Off the Charts: Medical documentation and selective redaction in the age of transparency. Academic Article uri icon

Overview

abstract

  • A growing demand for transparency in medicine has the potential to strain the doctor-patient relationship. While information can empower patients, unrestricted patient access to the electronic medical record may have unintended consequences. Medical documentation is often written in language that is inaccessible to people without medical training, and without guidance, patients have no way to interpret the constellation of acronyms, diagnoses, treatments, impressions, and arguments that appear throughout their own chart. Additionally, full transparency may not allow physicians the intellectual or clinical freedom they need to authentically express questions, problematic impressions, and concerns about the patient's clinical and psychosocial issues. This article examines the ethical challenges of transparency in the digital era and suggests that selective redaction may serve as a means to maintain transparency, affirm physician's discretion, and uphold the core values of the doctor-patient relationship amidst disruptive technological change.

publication date

  • January 1, 2018

Research

keywords

  • Documentation
  • Physician-Patient Relations

Identity

Scopus Document Identifier

  • 85047356458

Digital Object Identifier (DOI)

  • 10.1353/pbm.2018.0031

PubMed ID

  • 29805152

Additional Document Info

volume

  • 61

issue

  • 1