TY - JOUR AU - Brooks, Robert G AU - Menachemi, Nir PY - 2006 DA - 2006/3/24 TI -医生与患者使用电子邮件:影响电子通信和遵守最佳实践的因素JO - J医学互联网Res SP - e2 VL - 8 IS - 1kw -电子邮件KW -电子记录KW -健康信息技术KW -电子通信AB -背景:随着公众越来越多地使用互联网，使用电子邮件作为病人和医生之间沟通的手段可能会增加。然而，尽管有证据表明患者对电子邮件越来越感兴趣，但医生在临床护理中使用电子邮件的速度一直很缓慢。目的:研究与医患电子邮件相关的因素，并报告医生对公认的电子邮件沟通准则的遵守情况。方法:横断面调查(2005年3月至5月)对佛罗里达州所有初级保健医生(n = 10253)和所有门诊临床专家(n = 3954)进行25%分层随机抽样。医生接受了关于与患者使用电子邮件、遵守公认指南和人口统计数据的调查。结果:4203名医生完成了问卷调查(参与率为28.2%)。其中689人(16.6%)曾亲自使用电子邮件与患者沟通。只有120人(2.9%)经常使用电子邮件与患者沟通。在单因素分析中，电子邮件的使用与医生年龄相关(使用减少:> 61岁; P = .014), race (decreased use: Asian background; P < .001), medical training (increased use: family medicine, P = .001; or surgical specialty, P = .007; but not internal medicine, P = .112), practice size (> 50 physicians, P < .001), and geographic location (urban 17.2% vs. rural, 7.9%; P < .001). Multivariate modeling showed that only practice size greater than 50 (OR = 1.94; 95% CI = 1.01-3.79) and Asian-American race (OR = 0.26; 95% CI = 0.14-0.49) were related to email use with patients. Remarkably, only 46 physicians (6.7%) adhered to at least half of the 13 selected guidelines for email communication. Conclusions: This large survey of physicians, practicing in ambulatory settings, shows only modest advances in the adoption of email communication, and little adherence to recognized guidelines for email correspondence. Further efforts are required to educate both patients and physicians on the advantages and limitations of email communication, and to remove fiscal and legal barriers to its adoption. SN - 1438-8871 UR - //www.mybigtv.com/2006/1/e2/ UR - https://doi.org/10.2196/jmir.8.1.e2 DO - 10.2196/jmir.8.1.e2 ID - info:doi/10.2196/jmir.8.1.e2 ER -