Off the Charts: Medical documentation and selective redaction in the age of transparency

Perspectives in Biology and Medicine 61 (1):118-129 (2018)
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A 47-year-old woman with a history of anxiety disorder is admitted to the hospital for shortness of breath. On the third day of hospitalization, she asks her physician for a copy of all documents pertaining to her care. What expectation should she have for full disclosure? Are there limits on her access to her medical records and do her physician's concerns about professional privilege matter?The virtues of transparency in medicine have been well described. As proponents of transparency, we favor patient access to their medical records, but we are increasingly troubled by the ease and extent of disclosure in current practice as technology advances and...



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Joseph Fins
Cornell University

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