The origin, content, and workload of e-mail consultations
The origin, content, and workload of e-mail consultations
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DOI：
10.1001/jama.280.15.1321
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发表时间：
1998-10-21
影响因子：
120.7
通讯作者：
Wyatt, JC
中科院分区：
文献类型：
--
作者：
Borowitz, SM;Wyatt, JC
背景。-尽管电子邮件的使用很普遍，但在患者与临床医生的电子邮件咨询中，除了轶事或印象之外，几乎没有发表任何内容。目的。-报告我们的免费电子邮件咨询经验。设计。-对 1995 年 11 月 1 日至 1998 年 6 月 31 日期间收到的所有电子邮件咨询请求进行回顾性审查。设置和参与者。-连续向医疗部门发送电子邮件咨询请求。夏洛茨维尔弗吉尼亚大学儿童医学中心的儿科胃肠病学。主要结果指标。-每月咨询请求的数量、回复所需的时间、发起请求的人及其地理来源，以及咨询中请求的信息类型。结果。-在研究的 33 个月期间，我们收到 1239 个请求，平均每月 (SD) 为 37.6 (1 ± 5.9)。共有 1001 起咨询请求 (81%) 由父母、亲属或监护人发起，126 起 (10%) 由医生发起，112 起 (9%) 由其他医疗保健专业人员发起。收到了来自 39 个州和 37 个其他国家的咨询请求。在 855 项请求 (69%) 中，有一个关于特定儿童症状的原因、诊断测试和/或治疗干预措施的具体问题。在 112 次咨询 (9%) 中，请求者寻求有关特定儿童的诊断或治疗的第二意见，272 次咨询 (22%) 要求提供有关疾病、治疗或药物的一般信息，但未提及特定儿童。在首次请求后 48 小时内，共有 1078 个请求 (87%) 得到答复。平均而言，阅读和回复每封电子邮件的时间略少于 4 分钟。结论：电子邮件为父母、监护人和医疗保健专业人员提供了一种从选定的医疗顾问处及时获取患者和疾病特定信息的方法。
Context.-Despite the common use of e-mail, little beyond anecdote or impressions has been published on patient-clinician e-mail consultation.Objective.-To report our experiences with free-of-charge e-mail consultations.Design.-Retrospective review of all e-mail consultation requests received between November 1, 1995, and June 31, 1998.Setting and Participants.-Consecutive e-mail consultation requests sent to the Division of Pediatric Gastroenterology at the Children's Medical Center of the University of Virginia in Charlottesville.Main Outcome Measures.-Number of consultation requests per month, time required to respond, who initiated the request and their geographic origin, and the kind of information requested in the consultation.Results.-During the 33-month period studied, we received 1239 requests, an average (SD) of 37.6 (1 5.9) each month. A total of 1001 consultation requests (81%) were initiated by parents, relatives, or guardians, 126 (10%) by physicians, and 112 (9%) by other health care professionals. Consultation requests were received from 39 states and 37 other countries. In 855 requests (69%), there was a specific question about the cause of a particular child's symptoms, diagnostic tests, and/or therapeutic interventions. In 112 (9%), the requester sought a second opinion about diagnosis or treatment for a particular child, and 272 consultations (22%) requested general information concerning a disorder, treatment, or medication without reference to a particular child. A total of 1078 requests (87%) were answered within 48 hours of the initial request. On average, reading and responding to each e-mail took slightly less than 4 minutes.Conclusion.-E-mail provides a means for parents, guardians, and health care professionals to obtain patient and disease-specific information from selected medical consultants in a timely manner.