How words discredit: A taxonomy of stigmatizing language in the electronic health record

Stigmatizing language in EHRs is not limited to discrete terms but is embedded in broader linguistic practices that shape how patients are represented and understood, particularly those describing how they fail to align with clinical expectations. This language may serve to document professional challenges, but it nonetheless reinforces paternalistic norms and compromises care. Understanding these dynamics is critical for moving toward patient-centered documentation and reducing harm in the EHR.

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Publication Details

Journal
Patient Education and Counseling
Published
2026-02-05
DOI
https://doi.org/10.1016/j.pec.2026.109520
Primary Topic
Electronic Health Records Systems
Type
article
Field-Weighted Citation Impact
0.00
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article

How words discredit: A taxonomy of stigmatizing language in the electronic health record

Somnath Saha, Kenneth E. Warner, Paul Drew, Mary Catherine Beach et al.
Patient Education and Counseling
Electronic Health Records Systems
article

How words discredit: A taxonomy of stigmatizing language in the electronic health record

Somnath Saha, Kenneth E. Warner, Paul Drew, Mary Catherine Beach, Amanda McArthur, Alya Ahmad, Anne R Links
article en

Abstract

Stigmatizing language in EHRs is not limited to discrete terms but is embedded in broader linguistic practices that shape how patients are represented and understood, particularly those describing how they fail to align with clinical expectations. This language may serve to document professional challenges, but it nonetheless reinforces paternalistic norms and compromises care. Understanding these dynamics is critical for moving toward patient-centered documentation and reducing harm in the EHR.

Patient Education and CounselingVol. 147
Johns Hopkins University (US), Johns Hopkins Medicine (US), University of York (GB)
Reduced inequalities
Openalex Percentile: Top 67%
Electronic Health Records Systems
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How words discredit: A taxonomy of stigmatizing language in the electronic health record — Somnath Saha, Kenneth E. Warner, et al. · Patient Education and Counseling (2026) | TGRS Research Map | TGRS