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Text messaging has changed the way we communicate with each other. Like most people, healthcare team members use their mobile devices at work,^1,2,3 and texting about patients is common.⁴ Texting with patients and other members of the healthcare team has risks and benefits.

Texting presents unique communication challenges. The brevity and casual nature of text communication that makes it convenient can also make it inappropriate in a healthcare setting. One key to using text messaging in healthcare is to know when an in-person or telephone conversation is necessary. Telephone conversations allow for important information to be exchanged with greater ease, and a more natural opportunity for questions and responses.

Text messaging can provide quick, efficient communication between physicians and patients. In malpractice litigation, it can also prove physician attentiveness and responsiveness. However, text messages can complicate the defense of a malpractice claim, particularly if they are not integrated into the patient record. Consider how documentation issues unnecessarily complicated the defense in the following case.

Texting can blur traditional patient-physician boundaries. The loosening of social inhibitions in the online environment often allows people to behave differently than they would in person, a phenomenon known as the online disinhibition effect.

Patient activation has a significant effect on a patient’s management of chronic disease.¹ Various studies indicate that promoting discussion and problem solving to help chronic disease patients make informed self-management choices on an ongoing basis increases activation and improves outcomes.²