Albersheim S
Paediatr Child Health. 2010 Mar;15(3):163-8. doi: 10.1093/pch/15.3.163.
E-mail has become a commonplace 'procedure' in medical practice because it is efficient and inexpensive. However, there are potential misuses and abuses of this form of written communication, with clinical and ethical implications.Common uses of e-mail in paediatics include general communication with colleagues in a professional setting; electronic formal consultation, in which patient confidentiality is paramount; electronic 'curb-side' consultation, which may be perceived as a formal consultation; electronic discussion groups, which lack peer review; communication with current patients or their parents, which should be limited to simple, nonurgent issues; and communication with individuals seeking medical advice who are not patients, which is generally ill-advised.The present practice point offers a few practical suggestions including e-mail etiquette, security measures to ensure confidentiality, development of an e-mail policy for patients and parents, and separation of personal from professional e-mail.
电子邮件因其高效且成本低廉，已成为医疗实践中一种常见的“程序”。然而，这种书面交流形式存在潜在的滥用和不当使用情况，具有临床和伦理方面的影响。电子邮件在儿科学中的常见用途包括：在专业环境中与同事进行一般交流；电子正式会诊，其中患者保密至关重要；电子“路边”会诊，可能被视为正式会诊；电子讨论组，缺乏同行评审；与当前患者或其父母沟通，应限于简单的非紧急问题；以及与非患者的寻求医疗建议者沟通，通常不建议这样做。本实践要点提供了一些实用建议，包括电子邮件礼仪、确保保密的安全措施、为患者和家长制定电子邮件政策，以及将个人电子邮件与专业电子邮件分开。
