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Large-Scale Survey Findings Inform Patients' Experiences in Using Secure Messaging to Engage in Patient-Provider
Jolie N Haun1, Nitin R Patel, Jason D Lind
1Veterans Health Administration, HSR&D Center of Innovation on Disability and Rehabilitation Research, Tampa, FL, United States. joliehaun@gmail.com.
Journal of Medical Internet Research
|December 23, 2015
Summary
Veteran patients find secure email messaging useful for managing healthcare needs. Enhanced education and system improvements can increase its adoption and sustained use for better patient-provider communication.
Area of Science:
- Health Informatics
- Patient-Provider Communication
- Digital Health Tools
Background:
- Secure email messaging is a key component of US healthcare transformation for improved patient-provider communication.
- Large-scale studies on user experiences with secure messaging are limited.
Purpose of the Study:
- To quantitatively assess veteran patients' experiences with secure email messaging.
- To identify factors associated with the use of secure messaging among veterans.
Main Methods:
- A cross-sectional survey of 819 registered users of the Veteran Health Administration's patient portal (My HealtheVet) who opted for secure messaging.
- Data collected included demographics, computer and health literacy, and secure messaging use.
- Analyses involved frequencies, proportions, chi-square tests, and ANOVA.
Main Results:
- Most respondents (60.9%) used secure messaging for 6+ months, finding it helpful for refills, appointments, test results, and health questions.
- Younger age, higher education/income, and higher health literacy were associated with more frequent use.
- Females, minorities, and individuals with higher health literacy reported more frequent use and satisfaction.
Conclusions:
- Veterans perceive secure email messaging as a valuable tool for healthcare communication.
- Marketing, education, skill-building, and system modifications are crucial for sustained utilization.
- Findings can guide efforts to promote electronic tool adoption for patient-provider communication.
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