Evidence map›Paper›PMID 33625375›Full record

ArticleJournal of medical Internet research2021

The Epidemiology of Patients' Email Addresses in a French University Hospital: Case-Control Study.

Vincent Looten, Antoine Neuraz, Nicolas Garcelon, Anita Burgun, Gilles Chatellier, Bastien Rance

Abstract read
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Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Vincent LootenMedical Informatics Department, Hôpital Européen Georges-Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.ORCID 0000-0002-9897-1539
Antoine NeurazUMRS 1138 - Centre de Recherche des Cordeliers, Université Paris Descartes, Sorbonne Paris Cité, INSERM, Paris, France.ORCID 0000-0001-7142-6728
Nicolas GarcelonUMRS 1138 - Centre de Recherche des Cordeliers, Université Paris Descartes, Sorbonne Paris Cité, INSERM, Paris, France.ORCID 0000-0002-3326-2811
Anita BurgunMedical Informatics Department, Hôpital Européen Georges-Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.ORCID 0000-0001-6855-4366
Gilles ChatellierMedical Informatics Department, Hôpital Européen Georges-Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.ORCID 0000-0002-6373-8956
Bastien RanceMedical Informatics Department, Hôpital Européen Georges-Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.ORCID 0000-0003-4417-1197

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care professionals are caught between the wish of patients to speed up health-related communication via emails and the need for protecting health information.

objectiveWe aimed to analyze the demographic characteristics of patients providing an email, and study the distribution of emails' domain names.

methodsWe used the information system of the European Hospital Georges Pompidou (HEGP) to identify patients who provided an email address. We used a 1:1 matching strategy to study the demographic characteristics of the patients associated with the presence of an email, and described the characteristics of the emails used (in terms of types of emails-free, business, and personal).

resultsOverall, 4.22% (41,004/971,822) of the total population of patients provided an email address. The year of last contact with the patient is the strongest driver of the presence of an email address (odds ratio [OR] 20.8, 95% CI 18.9-22.9). Patients more likely to provide an email address were treated for chronic conditions and were more likely born between 1950 and 1969 (taking patients born before 1950 as reference [OR 1.60, 95% CI 1.54-1.67], and compared to those born after 1990 [OR 0.56, 95% CI 0.53-0.59]). Of the 41,004 email addresses collected, 37,779 were associated with known email providers, 31,005 email addresses were associated with Google, Microsoft, Orange, and Yahoo!, 2878 with business emails addresses, and 347 email addresses with personalized domain names.

conclusionsEmails have been collected only recently in our institution. The importance of the year of last contact probably reflects this recent change in contact information collection policy. The demographic characteristics and especially the age distribution are likely the result of a population bias in the hospital: patients providing email are more likely to be treated for chronic diseases. A risk analysis of the use of email revealed several situations that could constitute a breach of privacy that is both likely and with major consequences. Patients treated for chronic diseases are more likely to provide an email address, and are also more at risk in case of privacy breach. Several common situations could expose their private information. We recommend a very restrictive use of the emails for health communication.

Indexed as

Epidemiologic StudiesCase-Control StudiesComputer SecurityElectronic MailFemaleFranceHospitals, UniversityHumansMaledata privacyemailhealth communication

Identifiers

PMID33625375
PMCPMC7946586

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