%0期刊文章%@ 1438- 8871% I Gunther Eysenbach %V 5% N 2% P e 9% T医生与他们的病人使用电子邮件:a质性探索% a Patt,Madhavi R % a Houston,Thomas K % a Jenckes,Mollie W % a Sands,Daniel Z % a Ford,Daniel E %+阿拉巴马大学伯明翰分校，1530第三大道南，伯明翰AL 35294-3407，美国，+1 205 934 3007,tkhouston@uabmc.edu %K电子邮件%K互联网%K医病关系%K通信%D 2003 %7 15.5.2003 %9原始论文%J J医学互联网Res %G英语%X背景:尽管有可能实现快速、异步、可记录的交流，但使用电子邮件进行医患沟通还没有被广泛采用。目的:调查目前医生使用电子邮件与他们的病人每天了解他们的经验。方法:对45名目前使用电子邮件与患者沟通的医生进行深度电话采访，录音并逐字记录。两名研究人员独立定性编码评论。分歧由小组协商一致来裁决。结果:几乎所有来自这些目前每天与患者使用电子邮件的医生的642条评论都可以分为4个领域中的一个:(1)电子邮件的访问和内容，(2)电子邮件对医患关系的影响，(3)通过电子邮件管理临床问题，以及(4)将电子邮件集成到办公流程中。最一致的主题是电子邮件交流加强了慢性病管理。许多医生还报告说，改善了护理的连续性，增加了对非紧急问题的响应灵活性。 Integration of e-mail into daily workflow, such as utilization of office personnel, appears to be a significant area of concern for many of the physicians. For other issues, such as content, efficiency of e-mail, and confidentiality, there were diverging experiences and opinions. Physicians appear to be selective in choosing which patients they will communicate with via e-mail, but the criteria for selection is unclear. Conclusions: These physician respondents did perceive benefits to e-mail with a select group of patients. Several areas, such as identifying clinical situations where e-mail communication is effective, incorporating e-mail into office flow, and being reimbursed for online medical care/communication, need to be addressed before this mode of communication diffuses into most practices. %M 12857665 %R 10.2196/jmir.5.2.e9 %U //www.mybigtv.com/2003/2/e9/ %U https://doi.org/10.2196/jmir.5.2.e9 %U http://www.ncbi.nlm.nih.gov/pubmed/12857665