pros and cons of confidentiality in healthcare

Confidentiality is a fundamental right and is of paramount importance in our healthcare system. On the other hand, in contrast to other definitions, the AMA immediately recognizes a number of exceptions to confidentiality, which include reporting of threats to inflict serious bodily harm on others, certain communicable diseases, and gunshot wounds or knife wounds. Second, we want to make sure that they have had the opportunity to learn to talk with a doctor by themselves so that when they are young adults, they are prepared to communicate and advocate for what they need. Pros and cons Therefore, it is important to remember that there is difference between social health insurance. At the initial visit, the obstetriciangynecologist should discuss the following issues with the parent or guardian and the patient: 1) the meaning and importance of confidentiality; 2) the scope of confidentiality protection; and 3) the limitations of confidentiality. Neither of these survey types is best for every use case your organization has its own specific needs.For analysis of, say, a rapid one-off poll to help you identify and improve an aspect of a product or service, an anonymous survey is sometimes all you need.. Obstetriciangynecologists should work with their health care organizations to be able to provide confidential billing. When a patient turns 18 years old, allow EHR systems to reset the patient as an adult. How do we weigh the pros and cons of sharing personal health information with others in the medical community and with the government? Available at: National Institute for Health Care Management. Teens also have a right to confidential mental health and substance abuse treatment. In such circumstances, it may be appropriate to restrict access to such sensitive information obtained during portions of the visit while allowing other portions to be viewable by parents or guardians. Genetic information is likely to be regarded as extremely useful to family members for predicting their own health care needs (possibly even more so than other types of medical information), and thus there may be a strong argument in favor of disclosure after a patient has died. Confidentiality in child and adolescent Employed physician in academic institution. First, we want to make sure that adolescent patients have access to health care to make sure that they are healthy and safe. Committee on Adolescence, Council on Clinical and Information Technology. 1. An Electronic Health Record, or EHR, is a resource growing more widely used in hospitals, clinics, and healthcare practices across the country.Rather than relying on paper-based documents, more healthcare professionals are transitioning to rely on digital collection of patient information in a format that can be stored of hard storage and WebData access limitations. The staff is always available to discuss health problems or answer questions. The other advantage for concealing health information to the service provider may end up being detrimental to the patient. By reading this page you agree to ACOG's Terms and Conditions. They are required to keep information about patients health private unless the patient give permission to release his/her health information (De Bord et al, 2013). During this era of increased socialized medicine, it has come with its pros and cons on the confidentiality, rights, safety, and the security of patients. Consequentialist theory suggests that without assurances of confidentiality, patients are less likely to disclose important medical information to their doctors. What Is Supplemental Disability Insurance? If systems of EHRs have already been established, procedures to maintain adolescent confidentiality should be implemented where appropriate 17. Shared decision making between patient, parent or guardian, and health care provider, when possible, is the goal in order to optimize the adolescents medical care 13. Lehrer JA, Pantell R, Tebb K, Shafer MA. For example, it is much easier to obtain a persons credit history (even legally) than it is to gain access to his/her medical history, even though both may be considered highly personal and private information. The Pros of Using AI. The bill consists of 11 sections and was created as a reaction to high numbers of fraud and business misbehavior in major US corporations. Report confidentiality breaches to collaborative relationship to better protect the public health, safety and welfare. Obstetriciangynecologists are encouraged to ensure conversation time alone with adolescents to clarify the adolescents privileges regarding the release of information and to obtain appropriate and preferred contact method. Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. J Adolesc Health 2016;58:13440. s Right to Confidential Reproductive Health Care Useful sources of information on state laws include the Guttmacher Institute 14 and the Center for Adolescent Health & the Law 23. Often, the behavior is not disclosed to parents or guardians. pros and cons of personal health records Blythe MJ, Del Beccaro MA. Ensure the confidentiality, integrity, and availability of all e-PHI they create, receive, maintain or transmit. American College of Obstetricians and Gynecologists. Therefore, they Pros and Cons Common Law Duty of Confidentiality The first three categories are circumstances in which physicians obligations to maintain health (usually of the public, or sometimes of a particular individual) outweigh the need to maintain patient confidentiality. Patient Access to Health Records Any potential conflicts have been considered and managed in accordance with ACOGs Conflict of Interest Disclosure Policy. Another problem, however is what to do regarding the patient who has discovered a breach of confidentiality. ACOG Committee Opinion No. 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. In practice, the major issue that faces health care providers and patients is the health care providers ability to provide confidential care using EHRs, such as when parents or guardians have the ability to access some of their adolescents health information when comprehensive health services are provided and billing systems generate statements that detail confidential services (eg, problem lists, laboratory tests, or prescriptions). Providers should be aware that parents or guardians may coerce their adolescent into sharing portal login information in order to obtain access to the adolescents medical record. People could make long-term plans in a more profound manner. of Ethics and HIV Disclosure ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. 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. social media in contemporary nursing: risks and benefits Whether or not to disclose personal medical information is often said to be a balancing act between the benefits of keeping confidentiality and the benefits of waiving it. 4 Pros and Cons of Digital Patient Health Data Access OpenNotes is a national initiative that encourages patient access to visit notes written by their health care providers 19. Literature discussing confidentiality and AIDS patients supports the notion that health care professionals (including counselors) have a duty to warn and protect at-risk third parties. J Adolesc Health 2019;64:3118. Finally, keeping private the information about the health of the patient, this will negatively affect his or her life. As citizens become more aware of the many issues involved in medical confidentiality, they can help shape the discussion and make their voices heard as lawmakers address the issues. Recommendations for electronic health record use for delivery of adolescent health care. Safe handover | The BMJ Pros and Cons of Confidentiality in Healthcare - prosconss.com Effective patientphysician communication. Legal protections for confidentiality are the result of our societys interest in privacy, but they can still be outweighed in cases where other society values (such as public health and safety) outweigh them. WebWhich type of survey should I use? However, there is concern that it may result in important confidentiality breaches for adolescent patients. However, it also has the potential to negatively influence patient care. WebSafeguarding data confidentiality is not always easy as technological advances also provide means of easily accessing information from remote locations and making it The bottom line is that not all information, even medical information, is automatically granted legal protection from disclosure: only information that is particularly sensitive is protected (and even sensitive information may be disclosed under certain circumstances). 1. Obstetriciangynecologists and other health care providers should be active in educating their staff and patients regarding the confidentiality of services. It has increased paper work for health care professionals (Livestrong, 2015). What is managed Care One form of medical coverage is the managed-care plan. All rights reserved. The Pros And Cons Of Confidentiality - 1814 Words WebThe Cons Confidentiality and the institution of HIPAA hasnt been all positive. Available at: Confidentiality in Adolescent Health Care, Addressing Patients and Parents or Guardians About Confidentiality, Provision of Health Care to Adolescent Patients, Suggestions for Protecting Adolescent Confidentiality Within Institutions, https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law, https://www.aafp.org/about/policies/all/adolescent-confidentiality.html, https://www.nihcm.org/component/content/article/5-issue-brief/1287-protecting-confidential-health-services-for-adolescents-young-adults, https://www.opennotes.org/tools-resources/for-health-care-providers/implementation-toolkit/, https://www.cahl.org/state-minor-consent-laws-a-summary-third-edition, Alliance for Innovation on Women's Health, Postpartum Contraceptive Access Initiative. Using technology to deliver health care has several advantages, including cost savings, convenience, and the ability to provide care to people Read terms, Number 803 (Replaces Committee Opinion Number 599, May 2014). Pros and Cons pros and cons A survey of a large hospital corporation in London found that Health Plans: Any individual or group plan that provides or pays the cost of health care. If, however, you plan to take detailed actions based on The network of participating doctors and hospitals. Marcell AV, Burstein GR. Health Insurance Portability and Accountability Act (HIPAA) of 1996: When Congress passed HIPAA in 1996, the law was known primarily for its provisions that provide stronger health insurance protection for people leaving jobs and people with preexisting medical conditions. Bell SK, Mejilla R, Anselmo M, Darer JD, Elmore JG, Leveille S, et al. 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. Any concern for a HIPAA violation should be addressed by individual health care systems. Pharmacy and Therapeutics, 39(7), 491. Obstet Gynecol 2020;135:e1717.This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. 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. The most obvious examples of public health concerns outweighing individual rights to confidentiality are from contagious disease cases. Many Definitions of Patient Confidentiality, When You Cannot Expect Medical Information to Remain Confidential. There is little to no control over income distribution. The parent or guardian and patient should be aware that these discussions are considered private, not secret, and obstetriciangynecologists may disclose private information when concerned for the immediate danger of patients to themselves or others, or both, and when reporting is required by public health laws 6. The bill consists of 11 sections and was created as a reaction to high numbers of fraud and business misbehavior in major US corporations. If the EHR system does not allow for procedures to maintain adolescent confidentiality, the obstetriciangynecologist or staff should inform the patient that parents or guardians will have access to the records, and the patient should be given the option of referral to a health care provider who is required to provide confidential care. Obstetriciangynecologists are encouraged to know their individual systems and institutional policies regarding confidentiality, EHRs, patient portals, and the open access for visit notes. An EHR makes it much easier for a medical practice to track a charge for each procedure Engaging patients through open notes: an evaluation using mixed methods. The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. OpenNotes. 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. The rapid development of technology geared toward healthcare services has led to the creation of the term telehealth, which essentially means virtual care. They are of the belief that by respecting another persons privacy is a form of realizing the attributes that enable humans to have their own moral uniqueness. WebPros And Cons Of Sarbanes-Oxley Act Of 2002. The average increase in per-patient charges is $11.09 and patient collections have increased by $11.48 on average. WebConfidentiality refers to protection of privileged and private information shared during a health care encounter and in medical records that document the encounter 1. Private information, especially if identifiable, should only be disclosed to the third party with the consent of the patient. Offering clinician note feedback. Ventola, C. L. (2014). 796. Adolescent girls' and boys' preferences for provider gender and confidentiality in their health care. Breaking Confidentiality in Clients with This claim is endlessly repeated but deeply obscure. Abstract. My first patient living with HIV came to me when I was a new nurse in a Chicago hospital. Pros and Cons There should be private conversation time between the health care provider and adolescent patient. Pros and Cons Ford C, English A, Sigman G. Confidential health care for adolescents: position paper for the Society for Adolescent Medicine. American College of Obstetricians and Gynecologists. Only a few states have comprehensive confidentiality laws, and many states control disclosure of health information through a combination of statutes addressing everything from particular disease information to autopsy records. There are numerous reasons for ensuring that there is protection of the privacy, security, and confidentiality of the health information. All rights reserved. Any potential conflicts have been considered and managed in accordance with ACOGs Conflict of Interest Disclosure Policy. WebConfidentiality. Lack of confidentiality affects healthcare staff too Protection of privacy also ensures that the societal values are also protected. Obstetriciangynecologists who treat adolescent patients should provide resources for parents and caregivers and encourage continued parental involvement 10. WebHere are some Pros and Cons of personal health records: Pros: Correction of medical errors within the medical record was possible Patients had a broader knowledge base of their health concerns and decreased utilization of healthcare services Opportunities were provided for increased effective communication between patients and physicians 803. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. There if an individuals privacy is not protected or guaranteed, people find it hard to give complete and candid information about their health even to their own personal physicians leave alone to the insurer. Patient Access to Health Records Patients should be informed that there are laws protecting their confidentiality in the health care setting. 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. WebThe Pros And Cons Of Confidentiality Soapstone Formal Analysis. 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. During this era of socialized medicine, there are both pros and cons of confidentiality, rights, safety, and the security of the patients. pros and cons J Adolesc Health 2016;58:3747. Ethics Of Confidentiality In Health Care The consequences of undermining this duty of confidence would be damaging to the individuals health and treatment. Many institutions struggle to meet the current standard for providing access to and maintaining the confidentiality of sensitive portions of the medical record as required by the Centers for Medicare and Medicaid Services 4. Pros and cons Statutes and regulations regarding medical record information should be updated to ensure this standard is achieved. Pros of the Confidentiality, Safety, Rights, and the Security of Patients in an Era of Increased Socialized Medicine Recently, however, there have been some concerns raised about such databases, especially when the information can be linked to individuals (in other words, it is not completely anonymous) or it is stored electronically without adequate security. Implementation toolkit. Additionally, it is costly for vendors to develop and maintain the levels of mandated confidentiality because the laws regarding confidentiality vary by state 4. Only individuals who are legally authorized to have access to patient data for a legally permissible purpose should be given access to patient 758, Promoting Healthy Relationships in Adolescents, for potential talking points when discussing confidentiality with parents, guardians, and patients 10. 2023 My Superior Paper. Many people are familiar with the idea of confidentiality as an integral part of the professional code of ethics in the legal, medical, and mental health fields.

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