Confidentiality Top of Page 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. In as much as it is the right of the patient to keep his or her health information private, it is prudential for the person to consider that this would interfere with his or her health (Ventola, 2014). WebThe Pros And Cons Of Confidentiality Soapstone Formal Analysis. 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. People could make long-term plans in a more profound manner. HMOs often only cover Obstet Gynecol 2018;132:e21320. Private information, especially if identifiable, should only be disclosed to the third party with the consent of the patient. Many Definitions of Patient Confidentiality, When You Cannot Expect Medical Information to Remain Confidential. Patient Access to Health Records: Pros and Cons 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. State confidentiality protections vary widely. There are many aspects of our lives that are available for anyone to access, and yet most people are either unaware of these possibilities, or unconcerned with this loss of confidentiality. There are many distinct conceptions of individual autonomy in circulation, and even more views of the value and importance of these various conceptions. The immediate occasion is 2009, which is shown through the copyright year or the year of Ererere. A number of states have adopted this principle, and some have extended it to all physicians or mental health professionals. As your adolescents doctor and as the parent (or guardian), we have two roles here. 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. The ACOG policies can be found on acog.org. Should a doctor disclose to a patients family members the fact that the patient carries a gene for cancer or Alzheimers disease? Insurance companies may provide their policyholders discounted medical treatment by entering into agreements with doctors' offices and hospitals. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. By reading this page you agree to ACOG's Terms and Conditions. Patients should be informed that there are laws protecting their confidentiality in the health care setting. My first patient living with HIV came to me when I was a new nurse in a Chicago hospital. The Pros and Cons of Online Therapy - Verywell Mind 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. Adolescents gain more ownership over their own health: We encourage adolescents to be active participants in their health care as a step toward becoming adults and to take on more responsibility. All ACOG committee members and authors have submitted a conflict of interest disclosure statement related to this published product. Medicare is often a target when politicians seek a quick way to cut costs. Pros and cons of 4 different practice settings, per the AMA If, however, you plan to take detailed actions based on pros and cons J Adolesc Health 2004;35:1607. WebConfidentiality covers all medical records (including x-rays, lab-reports, etc. 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. Leawood, KS: AAFP; 2018. Cloudy confidentiality: clinical and legal implications of cloud computing in health care. In some research protocols, identifiers remain so that data can still be traced to particular individuals. Available at: English A, Bass L, Boyle AD, Eshragh F. State minor consent laws: a summary . Confidentiality extends beyond reproductive health for minors. Pros and Cons Patient portals are mechanisms within the EHR system that provide patients with electronic access to their personal health record. There should be private conversation time between the health care provider and adolescent patient. Guttmacher Institute. 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. The privacy rule, which is based on requirements contained in HIPAA, provides protection against parents or guardians access to protected health information for the following circumstances: adolescents aged 18 years and older; emancipated minors; minors who can legally consent to services or receive services without parental or guardian consent or notification according to state or other applicable law; or when a parent or guardian assents to an agreement of confidentiality between the minor adolescent and health care provider. Can be especially important for children. Pros: A single-payer system offers individuals greater control over their healthcare, providing the ability to choose their doctors based on approach or reputation. 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. The most obvious examples of public health concerns outweighing individual rights to confidentiality are from contagious disease cases. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. American College of Obstetricians and Gynecologists 409 12th Street SW, Washington, DC 20024-2188. Society for Adolescent Health and Medicine, American Academy of Pediatrics. WebSolution for Explain the pros and cons of multipurpose pins on microcontrollers. WebSolution for Explain the pros and cons of multipurpose pins on microcontrollers. consultation with a healthcare professional. Additionally, they should be informed of any restrictions to the confidential nature of the relationship. Often her small private room was crowded with family, friends, and loved ones. What is managed Care One form of medical coverage is the managed-care plan. WebHere are some pros and cons to think through before you discuss your HIV status. There should be private conversation time between the health care provider and adolescent patient. 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. 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 1. J Adolesc Health 2007;40:21826. All rights reserved. Confidentiality discussions and private time with a health-care provider for youth, United States, 2016. WebCharge capture refers to tracking each charge to a patient for medical services given. WebPros And Cons Of Sarbanes-Oxley Act Of 2002. Rights-based theory states that patients have a right to control how their medical information is used. Challenges 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. WebWhich type of survey should I use? A variety of organizational structures. 1. Marcell AV, Burstein GR. Mature minor: An adolescent younger than the age of majority who, even if living at home as a dependent, demonstrates the cognitive maturity to give informed consent. There are some theorists that have pointed out that privacy is a basic human right or good that has got some intrinsic values. It is not intended to substitute for the independent professional judgment of the treating clinician. Sharing medical information for research purposes is more controversial. 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. 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. The Importance of Supplemental Disability Insurance. Pros: Salaries might be lower than in other practice settings, but there are often added benefits, including more time off and better retirement options. We may have to disclose private information to protect a patients safety. In the latter situation, the laws usually provide protections against liability for disclosure. Pros and Cons Using technology to deliver health care has several advantages, including cost savings, convenience, and the ability to provide care to people 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. The network of participating doctors and hospitals. Universal Healthcare Pros and Cons - Is It a Human Right? Hospitals and office-based systems that currently use or are initiating OpenNotes should take steps to ensure that adolescent confidentiality is protected. Do not share any client information on social media sites. Not socialized medicinean Israeli view of health care reform. The Pros of Using AI. Ensure the confidentiality, integrity, and availability of all e-PHI they create, receive, maintain or transmit. Advantages of Medical Technology in Healthcare: 1. ACOG Committee Opinion No. Adolescents are beginning to take responsibility for their health care, and this should be encouraged and supported as they transition to adult patients. This is because; if an 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. When is your health information confidential and when isn't it? WebPros And Cons Of Sarbanes-Oxley Act Of 2002. 409 12th Street SW, Washington, DC 20024-2188, Privacy Statement Available at: National Institute for Health Care Management. Protection of privacy also ensures that the societal values are also protected. Most EHRs were not designed to provide item-specific control over parental or guardian access and release of adolescent health care information. 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. Committee on Adolescence, Council on Clinical and Information Technology. However, there is concern that it may result in important confidentiality breaches for adolescent patients. Confidentiality for adolescents accessing health care is complex, and concerns about lack of confidentiality can be a barrier to receiving appropriate care 2 3. Pros And Cons Of Sarbanes-Oxley Act Of 2002 | ipl.org What Is Supplemental Disability Insurance? Sharing Patient Information: Pros, Cons and Implications 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." The Pros And Cons Of Confidentiality - 1814 Words Any concern for a HIPAA violation should be addressed by individual health care systems. Pros and Cons On the other hand, the social health insurance is defined as those systems whereby which people transfer their financial risk of medical bills to a risk pool. The capacity of an adolescent to consent for health care as a mature minor is influenced by the minors developmental maturity, previous experience with illness, the gravity of the current illness, and the risks of proposed therapy. 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. It is important not only for health professionals to be aware of the many considerations of confidentiality laws, but it is also important for the individual. J Pediatr Adolesc Gynecol 2017;30:17683. Disclosing genetic information is another issue in public health. Meaningful use of a confidential adolescent patient portal. Many associations of health professionals caring for minors, including the American College of Obstetricians and Gynecologists, the Society for Adolescent Health and Medicine, the American Academy of Pediatrics, the American Academy of Family Physicians, and the North American Society for Pediatric and Adolescent Gynecology, recognize the importance of confidentiality in providing health care for adolescents 7 8 9. Alderman EM. What is Universal Health Care 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. Recent years have muddied our understanding of medical confidentiality. Because online therapy involves communication via computers or mobile devices, it has security issues Obstetriciangynecologists and other health care providers who care for minors should be aware of federal and state laws that affect confidentiality. Communication Systems in Healthcare Hospitals: 3. We are a society strangely obsessed both with privacy and obtaining information. J Adolesc Health 2014;54:48790. Obstetriciangynecologists who work with adolescent patients have a unique perspective and are encouraged to work with their institutions to protect patients confidentiality. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. Confidentiality refers to protection of privileged and private information shared during a health care encounter and in medical records that document the encounter 1. Automatic Chernichovsky, D. (2009). 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. New York, NY: Guttmacher Institute; 2019. Another problem, however, Technology Improving Healthcare in Hospitals: 4. Advantages of telehealth. If, after counseling, the patient refuses the chaperone, this decision should be respected and documented in the medical record 11. 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. Therefore, they Thompson LA, Martinko T, Budd P, Mercado R, Schentrup AM. It has increased paper work for health care professionals (Livestrong, 2015). Pros and Cons 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. Don't use plagiarized sources. 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. Washington, DC: NIHCM; 2011. Recommendations for electronic health record use for delivery of adolescent health care. Get Your Custom Essay on, The Pros and Cons of the Confidentiality of Patients in an Era of Increased Socialized Medicine. 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. Pros of the Confidentiality, Safety, Rights, and the Security of Patients in an Era of Increased Socialized Medicine It builds trust: Experimenting with a range of behavior is common among adolescents and young adults. Importance Of Confidentiality In Health Care During this era of socialized medicine, there are both pros and cons of confidentiality, rights, safety, and the security of the patients. WebProponents of the right to health care say that no one in one of the richest nations on earth should go without health care. An overview of consent to reproductive health services by young people. Pediatrics 2017;140:e20172858. Confidentiality in Adolescent Health Care | ACOG The Importance of Supplemental Disability Insurance. Teens also have a right to confidential mental health and substance abuse treatment. She had been admitted with HIV-related complications from pneumonia. The use of telehealth continues to grow, reaching multiple medical specialties and providing care to a greater population of patients. 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. A Story of Ethics and HIV Disclosure. Social Media Use Common Expectations for Nurses New England Journal of Medicine, 361(21), e46. Patient Confidentiality: Privacy and Public Health - The Doctor Will 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. 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. One of the biggest problems in confidentiality protections is the lack of clarity about when patient confidentiality can be breached. WebCharge capture refers to tracking each charge to a patient for medical services given. Explanation of benefits statements (health care billing and insurance claims sent by insurance carriers) are an additional challenge to confidentiality. An overview of consent to reproductive health services by young people . Pros and Cons of Confidentiality in Healthcare - prosconss.com 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. Knowing what confidentiality laws in your area cover can help you make informed decisions about how your information is shared. My patient was a petite woman in her mid-forties with long dark hair. With respect to children under 18, however, these protections are generally thought to be appropriate, particularly in cases when a physician may suspect a child's injury he or she has been called upon to treat may be the result of child abuse. There is little to no control over income distribution. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. The Pros of Using AI. This essay examines the pros and cons of the confidentiality, safety, rights, and the security of patients in an era of increased socialized medicine. It is helpful to conduct staff sensitivity training on the following topics: Comfort with issues regarding adolescent sexuality, Knowledge about confidentiality issues, including state and local laws, How to provide relevant information to parents or guardians and patients about private conversation time with the adolescent patient and obstetriciangynecologist, How to identify appropriate contact information for the adolescent patient (eg, personal cell phone) and parents or guardians for future follow-up, How to set up a code word to ensure the identity and security of the adolescent patient, Comfort with lesbian, gay, bisexual, transgender, or questioning (LGBTQ) issues and pronoun (she, he, they) usage. 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. Copyright document.getElementById("dte").innerHTML = new Date().getFullYear(); interMDnet Corporation. Adolescent girls' and boys' preferences for provider gender and confidentiality in their health care. WebIn general, [a] covered health care provider [with a direct treatment relationship] must obtain the individuals consent,prior to using or disclosing protected health information to carry out treatment, payment, or health care operations. (See section [] 164.506, 65 Federal Register [F.R.]
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