pros and cons of confidentiality in healthcare pros and cons of confidentiality in healthcare

pros and cons 2023 My Superior Paper. Patients should have autonomy regarding parent or guardian presence during examination, but a parent or guardian should not take the place of a chaperone 12. 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 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. The bill consists of 11 sections and was created as a reaction to high numbers of fraud and business misbehavior in major US corporations. What is managed Care One form of medical coverage is the managed-care plan. The rapid development of technology geared toward healthcare services has led to the creation of the term telehealth, which essentially means virtual care. 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. Pros And Cons Of Sarbanes-Oxley Act Of 2002 | ipl.org The immediate occasion is 2009, which is shown through the copyright year or the year of Ererere. Pros and Cons If systems of EHRs have already been established, procedures to maintain adolescent confidentiality should be implemented where appropriate 17. WebThe Cons Confidentiality and the institution of HIPAA hasnt been all positive. J Adolesc Health 2007;40:21826. 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. Given these parameters, duty to warn cases are not without controversy, and some people believe that they place the physician in the undesirable role of law enforcer, rather than healer. As a result, officials have tried to develop privacy protections that apply to different settings and circumstances. Additionally, it is costly for vendors to develop and maintain the levels of mandated confidentiality because the laws regarding confidentiality vary by state 4. Unlike electronic medical records stored on cloud servers, paper medical records need physical space for storage purposes. The pros and cons of TriTerm Medical insurance Report confidentiality breaches to collaborative relationship to better protect the public health, safety and welfare. The U.S. Supreme Court has stated that "disclosures of private medical information to doctors, to hospital personnel, to insurance companies, and to public health agencies are often an essential part of modern medical practice." Therefore, a doctor is not under any obligation to reveal threats of minor harm, threats that the doctor does not believe are serious, or general threats where there is no identifiable individual at risk. Improving patient In Tarasoff, a patient informed his therapist of his intention to kill a young woman. Developments in technology have challenged our traditional understanding of "personal" information and privacy. When going for the socialized medicine, an individual is required to give his or her personal health records. The Pros and Cons of Big Data in the Healthcare Industry According to a study from the University of Massachusetts at Amherst, under a single-payer system, in which all citizens are guaranteed a right to health care, total public and private health care spending could be lowered by up to $1.8 trillion over the next 10 Committee Opinion No. Obstet Gynecol 2020;135:e1717. 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. How do we weigh the pros and cons of sharing personal health information with others in the medical community and with the government? Cons: Physicians have less autonomy and less continuity with patients. 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. It is important for obstetriciangynecologists to be aware of their individual state and local laws. Elk Grove Village (IL): American Academy of Pediatrics; 2017. Jessica Wilen Berg is Professor of Law and Bioethics, Case Western Reserve University's School of Law and at the Department of Bioethics, Case Western Reserve School of Medicine, Cleveland, OH. Pros and Cons Not socialized medicinean Israeli view of health care reform. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. The American College of Obstetricians and Gynecologists encourages obstetriciangynecologists and other health care providers to ensure that their existing EHR systems protect the confidentiality of minor patients, including any OpenNotes features. Do not include specific laboratory data or counseling in after-visit summaries. 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.All ACOG committee members and authors have submitted a conflict of interest disclosure statement related to this published product. | Terms and Conditions of Use. Committee on Practice and Ambulatory Medicine. What Is Supplemental Disability Insurance? 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 4. ABSTRACT: 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. The other advantage of privacy is that will enable an individual to alter peoples behavior with other people. Obstetriciangynecologists and other health care providers who care for minors should be aware of federal and state laws that affect confidentiality. The sharing of medical information is one of the most complicated areas, and most patients are not even aware of the extent to which information about their care is shared within a hospital setting. Pros of the Confidentiality, Safety, Rights, and the Security of Patients in an Era of Increased Socialized Medicine Pros and Cons 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). It is unclear how this issue affects confidentiality, and, many states have been hesitant to extend such a duty to health professionals. Providing alone time, apart from a parent or guardian, for discussion between the adolescent patient and health care provider is an important aspect of the health care visit 5. Rules regarding privacy and confidentiality apply to a telehealth setting as much as they do to one that's face to face. 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. Reduction in Medical Errors: 5. There is little to no control over income distribution. Review individual cases and provide proxy access for parents of adolescent patients with disabilities when appropriate. Pros and cons People would have to worry less about their future. The other advantage for concealing health information to the service provider may end up being detrimental to the patient. Abstract. Available at: National Institute for Health Care Management. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists Committee on Adolescent Health Care in collaboration with committee member Kimberly Hoover, MD and liaison member Stephanie Crewe, MD, MHS. What is managed Care One form of medical coverage is the managed-care plan. Farnan, J. M., Sulmasy, L. S., Worster, B. K., Chaudhry, H. J., Rhyne, J. Recommendations for electronic health record use for delivery of adolescent health care. BMJ Qual Saf 2017;26:26270. Obstetriciangynecologists and other health care providers and institutions that establish an electronic health record (EHR) system should consider systems with adolescent-specific modules that can be customized to accommodate the confidentiality needs related to minor adolescents and comply with the requirements of state and federal laws. In fact, quite a lot of personal information is not protected at all. Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. 22 Pros and Cons of HIPAA Vittana.org Chapel Hill (NC): Center for Adolescent Health and the Law; 2010. Should a doctor disclose to a patients family members the fact that the patient carries a gene for cancer or Alzheimers disease? References Statutes on the rights of minors to consent to health care services vary by state, and obstetriciangynecologists and other health care providers should be familiar with the regulations that apply to their practice. Some states have statutes that require reporting of abuse of hospital patients or long-term care patients, elder abuse, spousal abuse, and domestic abuse. Protection of privacy also ensures that the societal values are also protected. ACOG Committee Opinion No. 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. 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. In some states, physicians may experience serious disciplinary action for revealing a minors confidential sexual information. Identify the patients preferred route of contact. Web2 Pros and Cons of Managed Care in America Introduction I. One of the biggest problems in confidentiality protections is the lack of clarity about when patient confidentiality can be breached. Hagan JF, Shaw JS, Duncan PM. J Adolesc Health 2004;35:1607. 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 Pros and Cons of US Healthcare WebConfidentiality refers to protection of privileged and private information shared during a health care encounter and in medical records that document the encounter 1. All of the different ways of conceptualizing confidentiality include exceptions, allowing disclosure under certain circumstances or to particular agencies. 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. Ensuring the confidentiality and security of patients data is primordial to the ET). WebPros of Confidentiality in Healthcare: Encourages patients to seek care: Confidentiality helps build trust between patients and healthcare providers, which may encourage patients to However, there is concern that it may result in important confidentiality breaches for adolescent patients. By reading this page you agree to ACOG's Terms and Conditions. Importance Of Confidentiality In Health Care p. 82810, for complete requirements.) Ethical Dilemmas: Breaking Confidentiality Obstetriciangynecologists are encouraged to know their individual systems and institutional policies regarding confidentiality, EHRs, patient portals, and the open access for visit notes. Obstet Gynecol 2020;135:e4350. 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. Pros and cons of 4 different practice settings, per the AMA The Pros And Cons Of Confidentiality - 1814 Words Contradictory viewpoints. A., & Arora, V. M. (2013). 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. A 2016 study demonstrated that, when given the opportunity, adolescents use of EHRs afforded enhanced medical care and, although they accessed the portal less for laboratory results, appointments, or prescriptions, adolescents did engage in frequent confidential communications with their health care providers through patient portals 4. 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. These are the kinds of questions that are important to consider, and difficult to answer using legal theories of confidentiality. It provides a safe space to ask questions: Talking to adolescents one-on-one also gives adolescents a chance to ask questions or give information they may feel self-conscious about. Similar recommendations are supported by the American Academy of Pediatrics and the Society for Adolescent Health and Medicine 18. 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. With appropriate safeguards, EHRs may offer more security than traditional paper-record systems. Douglas and colleagues article discusses the wider health effects of the pandemic response.1 There is, however, one matter that hasnt been discussed in any media at allthe frequent breach in confidentiality. Pros and Cons 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. 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. Many Definitions of Patient Confidentiality, When You Cannot Expect Medical Information to Remain Confidential. WebCharge capture refers to tracking each charge to a patient for medical services given. WebConfidentiality is one of the main duties of health care providers. pros and cons Leaving out details when you post information or images does not protect client confidentiality. The Importance of Supplemental Disability Insurance. My first patient living with HIV came to me when I was a new nurse in a Chicago hospital. Therefore during this era of socialized medicine; the providers should ensure that they put in place measures that would guarantee the privacy, security, rights, and confidentiality of the patients. If notes automatically submit to EHRs, issues regarding sexuality, gender identity, substance use, mental health, and STIs may be included. Online therapy, also known as teletherapy, virtual therapy, or internet/online counseling, among other names, rapidly expanded during the COVID-19 pandemic, and it continues to grow. OpenNotes. Pros and Cons HIPAA are essential to review periodically to understand your rights as a patient under this legislation. WebPros And Cons Of Sarbanes-Oxley Act Of 2002. pros and cons In these cases, obstetriciangynecologists and other health care providers should be cognizant of alternative ways to share information with the adolescent if coercion to access the adolescents login information is suspected. Similar caution should be assumed when releasing information to other health care providers. It is important to note that the EHR for general health care visits may contain information pertaining to care, such as a social history or sexual behavior history, that was provided under minor consent or mature minor provisions. The maintenance of patient confidentiality may be affected by the widespread adoption and integration of EHRs in clinical care, which may necessitate a closer evaluation of the unique challenge this presents for providers of adolescent health care. Available at: English A, Bass L, Boyle AD, Eshragh F. State minor consent laws: a summary . Beth Israel Deaconess Medical Center, Harvard Medical School. Teens also have a right to confidential mental health and substance abuse treatment. In addition, some states have statutes that require reporting of abuse of hospital patients or long-term care patients, elder abuse, spousal abuse, and domestic abuse. Obstetriciangynecologists and other health care providers and institutions that establish an EHR system should consider systems with adolescent-specific modules that can be customized to accommodate the confidentiality needs related to minor adolescents and comply with the requirements of state and federal laws 16. As a last resort, the health care provider should consider referral if confidential care cannot be provided. The most obvious examples of public health concerns outweighing individual rights to confidentiality are from contagious disease cases. 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. J Adolesc Health 2019;64:3118. Pros and Cons of Confidentiality in Healthcare - prosconss.com The ACOG policies can be found on acog.org. (Health care providers should be cognizant of potential coercion by parent or guardian to maintain access.). 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. Pediatrics 2012;130:98790. 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. According to Farnan et al (2013), privacy should always be guaranteed even if there will be no any form of embarrassment or any kind of harm. 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. WebPeople may get a higher feeling of security. Journal of the American Academy of Psychiatry and the Law Online, 39(4), 571-578. Add sensitive information into the prose of the visit note that is not included in billing or hospital searchable data. Ventola, C. L. (2014). Did you know that according to the Social Security Administration, 1 in 4 of todays 20-year-old Americans 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. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Standards for health information technology to ensure adolescent privacy. Social Media Use Common Expectations for Nurses We may have to disclose private information to protect a patients safety. Forgone health care among U.S. adolescents: associations between risk characteristics and confidentiality concern. 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). Knowing what confidentiality laws in your area cover can help you make informed decisions about how your information is shared. Sexual and reproductive health care services in the pediatric setting. Grilo SA, Catallozzi M, Santelli JS, Yan H, Song X, Heitel J, et al. Electronic Health Records of Patients in Hospitals: 2. Although most Protect against reasonably anticipated, impermissible uses or disclosures. Alderman EM. 803. If protection of adolescent confidentiality is not possible within their electronic system, the information technology support within individual institutions should be employed to restrict parental access per HIPAA compliance. There are many ways to define confidentiality, and how we conceptualize it affects how it functions in our everyday lives. All rights reserved. BMJ Open 2016;6:e010034. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. While gaining the adolescents trust, we still encourage them to discuss issues with their parents or guardians. High quality handovers are essential for safe healthcare and are used in many clinical situations. s Right to Confidential Reproductive Health Care People could make long-term plans in a more profound manner. Explanation of benefits statements (health care billing and insurance claims sent by insurance carriers) are an additional challenge to confidentiality. Wearable Technology: Disadvantages of Medical Technology in Healthcare: 1. Washington, DC: NIHCM; 2011. Effective patientphysician communication. The problem is that personal information (which is whats at stake with medical confidentiality) is not protected at law in the same way ones home or bodily integrity is protected. The bill consists of 11 sections and was created as a reaction to high numbers of fraud and business misbehavior in major US corporations. Pros and Cons Beyond the HIPAA privacy rule: enhancing privacy, improving health through research. Lack of confidentiality affects healthcare staff too 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. Pediatrics 2017;140:e20172858. All ACOG committee members and authors have submitted a conflict of interest disclosure statement related to this published product. Available at: https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law. Over time, however, regulations have been developed to protect the privacy and security of certain health information. Consequentialist theory suggests that without assurances of confidentiality, patients are less likely to disclose important medical information to their doctors. Pros: A single-payer system offers individuals greater control over their healthcare, providing the ability to choose their doctors based on approach or reputation. This article will explore how confidentiality should be conceived and if and when it should be broken. A survey of a large hospital corporation in London found that Because online therapy involves communication via computers or mobile devices, it has security issues