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A Mixed-Methods Study of Patient-Provider E-Mail Content in a Safety-Net Setting

机译：安全网环境中患者提供者电子邮件内容的混合方法研究

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摘要

To explore the content of patient-provider e-mails in a safety-net primary care clinic, we conducted a content analysis using inductive and deductive coding of e-mail exchanges (n=31) collected from January through November 2013. Participants were English-speaking adult patients with a chronic condition (or their caregivers) cared for at a single publicly funded general internal medicine clinic and their primary care providers (attending general internist physicians, clinical fellows, internal medicine residents, and nurse practitioners). All e-mails were nonurgent. Patients included a medical update in 19% of all e-mails. Patients requested action in 77% of e-mails, and the most common requests overall were for action regarding medications or treatment (29%). Requests for information were less common (45% of e-mails). Patient requests (n=56) were resolved in 84% of e-mail exchanges, resulting in 63 actions. These results show that patients in safety-net clinics are capable of safely and effectively using electronic messaging for between-visit communication with providers. Safety-net systems should implement electronic communications tools as soon as possible to increase health care access and enhance patients' involvement in their care.
机译：为了探索安全网初级保健诊所中患者提供者电子邮件的内容，我们使用归纳和演绎编码对2013年1月至11月收集的电子邮件交换（n = 31）进行了内容分析。参与者为英语会说话的成年慢性病患者（或其照料者）在一家由公共资助的普通内科诊所及其初级保健提供者（主治内科医生，临床研究员，内科住院医师和护士）中得到照顾。所有电子邮件都不紧急。在所有电子邮件的19％中，患者包括了医疗更新。患者在77％的电子邮件中要求采取行动，总体上最常见的请求是就药物或治疗采取行动（29％）。信息请求不太常见（占电子邮件的45％）。患者的请求（n = 56）在84％的电子邮件交换中得到解决，导致63次操作。这些结果表明，安全网诊所中的患者能够安全有效地使用电子消息传递与提供者进行两次访问之间的交流。安全网系统应尽快实施电子通信工具，以增加获得医疗服务的机会，并增强患者对医疗服务的参与度。

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