Providing patients with e-mail access to their surgeon appears to improve communication without affecting patient satisfaction, according to a report in the February issue of Archives of Surgery, one of the JAMA/Archives journals.
“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,” according to background information in the article. Although e-mail has been used worldwide to transform communication in various industries such as banking and retail, little has been published regarding its use in health care “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
In total, 26 of 100 patients (26 percent) initiated additional communication with the surgeon around the time of operation, 19 of 50 (38 percent) in the group provided with e-mail information and 7 of 50 (14 percent) in the group not given e-mail information on the contact sheet. “Of those who initiated communication, 22 of 26 (84 percent) did so by e-mail; three (12 percent), by fax and one (4 percent), by telephone,” the authors write. For patients using email, 18 of 22 (81 percent) were in the group provided with e-mail information, while four of the 22 (18 percent) were in the group that did not receive e-mail information on their contact sheet.
Most e-mails sent addressed one issue, while only a few addressed multiple issues, with the most issues being four in one e-mail. Some of the most popular issues raised by email were general information (21 e-mails), postoperative recovery (eight e-mails), results (five e-mails) and reassurance (four e-mails). There were no differences in patient satisfaction with communication between the two groups.
“People who use e-mail certainly would like to have e-mail access to their physicians,” the authors conclude. “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.”
Arch Surg. 2008; 143:164-169.