Jordan M Alpert1, Shu Wang2, Carma L Bylund3, Merry Jennifer Markham4, Ragnhildur I Bjarnadottir5, Ji-Hyun Lee2, Jennifer Elston Lafata6, Ramzi G Salloum7. 1. Department of Advertising, University of Florida, Gainesville, FL, USA. Electronic address: Jordan.alpert@ufl.edu. 2. Department of Biostatistics, University of Florida, Gainesville, FL, USA. 3. Department of Public Relations, Division of Hematology & Oncology, University of Florida, Gainesville, FL, USA. 4. Department of Medicine, Division of Hematology & Oncology, University of Florida, Gainesville, FL, USA. 5. College of Nursing, University of Florida, Gainesville, FL, USA. 6. UNC Eshelman School of Pharmacy and UNC Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, USA. 7. Department of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Abstract
BACKGROUND: Patient-centered communication benefits patients and is widely endorsed. However, it is primarily associated with face-to-face contexts, although patients are increasingly using electronic platforms, such as secure messaging in patient portals, to communicate with providers. PURPOSE: Given the popularity of secure messaging and its ability to impact the patient-provider relationship, this study aimed to determine which attributes of patient-centered communication are most desired by cancer patients using secure messaging. METHODS: A 26 balanced incomplete block design discrete choice experiment was conducted using the best-worst scaling technique. Respondents were asked to select their most and least preferred attributes of two simulated patient-provider exchanges within each of eight choice sets. RESULTS: 210 respondents indicated that either level of partnership (high and low) and either level of information-giving (high and low) were most preferred, while response times greater than 24 hours and low levels of support were least favored. CONCLUSIONS: Similar to face-to-face communication, patients value aspects of patient-centered communication in the secure messaging setting and desire them to be included in provider replies. PRACTICE IMPLICATIONS: Patient-centered communication is important to patients using secure messaging. Providers should incorporate SPICE (Support, Partnership, and Information-giving while Communicating Electronically).
BACKGROUND:Patient-centered communication benefits patients and is widely endorsed. However, it is primarily associated with face-to-face contexts, although patients are increasingly using electronic platforms, such as secure messaging in patient portals, to communicate with providers. PURPOSE: Given the popularity of secure messaging and its ability to impact the patient-provider relationship, this study aimed to determine which attributes of patient-centered communication are most desired by cancerpatients using secure messaging. METHODS: A 26 balanced incomplete block design discrete choice experiment was conducted using the best-worst scaling technique. Respondents were asked to select their most and least preferred attributes of two simulated patient-provider exchanges within each of eight choice sets. RESULTS: 210 respondents indicated that either level of partnership (high and low) and either level of information-giving (high and low) were most preferred, while response times greater than 24 hours and low levels of support were least favored. CONCLUSIONS: Similar to face-to-face communication, patients value aspects of patient-centered communication in the secure messaging setting and desire them to be included in provider replies. PRACTICE IMPLICATIONS: Patient-centered communication is important to patients using secure messaging. Providers should incorporate SPICE (Support, Partnership, and Information-giving while Communicating Electronically).
Authors: Consuela C Yousef; Teresa M Salgado; Ali Farooq; Keisha Burnett; Laura E McClelland; Laila C Abu Esba; Hani S Alhamdan; Sahal Khoshhal; Ibrahim Aldossary; Omar A Alyas; Jonathan P DeShazo Journal: Appl Clin Inform Date: 2022-02-09 Impact factor: 2.342
Authors: Jordan M Alpert; Gemme Campbell-Salome; Cayle Gao; Merry Jennifer Markham; Martina Murphy; Christopher A Harle; Samantha R Paige; Till Krenz; Carma L Bylund Journal: Telemed J E Health Date: 2021-11-11 Impact factor: 5.033
Authors: Jordan M Alpert; Chelsea N Hampton; Aantaki Raisa; Merry Jennifer Markham; Carma L Bylund Journal: Support Care Cancer Date: 2022-10-19 Impact factor: 3.359