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August 25, 1999

Doctor, You've Got E-mail

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(8):729-731. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-8-jbk0825

To the Editor: Medicine at the turn of the millennium is on the brink of a huge leap forward, fueled not just by the anticipated fruits of the Human Genome Project but especially by the increased access and use of informatics technologies and electronic databases. Yet there are massive technical, legal, and ethical dilemmas that need to be resolved before e-mail consulting can become a standard physician's tool, as pointed out in the article by Ms Spielberg.1 Major worries include liability, consent, patient privacy, and harassment issues.

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