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For
many, eliminating the burden of missing work and spending time in
a doctor's office would certainly be a blessing. Well, such a concept
is rapidly becoming a reality, for health plans and medical groups
around the country are beginning to pay doctors to reply to patients
via e-mail, just as they pay for office visits, in an attempt to
improve efficiency and control costs.
For example, Blue Cross and Blue Shield plans in California, New
York, Florida, Massachusetts, New Hampshire, Colorado and Tennessee
are beginning to pay doctors anywhere from $24-$30, including co-payment,
for online consultations.
Benefits of Online Exchanges
The obvious perk to online doctor-patient communication: Both parties
can eliminate time spent during an appointment when an e-mail message
can similarly tackle the feat. The convenience of online exchanges
can be especially considerable for doctors, as doctors are able
to offer advice pertaining to a range of medical issues, including:
- Diet
- Postsurgical care
- Changing a medication
And for patients? Many claim they feel closer to their doctors
when conversing through the more relaxed atmosphere of e-mail; online
messaging also gives patients a greater degree of control. Communicating
with patients through e-mail gives doctors more time to spend with
patients who truly require face-to-face appointments.
What's more, patients can use e-mail connections -- which they
reach through secure, password-protected Web sites -- to obtain
X-ray and test results, as well as request prescription renewals.
Can Online Doctor-Patient Communication
Provide Better Care?
Physicians and health care technology specialists believe the online
communication between doctors and patients could help trigger the
anticipated changeover to electronic health care information systems.
According to government officials and industry leaders, this method
of health care will not only reduce medical errors, but also promote
better care overall.
In fact, research at clinics at the University of California indicated
using e-mail:
- Decreased overall head costs
- Improved productivity of physicians
- Improved access to doctors for patients (including those who
telephoned)
There are, however, stipulations placed on the concept of medical
messaging. Doctors who use the services are advised to limit their
replies to appropriate topics and, under standard rules, can only
reply to those patients who have previously been examined in the
office.
New
York Times March 2, 2005
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