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Texting protected health information (PHI) without proper safety and encryption processes in place could result in HIPAA/HITECH violations, and noncompliance with CMS and accreditation requirements for secure text messaging, and violation of state medical information confidentiality laws. Because PHI goes where the phone goes, ensuring the privacy and security of PHI sent by text messaging can be challenging.

Text messaging often serves as a distraction. And distractions, in general, increase the risk of patient injury.¹ Whether work related or personal, texting generally involves cognitive, visual, and manual tasks. Like phone calls; pages; alarms; and colleague, patient, and patient family requests, text messaging increases the already immense amount of information received and processed during patient care.²

More than 68,000 Americans died of opioid-involved overdose in 2020—a 37.6 percent increase over 2019, and the largest yearly increase in opioid-involved overdose deaths in two decades.^1,* A total of 16,416 (23.9 percent) of those deaths involved prescription opioids.¹ Approximately 21 to 29 percent of patients prescribed opioids for chronic pain misuse them,² and between 8 and 12 percent of patients prescribed opioids for chronic pain will develop an opioid use disorder (OUD).² It’s no surprise, then, that overdose death involving opioids is referred to as “a public health emergency” and an epidemic.^3,4

Alone or in combination, various patient, physician, and healthcare environment issues can contribute to patients being perceived as difficult. And, since physician burnout can both increase the incidence of challenging patient encounters¹ as well as result from these encounters,² reducing physician burnout stressors and reducing the factors contributing to physician-perceived difficult encounters could help mitigate both.

Needy patients are part of every medical practice and they can quickly earn a difficult patient label. The need for reassurance from one’s physician is normal. However, patients with a disproportionate need for reassurance can contribute to physician burnout. Particularly in a busy practice with tightly scheduled appointments, very needy patients can become overwhelming.¹ Appointments can end with both patient and physician feeling unsatisfied and irritated.