Improving secure messaging: A framework for support,partnership & information-giving communicating electronically (SPICE) |
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| Authors: | Jordan M Alpert Shu Wang Carma L Bylund Merry Jennifer Markham Ragnhildur I Bjarnadottir Ji-Hyun Lee Jennifer Elston Lafata Ramzi G Salloum |
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| Institution: | 1. Department of Advertising, University of Florida, Gainesville, FL, USA;2. Department of Biostatistics, University of Florida, Gainesville, FL, USA;3. Department of Public Relations, Division of Hematology & Oncology, University of Florida, Gainesville, FL, USA;4. Department of Medicine, Division of Hematology & Oncology, University of Florida, Gainesville, FL, USA;5. College of Nursing, University of Florida, Gainesville, FL, USA;6. UNC Eshelman School of Pharmacy and UNC Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, USA;7. Department of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, USA;1. Charité – Universitätsmedizin Berlin, Department of Gynecology, Berlin, Germany;2. Charité – Universitätsmedizin Berlin, Department of Gender in Medicine, Berlin, Germany;3. Technische Universität Berlin, Department of Psychology and Ergonomics (IPA), Division of Ergonomics, Berlin, Germany;4. Charité – Universitätsmedizin Berlin, Hereditary Breast and Ovarian Cancer Center, Berlin, Germany;1. Department of Medicine, Medical College of Georgia at Augusta University, Augusta, USA;2. Department of Gastroenterology, Piedmont Hospital, Atlanta, USA;3. Division of Gastroenterology & Hepatology, Medical College of Georgia at Augusta University, Augusta, USA;1. Shajing Health Inspection Institute, Shenzhen, China;2. South China University of Technology, Guangzhou, China;3. South China University of Technology, 382 Waihuan East Rd, Panyu District, Guangzhou, 510006 China;4. South China University of Technology, Guangzhou, China;1. Patient Education Program, Ontario Health (Cancer Care Ontario), 525 University Ave, Toronto, Ontario, M5G 2L3, Canada;2. Cancer Health Literacy Research Center, Cancer Education, Princess Margaret Cancer Center, 585 University Avenue, ELLICSR PMB B-130, Toronto, Ontario, M5G 2N2, Canada;3. University of Toronto, 27 King''s College Circle, Toronto, Ontario, M5S 1A1, Canada;4. Systemic Treatment Program, Ontario Health (Cancer Care Ontario), 525 University Ave, Toronto, Ontario, M5G 2L3, Canada;5. Sunnybrook Research Institute, Sunnybrook Health Sciences Center, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada;6. Clinical Programs & Quality Initiatives, Ontario Health (Cancer Care Ontario), 525 University Ave, Toronto, Ontario, M5G 2L3, Canada;1. University of Rochester School of Nursing, 601 Elmwood Ave, Box SON, Rochester, NY, 14642, USA;2. University of Rochester Medical Center, Department of Biostatistics and Computational Biology, 601 Elmwood Ave, Box 630, Rochester, NY, 14642, USA;3. University of Rhode Island College of Nursing, 350 Eddy St., Providence, RI, 02905, USA;4. Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD, 21205, USA |
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| Abstract: | BackgroundPatient-centered communication benefits patients and is widely endorsed. However, it is primarily associated with face-to-face contexts, although patients are increasingly using electronic platforms, such as secure messaging in patient portals, to communicate with providers.PurposeGiven the popularity of secure messaging and its ability to impact the patient-provider relationship, this study aimed to determine which attributes of patient-centered communication are most desired by cancer patients using secure messaging.MethodsA 26 balanced incomplete block design discrete choice experiment was conducted using the best-worst scaling technique. Respondents were asked to select their most and least preferred attributes of two simulated patient-provider exchanges within each of eight choice sets.Results210 respondents indicated that either level of partnership (high and low) and either level of information-giving (high and low) were most preferred, while response times greater than 24 hours and low levels of support were least favored.ConclusionsSimilar to face-to-face communication, patients value aspects of patient-centered communication in the secure messaging setting and desire them to be included in provider replies.Practice ImplicationsPatient-centered communication is important to patients using secure messaging. Providers should incorporate SPICE (Support, Partnership, and Information-giving while Communicating Electronically). |
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| Keywords: | Patient-Provider Communication Patient Portal Discrete Choice Experiment Patient-Centered Communication |
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