ArticleJournal of general internal medicine2023
Barriers to Adoption of a Secure Text Messaging System: a Qualitative Study of Practicing Clinicians.
Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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
9 citing papers in PubMed.
- Adoption and Use of Social Media in Health Care Among Medical Residents: Cross-Sectional Study.JMIR medical education · 2026Article
- Social Network Analysis of Secure Text Messaging Metadata During Clinical Deterioration in an Inpatient Children's Hospital Setting.Journal of medical systems · 2025Article
- Article
- Contributors to Electronic Health Record-Integrated Secure Messaging Use: A Study of Over 33,000 Health Care Professionals.Applied clinical informatics · 2024Article
- Privacy and confidentiality of emergency department patient information: Contemporary considerations and challenges.Journal of the American College of Emergency Physicians open · 2024Article
- Supportive Digital Health Service During Cancer Chemotherapy: Single-Arm Before-and-After Feasibility Study.JMIR formative research · 2023Article
- Characterizing the Patterns of Electronic Health Record-Integrated Secure Messaging Use: Cross-Sectional Study.Journal of medical Internet research · 2023Observational
- Texting is caring: a content analysis of clinical text messages by hospitalists.BMJ open quality · 2023Article
- Moving from non-emergency bleeps and long-range pagers to a hospital-wide, EHR-integrated secure messaging system: an implementer report.BMJ health & care informatics · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundSecure text messaging systems (STMS) offer HIPAA-compliant text messaging and mobile phone call functionalities that are more efficient than traditional paging. Although some studies associate improved provider satisfaction and healthcare delivery with STMS use, healthcare organizations continue to struggle with achieving widespread and sustained STMS adoption.
objectiveTo understand the barriers to adoption of an STMS among physicians and advanced practice providers (APPs).
designWe qualitatively analyzed free-text comments that clinicians (physicians and APPs) across a large healthcare organization offered on a survey about STMS perceptions.
participantsA total of 1110 clinicians who provided a free-text comment in response to one of four open-ended survey questions. APPROACH: Data were analyzed using a grounded theory approach and constant comparative method to characterize responses and identify themes. KEY
resultsThe overall survey response rate was 20.5% (n = 1254). Clinicians familiar with the STMS frequently believed the STMS was unnecessary (existing tools worked well enough) and would overburden them with more communications. They were frustrated that the STMS app had to be downloaded onto their personal mobile device and that it drained their battery. Ambiguity regarding who was reachable in the app led to missed messages and drove distrust of the STMS. Clinicians saw the exclusion of other care team members (e.g., nurses) from the STMS as problematic; however, some clinicians at hospitals with expanded STMS access complained of excessive messages. Secondhand reports of several of these barriers prevented new users from downloading the app and contributed to ongoing low use.
conclusionsClinicians are reluctant to adopt an STMS that does not offer a clear and trustworthy communication benefit to offset its potential burden and intrusiveness. Our findings can be incorporated into STMS implementation strategies that maximize active users by targeting and mitigating barriers to adoption.
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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.