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Although in almost every era, doctors have perceived
themselves as "running faster," there is little evidence to support
this. Data from both the United Kingdon and the United States show that the time doctors spend with patients is increasing, even though doctors
believe that they have less time for each patient. In his 35 year
study, Mechanic (p 266) found that doctors feel more stressed because
there is now so much more they can do, patients and the public expect
more, and there are more external forces impinging on their practice.
The author suggests that properly structured email communication with
patients, with adequate safeguards will help to maintain continuity of
care, help to deal with routine matters and allow more time for
meaningful communication.