The use of asynchronous digital two-way communication between patients and healthcare professionals after hospital discharge: A scoping review
Open accessAbstract
OBJECTIVE: This scoping review aimed to identify and map how asynchronous digital two-way communication is used between patients and healthcare professionals after hospital discharge, as well as identify facilitators and barriers to implementation. METHODS: Following the JBI guidance for scoping reviews, we searched seven databases on August 29, 2022. Rayyan was employed for screening the articles, and data were extracted using a predefined and iteratively modified data extraction tool. Facilitators and barriers were systematically categorized according to the domains and constructs of the Consolidated Framework for Implementation Research (CFIR). RESULTS: Forty articles were included, primarily published between 2012 and 2022 and from the USA. In the majority of articles (77.5 %), asynchronous digital two-way communication was a part of a larger eHealth intervention. Nurses were the healthcare professionals most frequently mentioned as answering patients' messages (35 %) with response times sparsely described, and varying between four hours and three days. Efforts done to implement asynchronous digital two-way communication were only mentioned in 37.5 % of the articles. Facilitators included easy access, convenience, less disturbance, shared expectations for use and communication with professionals familiar to the patient. Barriers involved fear of overlooking health issues, risk of answers being delayed, technical issues and unclear response times. CONCLUSION: There is a gap in the literature between studies that describe the use of asynchronous digital two-way communication after hospital discharge exhaustively and reports on facilitators and barriers to implementation. PRACTICE IMPLICATIONS: This scoping review serves as an overview of the current use of asynchronous digital two-way communication after hospital discharge and sheds light on facilitators and barriers to implementation pertinent to this specific period.
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- Authors
- Jensen, L. W. H., Ghaffari, A., Rahbek, O., Dinesen, B., & Kold, S.
- Affiliations
- Aalborg University Hospital (DK)
- Aalborg University (DK)
- Corresponding author
- Jensen, Lili Worre Høpfner
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2024-11
- Volume
- 128
- Pages
- 108393
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W4401417778
- Cited by
- 4
- References
- 79
- Citations by year
- 2026: 3 · 2025: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Patient Education and Counseling (publishedVersion, cc-by)
- PubMed (publishedVersion)
- VBN Forskningsportal (Aalborg Universitet) (submittedVersion, cc-by)
- Funders
- Aalborg University Hospital (2021-0019)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- two-way messaging, patient-physician communication, hospital discharge, post-discharge care, digital health interventions, implementation barriers and facilitators, nurse response time
- MeSH terms
- Communication, Health Personnel, Humans, Patient Discharge, Professional-Patient Relations, Telemedicine
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