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Affiliation of the authors: American Medical Informatics Association, Bethesda, MD.
Correspondence and reprints: Beverley Kane, MD, Philips Multimedia Center, 1070 Arastradero, Palo Alto, CA 94304. e-mail: <bkane{at}pmc.philips.com>.
Abstract Guidelines regarding patient—provider electronic mail are presented. The intent is to provide guidance concerning computer-based communications between clinicians and patients within a contractual relationship in which the health-care provider has taken on an explicit measure of responsibility for the client's care. The guidelines address two interrelated aspects: effective interaction between the clinician and patient, and observance of medicolegal prudence. Recommendations for site-specific policy formulation are included.
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