Ethical Guidelines for Use of Electronic Mail Between Patients and Physicians
Abstract
This report examines the ethical implications of electronic communication, focusing on the use of electronic mail (e-mail), considers its impact on a previously established patient-physician relationship, and the limitations in using e-mail to create a new patient-physician relationship. In its recommendations, this report offers guidance to physicians who use electronic mail to communicate with patients and online users. These guidelines maintain that e-mail should not be used to establish a patient-physician relationship, but rather to supplement personal encounters. When using e-mail, physicians hold the same ethical responsibilities to their patients as they do during other encounters and that information must be presented in a manner that meets professional standards. The report requires that physicians notify patients of e-mail's inherent limitations and that patients be given the opportunity to accept these limitations prior to the communication of privileged information. Finally, physicians should be aware of privacy and confidentiality concerns when using e-mail to communicate with patients.
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It is questionable to establish a patient-physician relationship only through social media, just as establishing one by email outside an existing relationship raises concerns about the relationship's integrity, trust, and the patient's best interests.
“Just as establishing a patient-physician relationship via email outside of a preexisting relationship may be medically and ethically objectionable because of questions about the integrity of the patient-physician relationship, trust, and the patient's best medical interests, 65 so comes into question establishing a relationship solely via social media.”
From Social Media and Clinical Care: Ethical, Professional, and Social Implications (2013) · cites this paper as [65]
Cites
Beauchamp, D. E. (1983) · Political Science Quarterly · doi:10.2307/2149741 · Cited by 623 · see citing works
Preserving the Physician-Patient Relationship in the Era of Managed Care
Emanuel, E. J. (1995) · JAMA · doi:10.1001/jama.1995.03520280069043 · Cited by 411 · see citing works
The Patient-Physician Relationship
Epstein, R. M. (2002) · Springer eBooks · doi:10.1007/0-306-47565-0_19 · Cited by 258 · see citing works
Electronic Patient-Physician Communication: Problems and Promise
Mandl, K. D., Kohane, I. S., & Brandt, A. M. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-129-6-199809150-00012 · Cited by 222 · see citing works
Responses to Unsolicited Patient E-mail Requests for Medical Advice on the World Wide Web
Eysenbach, G. (1998) · JAMA · doi:10.1001/jama.280.15.1333 · Cited by 140 · see citing works
Ready or Not, Here It Comes: The Legal, Ethical, and Clinical Implications of E-mail Communications
DeVille, K., & Fitzpatrick, J. (2000) · Seminars in Pediatric Surgery · doi:10.1016/s1055-8586(00)70005-9 · Cited by 32 · see citing works
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eHealth Trends in Europe 2005-2007: A Population-Based Survey
Kummervold, P. E., Chronaki, C. E., Lausen, B., Prokosch, H.-U., Rasmussen, J., Santana, S., Staniszewski, A., & Wangberg, S. C. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.1023 · Cited by 449 · see citing works
Social Media and Clinical Care: Ethical, Professional, and Social Implications
Chretien, K. C., & Kind, T. (2013) · Circulation · doi:10.1161/circulationaha.112.128017 · Cited by 355 · see citing works
Medical professionalism in the age of online social networking
Guseh, J. S., Brendel, R. W., & Brendel, D. H. (2009) · Journal of Medical Ethics · doi:10.1136/jme.2009.029231 · Cited by 165 · see citing works
Brooks, R. G., & Menachemi, N. (2006) · Journal of Medical Internet Research · doi:10.2196/jmir.8.1.e2 · Cited by 145 · see citing works
Kinnane, N. A., & Milne, D. J. (2010) · Supportive Care in Cancer · doi:10.1007/s00520-010-0863-4 · Cited by 121 · see citing works
- Authors
- Bovi, A. M.
- Corresponding author
- Bovi, Amy M.
- Venue
- The American Journal of Bioethics
- Publisher
- Informa UK Limited
- Published
- 2003-08
- Volume
- 3
- Issue
- 3
- Pages
- 43-47
- ISSN
- 1526-5161 (ISSN-L)
- 1536-0075
- OpenAlex
- W2152299902
- Cited by
- 48
- References
- 6
- Citations by year
- 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 5 · 2012: 3
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Bioethics (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Medical and Health Sciences Research
- Keywords
- email, physician-patient relationship, medical ethics, physician-patient communication, online communication, privileged information, patient privacy, confidentiality
- MeSH terms
- Communication, Confidentiality, Health Services Accessibility, Physician-Patient Relations, Social Change, United States, Guidelines as Topic, Electronic Mail
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