ArticleJournal of general internal medicine2009
Patient use of secure electronic messaging within a shared medical record: a cross-sectional study.
Article in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The effectiveness of digital health intervention on glycemic control and physical activity in patients with type 2 diabetes: a systematic review and meta-analysis.Frontiers in digital health · 2025Pooled it
- Patients' online access to their electronic health records and linked online services: a systematic review in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Pooled it
- Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review.Journal of medical Internet research · 2015Pooled it
- Patients' online access to their electronic health records and linked online services: a systematic interpretative review.BMJ open · 2014Pooled it
- Patient web portals to improve diabetes outcomes: a systematic review.Current diabetes reports · 2010Pooled it
- Trial
- My Team of Care Study: A Pilot Randomized Controlled Trial of a Web-Based Communication Tool for Collaborative Care in Patients With Advanced Cancer.Journal of medical Internet research · 2017Trial
- Trial
- Randomized trial of depression follow-up care by online messaging.Journal of general internal medicine · 2011Trial
- Patient ability and willingness to participate in a web-based intervention to improve hypertension control.Journal of medical Internet research · 2011Trial
- A Randomized Trial to Train Vulnerable Primary Care Patients to Use a Patient Portal.Journal of the American Board of Family Medicine : JABFMTrial
- "Doc, Is This Normal?" A Retrospective Review of Patient Messaging for a Single Surgeon in an Academic Plastic Surgery Practice.Plastic and reconstructive surgery. Global open · 2026Article
- Identifying trajectories across care modalities before and after COVID-19 using sequence analysis.NPJ digital medicine · 2026Article
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Trajectories of In-Person and Remote Care Utilization: A Sequence Analysis of Primary Care Modalities Pre- and Post-COVID-19.Research square · 2025Article
- The Digital Workload Divide: Investigating Gender Differences in Electronic Health Record Messaging among Primary Care Clinicians.Applied clinical informatics · 2025Article
- Measurement, drivers, and outcomes of patient-initiated secure messaging use and intensity: a scoping review.JAMIA open · 2025Review
- Examining the existing usage gap of electronic health records in the United States: A study of National Health Survey.SSM - population health · 2024Article
- Out of reach? Correlates of cervical cancer underscreening in women with varying levels of healthcare interactions in a United States integrated delivery system.Preventive medicine · 2021Article
- Strategies for Referring Cancer Patients in a Smoking Cessation Program.International journal of environmental research and public health · 2020Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundMost patients would like to be able to exchange electronic messages with personal physicians. Few patients and providers are exchanging electronic communications.
objectiveTo evaluate patient characteristics associated with the use of secure electronic messaging between patients and health care providers. DESIGN, SETTING, AND PATIENTS: Cross-sectional cohort study of enrollees over 18 years of age who were enrolled in an integrated delivery system in 2005. MEASUREMENTS AND MAIN
resultsAmong eligible enrollees, 14% (25,075) exchanged one or more secure messages with a primary or specialty care provider between January 1, 2004 and March 31, 2005. Higher secure messaging use by enrollees was associated with female gender (OR, 1.15; 95% CI, 1.10-1.19), greater overall morbidity (OR, 5.64; 95% CI, 5.07-6.28, comparing high or very high to very low overall morbidity), and the primary care provider's use of secure messaging with other patients (OR, 1.94; 95% CI, 1.67-2.26, comparing 20-50% vs. <or=10% encounters through secure messaging). Less secure messaging use was associated with enrollee age over 65 years (OR, 0.65; CI, 0.59-0.71) and Medicaid insurance vs. commercial insurance (OR, 0.81; 95% CI, 0.68-0.96).
conclusionsIn this integrated group practice, use of patient-provider secure messaging varied according to individual patient clinical and sociodemographic characteristics. Future studies should clarify variation in the use of electronic patient-provider messaging and its impact on the quality and cost of care received.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.