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[Patient-physician interaction over the internet].

Per Egil Kummervold1, Marianne Trondsen, Hege Andreassen

  • 1Nasjonalt senter for telemedisin, Universitetssykehuset Nord-Norge, Postboks 35, 9038 Tromsø. per.egil.kummervold@telemed.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 10, 2004
PubMed
Summary

A web-based system for patient-general practitioner communication was tested in Norway. Results indicate electronic communication can replace some traditional consultations, suggesting its future importance.

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Area of Science:

  • Digital Health
  • Health Informatics
  • General Practice

Background:

  • Significant patient interest exists for internet-based communication with general practitioners.
  • Norway's strict data protection laws influenced the development of a secure web-based system.

Purpose of the Study:

  • To assess the implications of using a web-based system for patient-general practitioner communication.
  • To evaluate the feasibility and impact of electronic communication in primary care.

Main Methods:

  • A one-year trial in a six-doctor group practice.
  • Randomized controlled trial with 200 patients (intervention and control groups).
  • Data collection via questionnaires, interviews, and system logs.

Main Results:

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  • Patients using the system averaged 3.3 messages; doctors sent 9-65 messages.
  • Electronic messages covered health inquiries (41%), prescription renewals (22%), and appointment requests (13%).
  • Both patients and doctors reported positive experiences; non-users anticipated future use.

Conclusions:

  • Electronic communication shows potential to substitute some in-person and telephone consultations.
  • The study suggests internet-based communication between patients and general practitioners will gain prominence.