pros and cons of confidentiality in healthcare

Parent or guardian access to the patients visit notes through the electronic patient portal poses the potential that confidential and sensitive information may be accessed, resulting in a breach of confidentiality and potentially adverse outcomes for the adolescent patient. American College of Obstetricians and Gynecologists. WebInformed consent in medical ethics is commonly viewed as the key to respecting patient autonomy. J Adolesc Health 2004;35:1607. What you tell your doctor, lawyer, or psychologist is supposedly protected information that cannot be shared with others, no matter how intimate, gory, or revealing it may be. Any updates to this document can be found on acog.org or by calling the ACOG Resource Center.While ACOG makes every effort to present accurate and reliable information, this publication is provided as is without any warranty of accuracy, reliability, or otherwise, either express or implied. A Story of Ethics and HIV Disclosure. ), as well as communications between patient and doctor, and generally includes communications between the patient and other professional staff working with the doctor. Given the health concerns, at least one court has held that a physician may have a duty to disclose genetic information about a patient to immediate family members. 3rd ed. This is because; if an The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. An EHR makes it much easier for a medical practice to track a charge for each procedure performed. This is due to the fact that if the doctor might not be able to offer the right care to the patient. Being aware of alternate health care referral centers for free or substantially decreased costs may be of benefit for the adolescent if there is a risk of billing disclosure. This section outlines the mandatory reporting situations (those that require disclosure to specific authorities) as well as the permissive exceptions (those that allow a physician to use his or her own discretion in deciding whether to disclose a patients information). Pros: A single-payer system offers individuals greater control over their healthcare, providing the ability to choose their doctors based on approach or reputation. There should be private conversation time between the health care provider and adolescent patient. The most obvious examples of public health concerns outweighing individual rights to confidentiality are from contagious disease cases. References Cons: Physicians have less autonomy and less continuity with patients. The American College of Obstetricians and Gynecologists recommends that a chaperone be in the room during the physical examination, as well as during diagnostic studies such as transvaginal ultrasonography 11. There are many distinct conceptions of individual autonomy in circulation, and even more views of the value and importance of these various conceptions. Over time, however, regulations have been developed to protect the privacy and security of certain health information. Duty to warn cases focus on (1) the seriousness of the threat of harm and (2) the identifiability of the victim (whether there is a specific individual at risk). Therefore, they It is unclear how this issue affects confidentiality, and, many states have been hesitant to extend such a duty to health professionals. Engaging patients through open notes: an evaluation using mixed methods. However, the obstetriciangynecologist should exercise extreme caution when using a personal patient email address to relay medical information because email servers may not be secure 6. Using technology to deliver health care has several advantages, including cost savings, convenience, and the ability to provide care to people Protection of privacy also ensures that the societal values are also protected. The American College of Obstetricians and Gynecologists offers the following recommendations and conclusions: Confidential care for adolescents is important because it encourages access to care and increases discussions about sensitive topics and behaviors that may substantially affect their health and well-being. This will allow patients to create their own direct access to their record, rather than through a parent or guardian. Optimally, obstetriciangynecologists should ensure that medical record information, including EHR information, for care provided under minor consent or mature minor provisions is considered confidential and should not be disclosed to parents or guardians without adolescent consent. Cons: A single-payer system can be more costly, as it allows doctors and health care facilities to negotiate the terms of their contracts. (Eds.). People would have to worry less about their future. Beyond the HIPAA privacy rule: enhancing privacy, improving health through research. First, we want to make sure that adolescent patients have access to health care to make sure that they are healthy and safe. 4th ed. Confidentiality discussions and private time with a health-care provider for youth, United States, 2016. This claim is endlessly repeated but deeply obscure. Explanation of benefits statements (health care billing and insurance claims sent by insurance carriers) are an additional challenge to confidentiality. It builds trust: Experimenting with a range of behavior is common among adolescents and young adults. Top of Page Sharing medical information for research purposes is more controversial. High quality handovers are essential for safe healthcare and are used in many clinical situations. Any potential conflicts have been considered and managed in accordance with ACOGs Conflict of Interest Disclosure Policy. OpenNotes is a national initiative that encourages patient access to visit notes written by their health care providers 19. Recommendations for electronic health record use for delivery of adolescent health care. State laws typically either address the type of information (usually based on disease or illness) or the entity holding the information (such as government agencies), or both. While it is generally accepted that patients must consent before being entered into a research study, some state laws explicitly carve out an exception to confidentiality restrictions, allowing access to medical records for research purposes. Pros: Salaries might be lower than in other practice settings, but there are often added benefits, including more time off and better retirement options. J Adolesc Health 2014;54:48790. The Importance of Supplemental Disability Insurance. One of the biggest problems in confidentiality protections is the lack of clarity about when patient confidentiality can be breached. J Adolesc Health 2016;58:13440. Quicker access to test results. Every patients file needs to be protected as it is stored in the network database. ACOG Committee Opinion No. 1. Pros and Cons of Technology in Healthcare. Adolescent health care, confidentiality . The Health Insurance Portability and Accountability Act (HIPAA) privacy rule, however, defers to state and other federal applicable laws about disclosure of protected health information for unemancipated minors that may allow health care providers discretion regarding parental or guardian access to a minors protected health information 15. People could make long-term plans in a more profound manner. What is managed Care One form of medical coverage is the managed-care plan. All rights reserved. Do not share any client information on social media sites. So there are a couple of questions that are up for debate. The bill consists of 11 sections and was OpenNotes. As a result, officials have tried to develop privacy protections that apply to different settings and circumstances. Journal of Adolescent Health, 25: Adolescent girls' and boys' preferences for provider gender and confidentiality in their health care. An example of how to address this request: the health care provider can review the record to ensure there is no violation of confidentiality (eg, information on sexual activity, STI screening, or gender identity) and then contact the patient directly to make sure that the patient approves of the information contained before its release. Please try reloading page. Any potential conflicts have been considered and managed in accordance with ACOGs Conflict of Interest Disclosure Policy. Additionally, they should be informed of any restrictions to the confidential nature of the relationship. Special requirements for electronic medical records in adolescent medicine. Farnan, J. M., Sulmasy, L. S., Worster, B. K., Chaudhry, H. J., Rhyne, J. Bright futures: guidelines for health supervision of infants, children, and adolescents . This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. Gray SH, Pasternak RH, Gooding HC, Woodward K, Hawkins K, Sawyer S, et al. This initiative has been shown to potentially increase patient activation and engagement, as well as patient satisfaction, trust, and safety, and to improve the patientphysician relationship 20 21. Although many genetic traits may be passed on to ones children, they clearly are not transmissible in the same way as contagious diseases and thus do not exactly fit under a discussion of public health concerns. Can be especially important for children. Thirty-seven states require physicians to maintain confidentiality of medical records almost all states have placed some restrictions on the use of information contained in medical records that are held by state agencies. Ensuring privacy will also guarantee proper communication the patient and the physician; this is quite important as it will ensure provision of quality of care, improved autonomy, prevention of economic harm, discrimination and also an embarrassment. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented. Generally, parents or guardians and adolescents should be informed, both separately and together, that the information each of them shares with the health care provider will be treated as confidential. How do we weigh the pros and cons of sharing personal health information with others in the medical community and with the government? Generally, parents or guardians and adolescents should be informed, both separately and together, that the information each of them shares with the health care provider will be treated as confidential. It must be acknowledged by the nurse and the nursing profession that social media has the power to enable the nurse to network with colleagues and share research findings through both private and open forums. WebPro 2 Instituting a right to health care could lower the cost of health care in the United States. 409 12th Street SW, Washington, DC 20024-2188, Privacy Statement Ensure the confidentiality, integrity, and availability of all e-PHI they create, receive, maintain or transmit. My first patient living with HIV came to me when I was a new nurse in a Chicago hospital. At least one court has held that a physician may have a duty to disclose genetic information about a patient to immediate family members. The network of participating doctors and hospitals. The statutes and case law governing exceptions can be separated into a number of different areas, including public health, public safety, protection of vulnerable persons, and research. This can actually slow their recovery. Obstet Gynecol 2014;123:38993. 26th January 2022 Tech Digest Correspondent Health. Telehealth refers to providing healthcare services outside the bounds of a For patients ages 18 and older, require a signed release of information for a parent or guardian to ask health questions about the adolescent by telephone. J Pediatr Adolesc Gynecol 2017;30:17683. Although laws vary by state, all minors have a right to some confidential health care. Bell SK, Mejilla R, Anselmo M, Darer JD, Elmore JG, Leveille S, et al. This document has been updated to include information on patient portals, guidance on the release of medical records, examples of ways to safeguard adolescent patients' confidentiality, and talking points to use with parents and guardians. Lehrer JA, Pantell R, Tebb K, Shafer MA. The following are examples of how some institutions have provided protection to adolescents; they are not applicable to all institutions or systems: For patients ages 1217-years old, manage or restrict parental or guardian access to provider notes. In the medical field, confidentiality even dates back to the Hippocratic Oath, but there are many updated versions of confidentiality, defined by various medical associations around the word. The immediate occasion is 2009, which is shown through the copyright year or the year of Ererere. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. WebWhich type of survey should I use? Do not include specific laboratory data or counseling in after-visit summaries. All states allow disclosure to third party payers (insurance companies), although in most cases the patient will provide consent to this practice at the time of treatment (generally in a section of most hospital or physician office intake forms) or when one signs the initial coverage contract. There are some problems with paper medical records. Implement systemwide changes: train front desk personnel and medical staff who work with EHRs and answer office phone calls to be aware of and advocate for the confidentiality of adolescent patients as they transition into the adult health care system Box 3. Obstetriciangynecologists are encouraged to know their individual systems and institutional policies regarding confidentiality, EHRs, patient portals, and the open access for visit notes. Having a physician or other health care provider advocate may be helpful to explore system limitations and to provide support for an adolescent-friendly EHR system, if possible. In the next section, we will look at the circumstances under which confidentiality may be broken. They are of the argument that privacy is in itself objectively valuable, as an important component of human well-being. No part of this publication may be reproduced, stored in a retrieval system, posted on the internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher.American College of Obstetricians and Gynecologists 409 12th Street SW, Washington, DC 20024-2188Confidentiality in adolescent health care. Not socialized medicinean Israeli view of health care reform. Teens also have a right to confidential mental health and substance abuse treatment. J Adolesc Health 2016;58:3747. Once confidentiality is breeched, it is difficult to regain trust; so, obstetriciangynecologists should make efforts to avoid the violation of the trust between the health care provider and patient. American College of Obstetricians and Gynecologists Obstetriciangynecologists and other health care providers who care for minors should be aware of federal and state laws that affect confidentiality. WebConfidentiality is one of the main duties of health care providers. Again, it is a matter of weighing the pros and cons between keeping and breaching confidentiality. There are many ways to define confidentiality, and how we conceptualize it affects how it functions in our everyday lives. Allow parental or guardian access to the EHR to expire at the age state law requires confidentiality. 4. Sexual and reproductive health care services in the pediatric setting. Abstract. This essay examines the pros and cons of the confidentiality, safety, rights, and the security of patients in an era of increased socialized medicine. Web2 Pros and Cons of Managed Care in America Introduction I. But genetic information does have implications for the health of blood relatives. This article will explore how confidentiality should be conceived and if and when it should be broken. Quality healthcare services: The US has modern medical equipment and ensures citizens are able to get quality medical care. WebPros And Cons Of Sarbanes-Oxley Act Of 2002. There should be private conversation time between the health care provider and adolescent patient.

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