Although email is now a very commonly-used method of communication, its use in health care is not yet routine. Email has been used for communication of clinical information between patients and healthcare professionals, but the effects of using email in this way are not known. In a recent review published by the Cochrane Collaboration, Helen Atherton and colleagues assessed the use of email for two-way clinical communication between patients and healthcare professionals. Atherton and colleagues concluded that the evidence was limited it was not possible to adequately assess the effect of email for clinical communication between patients professionals. They advised that future research should take into account the changing nature of technology when designing and conducting future studies and barriers to trial development and implementation should also be tackled. Potential outcomes of interest for future research include clinical effectiveness, cost-effectiveness and use of health services.
Dear Dr, I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London. Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently. Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have
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