James D. Ralston|Carolyn M. Rutter|David Carrell|Julia Hecht|David Rubanowice|Gregory E. Simon
Patient Use of Secure Electronic Messaging Within a Shared Medical Record: A Cross-sectional Study
Group Health Cooperative|Group Health Cooperative|Group Health Cooperative|Group Health Cooperative|Group Health Cooperative|Group Health Cooperative
patients would like able exchange electronic messages personal physicians patients providers exchanging electronic communications evaluate patient characteristics associated use secure electronic messaging patients health care providers crosssectional cohort study enrollees 18 years age enrolled integrated delivery system 2005 among eligible enrollees 14 25075 exchanged one secure messages primary specialty care provider january 1 2004 march 31 2005 higher secure messaging use enrollees associated female gender 115 95 ci 110119 greater overall morbidity 564 95 ci 507628 comparing high high low overall morbidity primary care providers use secure messaging patients 194 95 ci 167226 comparing 2050 vs 10 encounters secure messaging less secure messaging use associated enrollee age 65 years 065 ci 059071 medicaid insurance vs commercial insurance 081 95 ci 068096 integrated group practice use patientprovider secure messaging varied according individual patient clinical sociodemographic characteristics future studies clarify variation use electronic patientprovider messaging impact quality cost care received