（45％），专科医生（36％）和家庭医生（18％）。与医疗团队进行电子邮件联系的可能性更高的患者因素包括年龄较小，受教育程度较高，收入较高，参加临床试验以及接受多种治疗。 80％的医生（n = 79/79）报告以前曾通过电子邮件与患者联系过。与患者进行电子邮件联系的可能性更大的医师因素包括年龄更大，临床位置更高和患者人数更多。审查了962条患者记录，只有9％的病例记录了电子邮件通信。结论：电子邮件通常用于患者护理，但记录不充分。可以在适当的指导下开发在此设置中使用电子邮件。但是，可能会担心某些患者群体之间的鸿沟扩大。

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