pros and cons of confidentiality in healthcaredaisy esparza where is she now waiting for superman
Grilo SA, Catallozzi M, Santelli JS, Yan H, Song X, Heitel J, et al. Meaningful use of a confidential adolescent patient portal. Adolescents are beginning to take responsibility for their health care, and this should be encouraged and supported as they transition to adult patients. Adolescents often have questions or concerns that they may feel embarrassed to talk about in front of their parents or guardians. Get Your Custom Essay on, The Pros and Cons of the Confidentiality of Patients in an Era of Increased Socialized Medicine. The network of participating doctors and hospitals. Another problem, however, 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. Conclusion This essay examines the pros and cons of the confidentiality, safety, rights, and the security of patients in an era of increased socialized medicine. Confidentiality laws regarding medical information are currently undergoing changes at both the state and federal levels. Confidentiality, Privacy, and Unreliable Technology Keeping your personal information private is a major concern in psychotherapy, but online treatment adds a layer J Adolesc Health 2012;51:40914. ACOG Committee Opinion No. Miscommunication during handovers can lead to unnecessary Blythe MJ, Del Beccaro MA. Ford C, English A, Sigman G. Confidential health care for adolescents: position paper for the Society for Adolescent Medicine. The overall goal of big data in healthcare is to use predictive analysis to find and address medical issues before they turn into larger problems. Contradictory viewpoints. Patients should be informed that there are laws protecting their confidentiality in the health care setting. In some states, physicians may experience serious disciplinary action for revealing a minors confidential sexual information. ), as well as communications between patient and doctor, and generally includes communications between the patient and other professional staff working with the doctor. The bill consists of 11 sections and was created as a reaction to high numbers of fraud and business misbehavior in major US corporations. 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. Socialized medicine programs are mostly being financed by the tax payers and therefore if one conceals this information may jeopardize the kind of services that are being provided. Because research allows better treatments to be developed and in this way serves the general public, it seems reasonable that disclosure should be permissible under certain circumstances, provided that individuals have the option of remaining anonymous. Its value also sabotages any effort to solve financing problems. If systems of EHRs have already been established, procedures to maintain adolescent confidentiality should be implemented where appropriate 17. Any potential conflicts have been considered and managed in accordance with ACOGs Conflict of Interest Disclosure Policy. WebWhich type of survey should I use? p. 82810, for complete requirements.) 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). Because It Works, Nature Documentaries Could Help Save the Planet, Use of this site is your Agreement to the Terms. WebThe uniqueness of HIEs-structures, relationships, funding, and authority-adds new complexities to the familiar issues of privacy, confidentiality, security, and information use. Use of chaperones during the physical examination of the pediatric patient. Almost all states have child abuse reporting statutes. WebInformed consent in medical ethics is commonly viewed as the key to respecting patient autonomy. Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. 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. 26th January 2022 Tech Digest Correspondent Health. consultation with a healthcare professional. 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. The immediate occasion is 2009, which is shown through the copyright year or the year of Ererere. The obvious solution is to go to court, but this means making public the information they did not want anyone to know in the first place! 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. Pros: Salaries might be lower than in other practice settings, but there are often added benefits, including more time off and better retirement options. Patient access varies widely across institutions and by the type of EHR used by the health care provider. A wide assortment of hardware and software. Another problem, however is what to do regarding the patient who has discovered a breach of confidentiality. However, there is concern that it may result in important confidentiality breaches for adolescent patients. Review individual cases and provide proxy access for parents of adolescent patients with disabilities when appropriate. Did you know that according to the Social Security Administration, 1 in 4 of todays 20-year-old Americans will become disabled before age 67?1 HealthMarkets can help you find a health plan should a serious condition leave you unable to work. Rules regarding privacy and confidentiality apply to a telehealth setting as much as they do to one that's face to face. Explanation of benefits statements (health care billing and insurance claims sent by insurance carriers) are an additional challenge to confidentiality. In the next section, we will look at the circumstances under which confidentiality may be broken. Effective patientphysician communication. The other advantage of privacy is that will enable an individual to alter peoples behavior with other people. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. Sharing medical information for research purposes is more controversial. But these safeguards must be designed to achieve a balance between protecting confidentiality and the need to share information in order to need to treat patients, assure quality health care, and conduct research that will lead to health advances. All rights reserved. The right of a mature minor to consent to medical care without previous parental or guardian consent has been recognized in many states.*. Committee on Practice and Ambulatory Medicine. Additionally, they should be informed of any restrictions to the confidential nature of the relationship. 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. This compromises trust in the providerpatient relationship. She had been admitted with HIV-related complications from pneumonia. A number of states have adopted this principle, and some have extended it to all physicians or mental health professionals. Those who have good insurance Online Therapy: Security, Ethics, and Legal Issues. Obstetriciangynecologists should not misinterpret consent required to provide health care services with consent required to provide education and counseling; that is, even when consent is required by a parent or guardian for provision of contraception, an obstetriciangynecologist may still provide counseling about contraceptive options. There are some theorists that have pointed out that privacy is a basic human right or good that has got some intrinsic values. Similar recommendations are supported by the American Academy of Pediatrics and the Society for Adolescent Health and Medicine 18. Automatic 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. While gaining the adolescents trust, we still encourage them to discuss issues with their parents or guardians. 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. The consequences of undermining this duty of confidence would be damaging to the individuals health and treatment. Hospital rounds and kids' confidentiality, Why Do Politicians Weaponize Medicare? For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. J Adolesc Health 2014;54:48790. Finally, the clinician has weighed up the pros and cons, the rights and the consequences, and has determined that on balance, confidentiality should be breached to parents and/or other authorities. In the former situation, liability may be imposed for failing to disclose. ACOG Committee Opinion No. 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. Although confidentiality routinely is practiced in adult medical care, this standard may be perceived differently by a parent or guardian when it involves the health care concerns of the adolescent. Society for Adolescent Health and Medicine, American Academy of Pediatrics. 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. Pros: Salaries might be lower than in other practice settings, but there are often added benefits, including more time off and better retirement options. Special requirements for electronic medical records in adolescent medicine. Modern healthcare organizations have turned to electronic medical records (EMRs) in an 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.
Eduardo Andrade Chris Mckendry,
Shoulders Are Designed For Emergency Stopping, Standing, Or,
Articles P
pros and cons of confidentiality in healthcare