J. Med. Internet Res. - Physician response time when communicating with patients over the Internet.

Tópicos

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Resumo

CKGROUND: Patients want to use electronic communication to access health services more easily. Health authorities in several countries see this as a way to improve health care. Physicians appear to have conflicting opinions regarding the suitability of electronic communication in clinical settings.OBJECTIVES: The aim of our study was to measure how long it actually takes physicians to answer questions from patients through an electronic communication channel, and whether some of the questions are especially time consuming.METHODS: We monitored electronic patient-physician communication. A total of 1113 messages from 14 participating physicians from 7 medical offices were analyzed. The length of questions and answers, and the time physicians spent answering the questions were recorded and analyzed.RESULTS: Physicians spent an average of 2.3 minutes (median 2 minutes) answering questions from patients. The patients' questions had an average length of 507.1 characters (95% CI 487.4-526.9, SD 336.2), while physicians' answers averaged 119.9 characters (95% CI 189.8-210.0, SD 172.6). The results show that the influence of patient question length on time spent responding was negligible. For the shortest 25% of the questions the answer time was 2.1 minutes (95% CI 1.9-2.3), while it was 2.4 minutes (95% CI 2.2-2.7) for the longest 25%. Even extremely long questions had a minimal impact on the time spent answering them. A threefold increase in question length from patients resulted in only an 18% increase in physician response time.CONCLUSIONS: The study shows the potential clinical usefulness of electronic communication between patients and health care services by demonstrating the potential for saving time.

Resumo Limpo

ckground patient want use electron communic access health servic easili health author sever countri see way improv health care physician appear conflict opinion regard suitabl electron communic clinic settingsobject aim studi measur long actual take physician answer question patient electron communic channel whether question especi time consumingmethod monitor electron patientphysician communic total messag particip physician medic offic analyz length question answer time physician spent answer question record analyzedresult physician spent averag minut median minut answer question patient patient question averag length charact ci sd physician answer averag charact ci sd result show influenc patient question length time spent respond neglig shortest question answer time minut ci minut ci longest even extrem long question minim impact time spent answer threefold increas question length patient result increas physician respons timeconclus studi show potenti clinic use electron communic patient health care servic demonstr potenti save time

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