Telehealth and Medicine Today November 3, 2023
Dong-Gil Ko, PhD

Importance: Secure messaging is the only rapidly growing virtual care in the telehealth ecosystem; it is a cost-effective way to get medical advice and an alternative to an in-person, video, or telephone visit. Secure messaging has been shown to positively affect patients manage chronic diseases, improve health awareness and literacy, and improve communication and care coordination. However, providers have seen a 200% increase in secure messages in the past few years with some that are associated with medical visit avoidance and providers’ burnout. Such paradoxical tension raises questions about the value of secure messages and whether it impacts the quality of health care outcomes.

Objective: Conduct an empirical assessment and evaluate the extent to which and for whom secure messages...

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