ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2014
Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 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
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- Computational Use of Patient-Provider Secure Messaging Data to Achieve Better Clinical Efficiency and Quality of Communication: A Systematic Review.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Pooled it
- Impact of Asynchronous Electronic Communication-Based Visits on Clinical Outcomes and Health Care Delivery: Systematic Review.Journal of medical Internet research · 2021Pooled it
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Pragmatic approaches for studying workflow in health informatics.JAMIA open · 2026Review
- The perceived fit of guided iCBT in specialised mental healthcare services: a qualitative study of healthcare professionals' perspectives.Frontiers in digital health · 2026Article
- Improving Veteran Engagement with Virtual Care Technologies: a Veterans Health Administration State of the Art Conference Research Agenda.Journal of general internal medicine · 2024Review
- Patient and Clinician Characteristics Associated With Secure Message Content: Retrospective Cohort Study.Journal of medical Internet research · 2021Article
- Associations Between Patient Health Outcomes and Secure Message Content Exchanged Between Patients and Clinicians: Retrospective Cohort Study.Journal of medical Internet research · 2020Article
- Disparities in Secure Messaging Uptake Between Patients and Physicians: Longitudinal Analysis of Two National Cross-Sectional Surveys.Journal of medical Internet research · 2020Article
- Impacts of Operational Failures on Primary Care Physicians' Work: A Critical Interpretive Synthesis of the Literature.Annals of family medicine · 2020Review
- Virtual Medical Modality Implementation Strategies for Patient-Aligned Care Teams to Promote Veteran-Centered Care: Protocol for a Mixed-Methods Study.JMIR research protocols · 2018Article
- Examining the Complexity of Patient-Outpatient Care Team Secure Message Communication: Qualitative Analysis.Journal of medical Internet research · 2018Article
- An analysis of patient-provider secure messaging at two Veterans Health Administration medical centers: message content and resolution through secure messaging.Journal of the American Medical Informatics Association : JAMIA · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Secure messaging (SM) allows patients to communicate with their providers for non-urgent health issues. Like other health information technologies, the design and implementation of SM should account for workflow to avoid suboptimal outcomes. SM may present unique workflow challenges because patients add a layer of complexity, as they are also direct users of the system. This study explores SM implementation at two Veterans Health Administration facilities. We interviewed twenty-nine members of eight primary care teams using semi-structured interviews. Questions addressed staff opinions about the integration of SM with daily practice, and team members' attitudes and experiences with SM. We describe the clinical workflow for SM, examining complexity and variability. We identified eight workflow issues directly related to efficiency and patient satisfaction, based on an exploration of the technology fit with multilevel factors. These findings inform organizational interventions that will accommodate SM implementation and lead to more patient-centered care.
Indexed as
Identifiers
25954403PMC4419966W2406895425What OpenQuestion holds
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.