Abstract：
UNLABELLED:This study analyzed patient adoption of secure messaging to update medication list in an ambulatory care setting. The objective was to establish demographic differences between users and non-users of secure messaging for medications list update. Efficiency of secure messaging for the updates was compared to fax and telephone based updates. METHODS:The study used a retrospective, cross-sectional study of patient medical records and pharmacy call logs at Mayo Clinic, Arizona from December 2012 to May 2013, approximately one year after organizing a pharmacy call center for medication updates. A subgroup analysis during a 2-week period was used to measure time to complete update. MAIN MEASURES:Main dependent variable is the frequency of medication list updates over the study duration. Technician time required for the update was also utilized. RESULTS:A total of 22,495 outpatient visits were drawn and 18,702 unique patients were included in the primary analysis. A total of 402 unique patients were included in sub-group analysis. Secure message response rate (49.5%) was statistically significantly lower than that for phone calls (54.8%, p<0.001). Time to complete the update was significantly higher for faxed medication lists (Wilcoxon rank-sum tests, p<0.001) when compared to those for secure message or phone. CONCLUSIONS:Around 50% of the patients respond to medication update requests before office visit when contacted using phone calls and secure messages. Given the demographic differences between users and non-users of patient portal, mixed mode communication with patients is likely to be the norm for the foreseeable future in outpatient settings.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Raghu TS,Frey K,Chang YH,Cheng MR,Freimund S,Patel Adoi
10.1016/j.ijmedinf.2015.06.003subject
Has Abstractpub_date
2015-10-01 00:00:00pages
754-62issue
10eissn
1386-5056issn
1872-8243pii
S1386-5056(15)30008-3journal_volume
84pub_type
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