Patient Perspectives on AI-Drafted Electronic Portal Messages - Report - MDSpire

Patient Perspectives on AI-Drafted Electronic Portal Messages

  • By

  • Kellie Owens

  • Athmeya Jayaram

  • Anand Chowdhury

  • Kathryn I. Pollak

  • Sam Klotman

  • Zachary Griffen

  • Miles Danielski

  • Ben Goldstein

  • Jennifer Maddocks

  • Matthew Roman

  • Eric G. Poon

  • Armando Bedoya

  • Joanna Cavalier

  • July 7, 2026

  • 0 min

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Clinical Report: Insights from Patients Regarding AI-Generated Messages in Electronic Health Portals

Overview

This qualitative study explores patient perceptions of AI-generated messages in electronic health portals.

Background

The integration of electronic patient portals has transformed outpatient care, facilitating communication between patients and healthcare providers. However, the increasing volume of messages has contributed to clinician burnout, prompting health systems to explore AI solutions for drafting responses. Understanding patient perspectives on AI in this context is crucial for effective implementation.

Data Highlights

No numerical data was presented in the source material.

Key Findings

  • Patients preferred AI-drafted responses over clinician-written ones.
  • Satisfaction with AI responses decreased when patients were informed that AI was involved in drafting.
  • Patients' evaluations of AI messages were influenced by their beliefs about AI's role in clinical relationships.
  • Key ethical questions remain regarding AI's impact on trust and communication in healthcare.
  • The study utilized in-depth interviews to gather qualitative data from a diverse patient population.

Clinical Implications

Healthcare providers should consider patient preferences and concerns regarding AI-generated communications when implementing these technologies. Transparency about AI involvement may affect patient satisfaction and trust, necessitating careful management of disclosure practices.

Conclusion

The study examines patient attitudes towards AI in healthcare communication.

Related Resources & Content

  1. JAMA Network Open, 2026 -- What Patients Want From AI-Drafted Portal Messages—Empathy in the In-Basket
  2. npj Digital Medicine, 2025 -- Utilization of Generative AI-drafted Responses for Managing Patient-Provider Communication
  3. npj Digital Medicine, 2025 -- Accessing AI mammography reports impacts patient follow-up behaviors: the unintended consequences of including AI in patient portals
  4. Trends in Patient Portal Messages, Office Visits, and Telephone Encounters | Digital Health | JAMA | JAMA Network, 2026
  5. A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions | npj Health Systems, 2026
  6. conexiant — What Patients Aren’t Telling You: AI in Mental Health Care
  7. Trends in Patient Portal Messages, Office Visits, and Telephone Encounters | Digital Health | JAMA | JAMA Network
  8. A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions | npj Health Systems
  9. https://digitalassets.jointcommission.org/api/public/content/dcfcf4f1a0cc45cdb526b3cb034c68c2?v=3edb8a95

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