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Perceived Barriers to and Facilitators of Patient-to-Provider E-Mail in the Management of Diabetes Care.

Abstract：

OBJECTIVES:1) to describe current utilization of e-mail in the clinical care of patients with diabetes; and 2) to identify barriers to and facilitators of the adoption of e-mail in diabetes care. METHODS:Participants included diabetes care providers, including 9 physicians and 7 allied health professionals (AHPs). Participation involved, first, completing a self-administered survey to evaluate the use of e-mail within diabetes-related clinical practice. Second, focus group discussions were conducted with diabetes care providers using semistructured interviews to collect data about their perceptions of using e-mail to exchange information with patients diagnosed with diabetes. Patients' perspectives on the use of e-communication with their care providers was also proposed on the basis of the discussions. RESULTS:Significant differences were found between physicians and AHPs concerning questions that were related to the use of e-mail and the amount of time spent using e-mail to communicate to patients. There was perceived function and value to the use of e-mail among AHPs, while few physicians used e-mail routinely and were uncertain about its potential in improving care. Five themes, including barriers, benefits, risks, safeguards and compensation, were developed from the focus group interviews. CONCLUSIONS:Currently, most of the physicians surveyed do not e-mail patients directly; however, AHPs frequently use e-mail in diabetes care and find this tool valuable. Variation in practices regarding clinical e-mail across care disciplines suggest that appropriate policy with guidelines for e-mail and e-communication within the health care system may improve uptake of clinical e-mail and perhaps, by extension, improve efficiency and access in diabetes care.

journal_name

Can J Diabetes

journal_title

Canadian journal of diabetes

authors

Popeski N,McKeen C,Khokhar B,Edwards A,Ghali WA,Sargious P,White D,Hebert M,Rabi DM

doi

10.1016/j.jcjd.2015.07.001

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

478-83

issue

eissn

1499-2671

issn

2352-3840

pii

S1499-2671(15)00537-7

journal_volume

pub_type

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Perceived Barriers to and Facilitators of Patient-to-Provider E-Mail in the Management of Diabetes Care.