Waivers Restrict Patients from Sharing Physician Experience Online

In a relatively new trend, a small number of physicians are requiring patients to sign waivers that permit online discussion of their experience, but protect physicians from fictional or slanderous posts.

With more than 30 websites dedicated to patient reviews, physicians are taking measures to protect themselves from anonymous online postings with waivers. The documents are often called "Mutual Agreement to Maintain Privacy" and can be found among other routine patient paperwork, such as HIPAA agreements.

Many consumer advocates are calling it a medical gag order, criticizing the physicians who use the form as distrusting of patients. Also, in an effort to reduce online defamation, the use of the waiver has sparked it in other forms. Website RateMDs.com, for instance, is posting the names of physicians who require waivers on its "Wall of Shame."

Medical Justice, an organization aimed to protect physicians from frivolous lawsuits, supports the use of such waivers and says anonymous web postings by disgruntled patients can threaten a good name and practice. "Mutual Agreements do not create a choice between healthcare and one's right to free speech (as some have erroneously claimed)," the group says on its website. "There are existing processes and viable venues where patients can report bad experiences with physicians." Medical Justice says the Agreements provide an actionable tool to address fictional or slanderous posts. In return, patients are granted additional privacy protections by the doctor above and beyond those mandated by law.

Read more coverage of online ratings:

- Consumer Access to Hospital Data Places High Expectations on Facilities


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