ArticleInternational journal of medical informatics2017
The impact of secure messaging on workflow in primary care: Results of a multiple-case, multiple-method study.
Article in International journal of medical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
What it found
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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
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Facilitators and Barriers to Implementing AI in Routine Medical Imaging: Systematic Review and Qualitative Analysis.Journal of medical Internet research · 2025Pooled it
- A theory-based analysis of the implementation of online asynchronous telemedicine platforms into primary care practices using Normalisation Process Theory.BMC primary care · 2025Pooled it
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Comprehensive recommendations for the implementation of artificial intelligence in healthcare: a narrative review on facilitators and barriers.BMJ open quality · 2026Review
- Emergency Department Clinician Perspectives on an EMR-Adjacent Microsoft Teams Consultation Workflow.Open access emergency medicine : OAEM · 2026Article
- Patient E-Message Character Limit Impact on Primary Care Clinician Burnout.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Taming the In-Basket-How Two Simple Tools Reduced Portal Message Volume in an Academic Internal Medicine Clinic.Journal of general internal medicine · 2025Article
- The Digital Workload Divide: Investigating Gender Differences in Electronic Health Record Messaging among Primary Care Clinicians.Applied clinical informatics · 2025Article
- Exploring professionals' experiences with secure messaging in Dutch outpatient clinics: emerging differences in use frequencies and types across medical specialties.BMC medical informatics and decision making · 2025Article
- Patient-Health Care Professional Communication via a Secure Web-Based Portal in Severe Mental Health Conditions: Qualitative Analysis of Secure Messages.JMIR formative research · 2025Article
- Effectiveness and safety of asynchronous telemedicine consultations in general practice: a systematic review.BJGP open · 2024Article
- Patient Portal Message Volume and Time Spent on the EHR: an Observational Study of Primary Care Clinicians.Journal of general internal medicine · 2024Observational
- The Impact of Secure Messaging in the Treatment of Patients With Diabetes Within a Primary Care Setting: Protocol for a Scoping Review.JMIR research protocols · 2023Article
- Redesigning primary care: Provider perspectives on the clinical utility of virtual visits.Canadian family physician Medecin de famille canadien · 2023Article
- Impact of virtual visits on primary care physician work flows.Canadian family physician Medecin de famille canadien · 2023Article
- Treatment Adherence in CKD and Support From Health care Providers: A Qualitative Study.Kidney medicine · 2022 · on this mapArticle
- Article
- Experience of Pediatricians and Pediatric Surgeons With Virtual Care During the COVID-19 Pandemic: Descriptive Study.JMIR pediatrics and parenting · 2022Article
- Patient Portal Messaging for Asynchronous Virtual Care During the COVID-19 Pandemic: Retrospective Analysis.JMIR human factors · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
introductionSecure messaging is a relatively new addition to health information technology (IT). Several studies have examined the impact of secure messaging on (clinical) outcomes but very few studies have examined the impact on workflow in primary care clinics. In this study we examined the impact of secure messaging on workflow of clinicians, staff and patients.
methodsWe used a multiple case study design with multiple data collections methods (observation, interviews and survey).
resultsResults show that secure messaging has the potential to improve communication and information flow and the organization of work in primary care clinics, partly due to the possibility of asynchronous communication. However, secure messaging can also have a negative effect on communication and increase workload, especially if patients send messages that are not appropriate for the secure messaging medium (for example, messages that are too long, complex, ambiguous, or inappropriate). Results show that clinicians are ambivalent about secure messaging. Secure messaging can add to their workload, especially if there is high message volume, and currently they are not compensated for these activities. Staff is -especially compared to clinicians- relatively positive about secure messaging and patients are overall very satisfied with secure messaging. Finally, clinicians, staff and patients think that secure messaging can have a positive effect on quality of care and patient safety.
conclusionSecure messaging is a tool that has the potential to improve communication and information flow. However, the potential of secure messaging to improve workflow is dependent on the way it is implemented and used.
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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.