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Journal of the American Medical Informatics Association 9:209-216 (2002)
© 2002 American Medical Informatics Association

Implementation Brief

Desiderata for Personal Electronic Communication in Clinical Systems

Indra Neil Sarkar, BSc and Justin Starren, MD, PhD

Affiliation of the authors: Columbia University College of Physicians and Surgeons, New York, New York.

Correspondence and reprints: Justin Starren, MD, PhD, Medical Informatics, VC-5, 622 W. 168th St., New York, NY 10032; e-mail: <starren{at}dmi.columbia.edu>.

Electronic communication among clinicians and patients is becoming an essential part of medical practice. Evaluation and selection of these electronic systems, called personal clinical electronic communication (PCEC) systems, can be a difficult task in institutions that have no prior experience with such systems. It is particularly difficult in the clinical context. To directly address this point, the authors consulted a group of potential users affiliated with a nationally recognized telemedicine project, to determine important characteristics of a hypothetical PCEC system. They compiled a list of these characteristics and produced a desiderata, or list of desired features, for PCEC systems. Two conventional e-mail implementations and three Web-based PCEC systems were evaluated with respect to the features. The Web-based systems all scored higher than conventional e-mail. It is the hope of the authors that this paper will initiate further discussions about the features of PCEC systems and how to evaluate them.




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