期刊
CANADIAN JOURNAL OF DIABETES
卷 39, 期 6, 页码 478-483出版社
ELSEVIER
DOI: 10.1016/j.jcjd.2015.07.001
关键词
barriers; electronic communication; facilitators; focus group
资金
- Alberta Health Services Research and Healthcare Support through Information Technology Enhancements (hSITE) Partnered Research Project Award
- Alberta Innovates [201201137] Funding Source: researchfish
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. (C) 2015 Published by Elsevier Inc. on behalf of Canadian Diabetes Association.
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