Cartwright Matthew, Gibbon Peter, McDermott Brett M, Bor William
Mater Child and Youth Mental Health Service, South Brisbane, Australia.
J Telemed Telecare. 2005;11(4):199-204. doi: 10.1258/1357633054068865.
All staff members of a child and adolescent mental health service were invited to participate in a survey about the use of email. Sixty-two of the 105 staff members responded to the survey, a participation rate of 59%. Of the respondents, 32 were allied health staff, 10 were nurses, seven were administrative staff, six were medical staff, three were operational staff and four were acting in a combination of these roles. The respondents reported extensive work-related email usage and considered that they were confident in using email despite low levels of training. However, they did not feel that they understood the legal and ethical issues involved. Furthermore, there was limited incorporation of email into standard record keeping. The majority of respondents thought that increased use of email would lead to a greater workload, a consequence they considered would probably increase over time. Many commented on the quick and practical use of this medium, but were wary about using email with individuals outside the service organization, especially if it were to contain clinical material. There was low use of email directly with clients, and clinicians were ambivalent about incorporating email into therapy. The results suggest that it is timely to consider the utility and appropriateness of email communication with clients and external service providers, and to formulate guidelines and procedures to ensure the confidentiality of client information and the safety of clients and staff.
一家儿童和青少年心理健康服务机构邀请所有工作人员参与一项关于电子邮件使用情况的调查。105名工作人员中有62人回复了调查，参与率为59%。在受访者中，32人是专职医疗人员，10人是护士，7人是行政人员，6人是医务人员，3人是运营人员，4人担任这些角色的组合。受访者表示工作中大量使用与工作相关的电子邮件，并且认为尽管培训水平较低，但他们对使用电子邮件很有信心。然而，他们觉得自己并不了解其中涉及的法律和道德问题。此外，电子邮件在标准记录保存中的应用有限。大多数受访者认为更多地使用电子邮件会导致工作量增加，他们认为这种影响可能会随着时间推移而加剧。许多人评论了这种媒介的快速和实用性，但对于与服务机构以外的个人使用电子邮件持谨慎态度，特别是如果邮件包含临床资料的话。直接与客户使用电子邮件的情况较少，临床医生对于将电子邮件纳入治疗也存在矛盾态度。结果表明，现在是时候考虑与客户和外部服务提供商进行电子邮件通信的效用和适当性，并制定指导方针和程序，以确保客户信息的保密性以及客户和工作人员的安全。
