Take Two Aspirin and e-mail Me in the Morning

Doctors can not do more home visits, but they are the response of patients E-mail - and it is paid.

In a step towards improving the efficiency and cost control, health and medical groups across the country are now to pay doctors to reply by e-mail, just as they pay for office visits. While some computer-literate doctors have been sent by e-mail to communicate informally with patients for years, most have never paid for this service.

Brian Settlemoir, 39, an accountant in Folsom, California, recently launched an e-mail to his doctor on the Creekside Medical Group to ask whether the time had reduced the dosage of a drug based on its rate cholesterol decreased. The answer was “not yet”.

“I sit on the workplace,” said Settlemoir. “I have E-mail open anyway. It is much easier than vocation and voice mail and calls based on the hand. It is very precious to me. ”

Blue Shield of California pays his doctor $ 25 for each online exchange, the same as it pays for an office visit. Some insurers pay a bit less for e-mails, and patients in some health plans public a $ 5 or $ 10 co-payment of bills, as their credit card and a doctor.

For doctors, the convenience of online trading can be substantial. They say they can offer advice about postsurgical care, diet, changing a medication and other topics that can not be dealt with swiftly and surely, without an office visit or a frustrating series of telephone numbers per day. And surveys have shown that e-mails, by reducing the number of daily office visits, doctors spend more time with patients to see face to face.

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