Total count since 2012

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Count of Secure Messages by Year

Monthly Counts per Year

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2012

Count of Secure Messages by Month in 2012

2013

Count of Secure Messages by Month in 2013

2014

Count of Secure Messages by Month in 2014

2015

Count of Secure Messages by Month in 2015

2016

Count of Secure Messages by Month in 2016

2017

Count of Secure Messages by Month in 2017

2018

Count of Secure Messages by Month in 2018

2019

Count of Secure Messages by Month in 2019

2020

Count of Secure Messages by Month in 2020

Manual coding of secure messages

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Manual coding of secure messages

This tab demonstrates examples of manual coding of secure messages. We adapted multiple sources to generate our own codebook that we will use to annotate and code patient-provider communication codes in secure messages. This codebook will be updated as we continue to manually code the dataset of secure messages as described in the proposal.

Patient-Provider Communication Code	Operational Definition
Partnership	Requests for opinion, understanding, paraphrase and interpretations, and facilitating patient participation by equalizing status^a
Emotional Support	Statements or inquiries to generate reassurance, support, empathy, and other verbal displays of sensitivity^b
Information-Giving	Information provided in response to statements, questions, emotional expressions, or spontaneous information unrelated to previous statements or inquiries^c
Information-Seeking	Obtaining knowledge of a specific event or situation to attain, clarify, or confirm information^{d, e}
Shared Decision-Making	A two-way exchange of information and/or treatment preferences in which all parties participate in the decision-making process^f
Empathy	Explicit statements of emotion, or opportunities/recognition in which an inference of an underlying emotion has/has not been explicitly expressed^g

^a Adapted from Roter, D. L., & Hall, J. A. (2004). Physician gender and patient-centered communication: a critical review of empirical research. Annu. Rev. Public Health, 25, 497-519.

^b Adapted from Street Jr, R. L., & Millay, B. (2001). Analyzing patient participation in medical encounters. Health communication, 13(1), 61-73.

^c Adapted from Ishikawa, H., Son, D., Eto, M., Kitamura, K., & Kiuchi, T. (2017). The information-giving skills of resident physicians: relationships with confidence and simulated patient satisfaction. BMC Medical, 17(1), 34.

^dAdapted from Barsevick, A. M., & Johnson, J. E. (1990). Preference for information and involvement, information seeking and emotional responses of women undergoing colposcopy. Research in nursing & health, 13(1), 1-7.

^e Adapted from Corbo-Richert, B., Caty, S., & Barnes, C. M. (1993). Coping behaviors of children hospitalized for cardiac surgery: A secondary analysis. Maternal-Child Nursing Journal, 21(1), 27–36.

^f Adapted from Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in the medical encounter: what does it mean?(or it takes at least two to tango). Social science & medicine, 44(5), 681-692.

^gAdapted from Suchman, A. L., Markakis, K., Beckman, H. B., & Frankel, R. (1997). A model of empathic communication in the medical interview. Jama, 277(8), 678-682.

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Examples of coded text in secure messages

Examples of coded text in secure messages

Hi There Ive got the questions here and I will give this to Dr to discuss with at the appt Thank you

Dr Is there any chance I could be given a summary of the procedure and what was done without having to wait until March 24th as the wait is driving me nuts with the thought of what could be It would just greatly put my mind at ease and thank you for a great procedure as there was absolutely no pain or discomfort once I awoke in recovery

Can you let me know the results of the skin test for shingles from 1223 I could not find it in the tests tab Thanks -- -Anita

Hi Dr: When we spoke a week or so ago you were going to initiate a process to see if my Dad's insurance would cover the suggested chemo drug called Aduoradoline The good news is my dad received a phone call stating that the drug was approved by his insurance At this point do we assume that the insurance is going to cover the cost of the medication and move forward with getting him started on it Also I believe you were going to have your office reach out to me regarding an updated cat scan Just want to make certain we get this all going I can be reached at… Again thank you

I understand your concern but Dr is away for a few days I have you message and will give it to him tomorrow if he is reachable if not for sure on Friday when he is back in the office

Clusters/Topics in messages