Secure e-mailing between physicians and patients: transformational change in ambulatory care

J Ambul Care Manage. 2014 Jul-Sep;37(3):211-8. doi: 10.1097/JAC.0000000000000043.


Secure e-mailing between Kaiser Permanente physicians and patients is widespread; primary care providers receive an average of 5 e-mails from patients each workday. However, on average, secure e-mailing with patients has not substantially impacted primary care provider workloads. Secure e-mail has been associated with increased member retention and improved quality of care. Separate studies associated patient portal and secure e-mail use with both decreased and increased use of other health care services, such as office visits, telephone encounters, emergency department visits, and hospitalizations. Directions for future research include more granular analysis of associations between patient-physician secure e-mail and health care utilization.

MeSH terms

  • Attitude of Health Personnel
  • Communication
  • Computer Security / standards
  • Electronic Health Records / organization & administration
  • Electronic Health Records / standards
  • Electronic Health Records / trends*
  • Electronic Mail / standards
  • Electronic Mail / statistics & numerical data
  • Electronic Mail / trends*
  • Health Maintenance Organizations / organization & administration
  • Health Maintenance Organizations / trends
  • Humans
  • Office Visits / trends
  • Organizational Case Studies
  • Patient Satisfaction
  • Physician-Patient Relations*
  • Primary Health Care / methods
  • Primary Health Care / organization & administration
  • Primary Health Care / trends*
  • Quality of Health Care / organization & administration
  • Quality of Health Care / standards
  • Quality of Health Care / trends*
  • Workload