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Updated: Jun 18, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

E-mail in patient-provider communication: a systematic review.

Jiali Ye¹, George Rust, Yvonne Fry-Johnson

¹National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA 30310, USA. jye@msm.edu

Patient Education and Counseling

|November 17, 2009

Summary

Email is transforming patient-provider communication, offering benefits like information exchange but raising concerns about security. Further exploration and education are needed to optimize this electronic interaction tool for healthcare.

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Last Updated: Jun 18, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

Health Informatics
Medical Communication
Digital Health

Background:

Electronic mail (email) has emerged as a significant communication channel in healthcare.
Understanding its role in patient-provider interactions is crucial for optimizing healthcare delivery.

Purpose of the Study:

To systematically review the content of emails exchanged between patients and providers.
To analyze patient and provider perspectives on email communication in healthcare settings.

Main Methods:

A systematic review was conducted on studies published between 2000 and 2008.
Included studies focused on email communication in regular healthcare between patients and providers, or parents and pediatricians.

Main Results:

24 studies were analyzed, examining email content such as medical information exchange, condition updates, and medication details.
Both patients and providers acknowledged email's benefits for communication, alongside shared concerns regarding confidentiality and security.
Factors influencing the likelihood of email use between patients and providers were identified.

Conclusions:

Email is actively reshaping the patient-provider relationship.
Addressing the pros and cons of electronic communication is essential for enhancing its utility as a healthcare tool.
Developing secure electronic systems and educating users are key to effective email utilization in clinical practice.