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dc.contributor.authorMandl, Kenneth David
dc.contributor.authorKohane, Isaac Samuel
dc.contributor.authorBrandt, Allan M.
dc.date.accessioned2009-11-05T18:28:49Z
dc.date.issued1998
dc.identifier.citationMandl, Kenneth D., Isaac S. Kohane, and Allan M. Brandt. 1998. Electronic patient-physician communication: Problems and promise. Annals of Internal Medicine 129(6): 495-500.en_US
dc.identifier.issn0003-4819en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:3382980
dc.description.abstractA critical mass of Internet users will soon enable wide diffusion of electronic communication within medical practice. E-mail between physicians and patients offers important opportunities for better communication. Linking patients and physicians through e-mail may increase the involvement of patients in supervising and documenting their own health care, processes that may activate patients and contribute to improved health. These new linkages may have profound implications for the patientphysician relationship. Although the federal government proposes regulation of telemedicine technologies and medical software, communications technologies are evolving under less scrutiny. Unless these technologies are implemented with substantial forethought, they may disturb delicate balances in the patient-physician relationship, widen social disparities in health outcomes, and create barriers to access to health care. This paper seeks to identify the promise and pitfalls of electronic patient-pbysician communication before such technology becomes widely distributed. A research agenda is proposed that would provide data that are useful for careful shaping of the communications infrastructure. The paper addresses the need to 1) define appropriate use of the various modes of patient-physician communication, 2) ensure the security and confidentiality of patient information, 3) create user interfaces that guide patients in effective use of the technology, 4) proactively assess medicolegal liability, and 5) ensure access to the technology by a multicultural, multilingual population with varying degrees of literacy.en_US
dc.description.sponsorshipHistory of Scienceen_US
dc.language.isoen_USen_US
dc.publisherAmerican College of Physiciansen_US
dc.relation.isversionofhttp://www.annals.org/en_US
dc.relation.hasversionhttp://www.annals.org/content/129/6/495.fullen_US
dash.licenseLAA
dc.titleElectronic Patient-Physician Communication: Problems and Promiseen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalAnnals of Internal Medicineen_US
dash.depositing.authorBrandt, Allan M.
dc.date.available2009-11-05T18:28:49Z
dc.identifier.doi10.7326/0003-4819-129-6-199809150-00012
dash.contributor.affiliatedBrandt, Allan
dash.contributor.affiliatedKohane, Isaac
dash.contributor.affiliatedMandl, Kenneth
dc.identifier.orcid0000-0003-1589-5700


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