Pediatric caregiver attitudes toward email communication: Survey in an urban primary care setting

Research output: Contribution to journalArticle

Abstract

Background: Overall usage of email communication between patients and physicians continues to increase, due in part to expanding the adoption of electronic health records and patient portals. Unequal access and acceptance of these technologies has the potential to exacerbate disparities in care. Little is known about the attitudes of pediatric caregivers with regard to their acceptance of email as a means to communicate with their health care providers. Objective: We conducted a survey to assess pediatric caregiver access to and attitudes toward the use of electronic communication modalities to communicate with health care providers in an urban pediatric primary care clinic. Methods: Participants were pediatric caregivers recruited from an urban pediatric primary care clinic in Baltimore, Maryland, who completed a 35-item questionnaire in this cross-sectional study. Results: Of the 229 caregivers who completed the survey (91.2% response rate), 171 (74.6%) reported that they use email to communicate with others. Of the email users, 145 respondents (86.3%) stated that they would like to email doctors, although only 18 (10.7%) actually do so. Among email users, African-American caregivers were much less likely to support the expanded use of email communication with health care providers (adjusted OR 0.34, 95% CI 0.14-0.82) as were those with annual incomes less than US $30,000 (adjusted OR 0.26, 95% CI 0.09-0.74). Conclusions: Caregivers of children have access to email and many would be interested in communicating with health care providers. However, African-Americans and those in lower socioeconomic groups were much less likely to have positive attitudes toward email.

Original languageEnglish (US)
Article number2738
JournalJournal of Medical Internet Research
Volume15
Issue number10
DOIs
StatePublished - Oct 2013

Fingerprint

Caregivers
Primary Health Care
Communication
Pediatrics
Health Personnel
African Americans
Surveys and Questionnaires
Baltimore
Electronic Health Records
Cross-Sectional Studies
Technology
Physicians

Keywords

  • Communication
  • Electronic mail
  • Email
  • Health care disparities
  • Pediatrics
  • Primary health care

ASJC Scopus subject areas

  • Health Informatics

Cite this

@article{37b1138a6d5c498080129cfc5a449ea4,
title = "Pediatric caregiver attitudes toward email communication: Survey in an urban primary care setting",
abstract = "Background: Overall usage of email communication between patients and physicians continues to increase, due in part to expanding the adoption of electronic health records and patient portals. Unequal access and acceptance of these technologies has the potential to exacerbate disparities in care. Little is known about the attitudes of pediatric caregivers with regard to their acceptance of email as a means to communicate with their health care providers. Objective: We conducted a survey to assess pediatric caregiver access to and attitudes toward the use of electronic communication modalities to communicate with health care providers in an urban pediatric primary care clinic. Methods: Participants were pediatric caregivers recruited from an urban pediatric primary care clinic in Baltimore, Maryland, who completed a 35-item questionnaire in this cross-sectional study. Results: Of the 229 caregivers who completed the survey (91.2{\%} response rate), 171 (74.6{\%}) reported that they use email to communicate with others. Of the email users, 145 respondents (86.3{\%}) stated that they would like to email doctors, although only 18 (10.7{\%}) actually do so. Among email users, African-American caregivers were much less likely to support the expanded use of email communication with health care providers (adjusted OR 0.34, 95{\%} CI 0.14-0.82) as were those with annual incomes less than US $30,000 (adjusted OR 0.26, 95{\%} CI 0.09-0.74). Conclusions: Caregivers of children have access to email and many would be interested in communicating with health care providers. However, African-Americans and those in lower socioeconomic groups were much less likely to have positive attitudes toward email.",
keywords = "Communication, Electronic mail, Email, Health care disparities, Pediatrics, Primary health care",
author = "Dudas, {Robert A} and Michael Crocetti",
year = "2013",
month = "10",
doi = "10.2196/jmir.2738",
language = "English (US)",
volume = "15",
journal = "Journal of Medical Internet Research",
issn = "1439-4456",
publisher = "Journal of medical Internet Research",
number = "10",

}

TY - JOUR

T1 - Pediatric caregiver attitudes toward email communication

T2 - Survey in an urban primary care setting

AU - Dudas, Robert A

AU - Crocetti, Michael

PY - 2013/10

Y1 - 2013/10

N2 - Background: Overall usage of email communication between patients and physicians continues to increase, due in part to expanding the adoption of electronic health records and patient portals. Unequal access and acceptance of these technologies has the potential to exacerbate disparities in care. Little is known about the attitudes of pediatric caregivers with regard to their acceptance of email as a means to communicate with their health care providers. Objective: We conducted a survey to assess pediatric caregiver access to and attitudes toward the use of electronic communication modalities to communicate with health care providers in an urban pediatric primary care clinic. Methods: Participants were pediatric caregivers recruited from an urban pediatric primary care clinic in Baltimore, Maryland, who completed a 35-item questionnaire in this cross-sectional study. Results: Of the 229 caregivers who completed the survey (91.2% response rate), 171 (74.6%) reported that they use email to communicate with others. Of the email users, 145 respondents (86.3%) stated that they would like to email doctors, although only 18 (10.7%) actually do so. Among email users, African-American caregivers were much less likely to support the expanded use of email communication with health care providers (adjusted OR 0.34, 95% CI 0.14-0.82) as were those with annual incomes less than US $30,000 (adjusted OR 0.26, 95% CI 0.09-0.74). Conclusions: Caregivers of children have access to email and many would be interested in communicating with health care providers. However, African-Americans and those in lower socioeconomic groups were much less likely to have positive attitudes toward email.

AB - Background: Overall usage of email communication between patients and physicians continues to increase, due in part to expanding the adoption of electronic health records and patient portals. Unequal access and acceptance of these technologies has the potential to exacerbate disparities in care. Little is known about the attitudes of pediatric caregivers with regard to their acceptance of email as a means to communicate with their health care providers. Objective: We conducted a survey to assess pediatric caregiver access to and attitudes toward the use of electronic communication modalities to communicate with health care providers in an urban pediatric primary care clinic. Methods: Participants were pediatric caregivers recruited from an urban pediatric primary care clinic in Baltimore, Maryland, who completed a 35-item questionnaire in this cross-sectional study. Results: Of the 229 caregivers who completed the survey (91.2% response rate), 171 (74.6%) reported that they use email to communicate with others. Of the email users, 145 respondents (86.3%) stated that they would like to email doctors, although only 18 (10.7%) actually do so. Among email users, African-American caregivers were much less likely to support the expanded use of email communication with health care providers (adjusted OR 0.34, 95% CI 0.14-0.82) as were those with annual incomes less than US $30,000 (adjusted OR 0.26, 95% CI 0.09-0.74). Conclusions: Caregivers of children have access to email and many would be interested in communicating with health care providers. However, African-Americans and those in lower socioeconomic groups were much less likely to have positive attitudes toward email.

KW - Communication

KW - Electronic mail

KW - Email

KW - Health care disparities

KW - Pediatrics

KW - Primary health care

UR - http://www.scopus.com/inward/record.url?scp=84887888925&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887888925&partnerID=8YFLogxK

U2 - 10.2196/jmir.2738

DO - 10.2196/jmir.2738

M3 - Article

C2 - 24152542

AN - SCOPUS:84887888925

VL - 15

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1439-4456

IS - 10

M1 - 2738

ER -