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Related Experiment Video

Updated: Jan 19, 2026

Single-cell Microinjection for Cell Communication Analysis
09:59

Single-cell Microinjection for Cell Communication Analysis

Published on: February 26, 2017

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Gateless communication: A concept analysis.

Cassandra M Godzik1

  • 1Graduate School of Nursing, University of Massachusetts at Worcester, Worcester, Massachusetts.

Nursing Forum
|September 14, 2019
PubMed
Summary

Electronic health technologies offer patient portals for communication. However, behavioral health patients desire faster, real-time feedback, prompting exploration of new communication concepts like "gateless communication" for future research.

Keywords:
health promotionprofessional issuespsychiatric/mental health

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Area of Science:

  • Digital Health
  • Healthcare Technology
  • Behavioral Health Informatics

Background:

  • Patient portals facilitate asynchronous communication between patients and healthcare teams.
  • Some patients, particularly in behavioral health, require more immediate feedback than typical patient portals provide.
  • Current research extensively covers patient portals but has a gap in understanding direct, real-time patient-provider communication via other technologies.

Purpose of the Study:

  • To analyze the concept of direct patient-provider communication using technologies beyond patient portals.
  • To propose a new conceptual framework, termed "gateless communication," for future research in this area.
  • To address the need for timely information exchange in healthcare, especially in behavioral health.

Main Methods:

  • Literature review of PubMed and CINAHL to identify existing research on patient-provider communication technologies.
  • Concept analysis using an established eight-step method.
  • Theoretical exploration of "gateless communication" as a novel concept.

Main Results:

  • A significant body of research exists on patient portals, but direct patient-provider communication via other technologies is under-researched.
  • The study identifies a gap in understanding real-time communication methods used by psychiatric providers (e.g., cell phones, secure texting).
  • The analysis supports the need for a new concept to define and study these emerging communication patterns.

Conclusions:

  • "Gateless communication" is proposed as a new concept to encapsulate direct, real-time patient-provider interactions using various technologies.
  • This conceptualization aims to guide future research into the nuances and effectiveness of these communication methods.
  • Developing this concept can enhance understanding and potentially improve patient care through more immediate and accessible information exchange.