Cyberdermatoethics I: ethical, legal, technologic, and clinical aspects of patient-physician e-mail

Complexity and Simplicity in Doctor–Patient Email Consultations

“…For example, a literature review revealed that e-consultations are generally valued by patients who deem them to improve convenience and access, facilitate more detailed informational exchanges, and provide freedom from the medical gaze, although patients have also expressed concerns about security and delays in response (Fage-Butler & Nisbeth Jensen, 2015). Doctors, on the other hand, see e-consultations as having the potential to promote the doctor-patient relationship, but have expressed concern about increased workload, security issues, ethical issues, inappropriate use of email by patients, lack of reimbursement as well as the quality of the health outcomes deriving from e-consultations (Albersheim, 2010;Antoun, 2016;Luo, Logan, Long, & Bercovitch, 2009;Mold et al, 2019;Ye, Rust, Fry-Johnson, & Strothers, 2010).…”

E- Mail Communication Applications in Patient Physician Communication: A Systematized Review

“…Type of disease Diabetes, blood pressure [5,32,36], asthma [32,36], cardiovascular [11,20,32,36], Psoriasis [20], allergy, high cholesterol, depression [11, 36] 3 Type of specialty General practitioner and family physician [23,35,36], primary care practitioner [7,12,13,16,25,26,28,30,36,37,39,40], surgeon [12,16,23,36], internist [16,36], gynecologist [5,16,28], neurologist, emergency specialist, psychiatrist [28], pediatrician [26, 35-37] 4 Email subject in relation between physician and patient Laboratory resources [35][36][37], criticism and acknowledgment [22], nutritional modification interactive program (smoking cessation and weight loss ) [13,32] Obtaining health information in order to prevent diseases [32,35,…”

“…Healthcare quality improvement and the ability to add information to patients health record [15,18,20] Repayments by patients and increasing the costs [20, 31, 35] 2 Saving physician and patient time [25,28,32] Required time to answer patients' email [27, 28, 40] 3 Increasing the patients' incorporation in medical decisions making [5,6,12,18,20,32] Increasing workload [37][38][39][40] 4…”

“…More communication with patients despite reduction in transferring virus [13,15,20,39] Email sender authentication [17,40] 5…”

“…Threatens Medical risks and the possibility of misdiagnosing [4,5,17,31,37], using of email for making trouble for physicians [8,15,27,35,37], confidentiality of data [5,7,8,12,15,17,27,31]. 2 limitation Security limitations [26,32,39,40], limitations on costs repayment [26,30], misunderstanding of some information by patients [20], the possible misusing [26] down a deposit can schedule patients' subsequent interactions with clinics [14]. To manage the mass of emails, clinics' staffs are suggested to be used to manage emails, medical results explanation and online healthcare reimbursement mechanism [20].…”