"Ten years after the adoption of the HITECH Act of 2009, eMessaging and the Physician/Patient Dynamic: Practices in Transition examines the complex, interlocking forces at play when mandates for electronic heath records (EHRs) and electronic messaging within secured health portals forced an unprecedented transformation of the healthcare environment. Technological, sociologial, medical, economic, political, governmental, legal, and communication issues converged, forever altering the "medicological environment," a space within which health professionals and patients alike strive towards efficacious, sastisfying transactions that lead to improved health. Susan M. Wieczorek's analysis discusses the layers of policies and regulations that thrust healthcare users - often unwillingly - into the newly required practice of online communication between physicians and patients. Wieczorek also compares and contrasts rural and urban early adoption practices through the use of surveys, critical incident reports, and oral histories and anticipates future trends in data mining of electronic messaging by demonstrating a content analysis of over 60,000 electronic medical transactions within secured health portals. This book identifies the key converging influences that affected the real-life, early adopters amid this transformation process and provides a practical foundation for current, on-going practice applications while anticipating the inevitable challenges of future health communication technologies.".

• Cover
• eMessaging and the Physician/Patient Dynamic
• eMessaging and the Physician/Patient Dynamic: Practices in Transition
• Copyright
• Contents
• Chapter 1
  • The Physician/Patient Electronic Message
    • Introducing Change in the Healthcare Industry: Medical Science and Technology
    • Converging Influences: Medical Communication, Technology, and Government
    • Exploring the Process: Electronic Messaging within the Secured Portals of EHRS
    • Chapter 2 Overview: Media and Policies
    • Chapter 3 Overview: The Medicological Environment
    • Chapters 4 through 6 Overview: Applications and Research
    • The Future
    • Notes
• Chapter 2
  • The Interlocking Perspectives
    • Policy and the Physician Perspective
    • Notes
• Chapter 3
  • The Medicological Environment
    • The Evolving Sociotechnological Response6
    • Public Response to a Changing Climate: The Pre-HITECH Act Environment
    • The Physician/Patient Response to New Mandates: The Post-HITECH Act
    • The Medicological Environments as a Field of Study
    • Notes
• Chapter 4
  • The Rural Environment
    • A Personal Perspective: JohnstoWn, Pennsylvania
    • Oral History Interview of Physicians
    • Surveys of Rural Physicians
    • Critical Incident Study on Rural Patient Response to Online Medical Communication
    • Concluding Remarks
    • Notes
• Chapter 5
  • The Urban Environment
    • The Medicological Environment: The Urban Area through the Eyes of Rural America
    • Surveys of Urban Physicians and Patients
    • Future Directions of Urban and Rural Research
    • Conclusion
    • Notes
• Chapter 6
  • The Paradigmatic Shift within the Medicological Environment
    • Shift in Physician Training Perspective
    • Shift in Research
    • Shift in Privacy Concerns with Increased Usage
    • The Medium’s Message in the Medicological Environment
    • Notes
• References
• Index
• About the Author