全科医疗中的患者短信沟通：对象、原因、为何不采用？爱尔兰全科医疗短信使用情况全国调查。

Patient Texting in General Practice: Who, Why, Why Not? A National Survey of Text Messaging in Irish General Practice.

作者信息

Quinlan D, Dahm M, Lyons A, Collins C

机构信息

Woodview Family Doctors, Kearney's Cross, Sallybrook, Riverstown, Glanmire, Co. Cork

Clonakilty Family Health Clinic, Faxbridge Shopping Complex, Clonakilty, Co Cork

出版信息

Ir Med J. 2018 Apr 19;111(4):729.

PMID:30465598

Abstract

Introduction The benefits of text messaging patients are well documented. The General Medical Council recently published guidance endorsing text messaging. The use of text messaging by GPs in Ireland is currently unknown. The survey aims to address this knowledge deficit and ascertain the extent, benefits, risks, barriers and clinical role of text messaging in Irish general practice. Methods An online survey was emailed to 1,375 members of the Irish College of General Practitioners (ICGP). Results A total of 536 GPs completed the questionnaire; a response rate of 40%. Overall, 66% (n=353) of respondents text patients and 27% have a written policy for texting patients. Texting is used primarily to send test results (71%), to advise the patient to phone the practice (52%) and as appointment reminders (43%). Discussion GPs text messaging patients is widespread. Complex issues to resolve include consent, confidentiality, children/young adults and the clinical content of text messages. Guidance is required to enable GPs and patients harness the benefits of text messaging, while minimising potential risks.

摘要

引言给患者发送短信的益处已有充分记录。英国医学总会最近发布了支持短信服务的指南。目前爱尔兰全科医生使用短信服务的情况尚不清楚。该调查旨在填补这一知识空白，确定短信服务在爱尔兰全科医疗中的使用范围、益处、风险、障碍及临床作用。方法通过电子邮件向爱尔兰全科医生学院（ICGP）的1375名成员发送了一份在线调查问卷。结果共有536名全科医生完成了问卷，回复率为40%。总体而言，66%（n = 353）的受访者会给患者发送短信，27%有给患者发短信的书面政策。发短信主要用于发送检查结果（71%）、建议患者致电诊所（52%）以及作为预约提醒（43%）。讨论全科医生给患者发送短信的情况很普遍。需要解决的复杂问题包括同意、保密、儿童/青少年以及短信的临床内容。需要指南来使全科医生和患者能够利用短信服务的益处，同时将潜在风险降至最低。