There is little to no control over income distribution. Ford C, English A, Sigman G. Confidential health care for adolescents: position paper for the Society for Adolescent Medicine.
of Ethics and HIV Disclosure All rights reserved. After her murder, the family sued, claiming that the physician should have warned the victim. Obstetriciangynecologists and other health care providers who care for minors should be aware of federal and state laws that affect confidentiality. Web2 Pros and Cons of Managed Care in America Introduction I.
Pros and Cons of US Healthcare WebPeople may get a higher feeling of security. If systems of EHRs have already been established, procedures to maintain adolescent confidentiality should be implemented where appropriate 17. 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. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002.
Confidentiality in Adolescent Health Care | ACOG This can actually slow their recovery.
Pros and Cons For example, if the physicians primary role is to prolong life, confidentiality should be breached when the disclosure would serve to prolong life, or the failure to disclose would shorten life. 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! 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. 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. WebConfidentiality covers all medical records (including x-rays, lab-reports, etc. 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. 758. 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. Its value also sabotages any effort to solve financing problems. This may mitigate the intimidation some patients may experience from parents or guardians. Other states have consent laws that include substance misuse treatment, pregnancy prevention and care, and, sometimes, abortion services, mental health care, and emergency care. The ACOG policies can be found on acog.org.
The Pros and Cons of Using Artificial Intelligence in the Healthcare Patient Access to Health Records 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. 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). Although most 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. Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. Quality healthcare services: The US has modern medical equipment and ensures citizens are able to get quality medical care. If, however, you plan to take detailed actions based on (Monday through Friday, 8:30 a.m. to 5 p.m. Although there are multiple benefits of EHRs, these benefits may conflict with the protection of confidentiality. They can be printed or sent directly from the system in a digital file across email other online means. 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. 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.
Electronic Medical Records: Pros and Cons | Virtru *For more information, see Guttmacher Institute. 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." 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. Quicker access to test results. A variety of organizational structures.
Pros And Cons Of Confidentiality And The Institution Of HIPAA Confidentiality in pediatric and adolescent gynecology: when we can, when we can't, and when we're challenged. There should be private conversation time between the health care provider and adolescent patient. 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. Often, the behavior is not disclosed to parents or guardians. She had been admitted with HIV-related complications from pneumonia. In the latter situation, the laws usually provide protections against liability for disclosure. For additional quantities, please contact [emailprotected] Protecting confidential health services for adolescents and young adults: strategies and considerations for health plans .
4 Pros and Cons of Digital Patient Health Data Access Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. J Pediatr Adolesc Gynecol 2017;30:17683. Cons: A single-payer system can be more costly, as it allows doctors and health care facilities to negotiate the terms of their contracts. Rules regarding privacy and confidentiality apply to a telehealth setting as much as they do to one that's face to face. Do not include specific laboratory data or counseling in after-visit summaries. First, we want to make sure that adolescent patients have access to health care to make sure that they are healthy and safe. Leawood, KS: AAFP; 2018. These are the kinds of questions that are important to consider, and difficult to answer using legal theories of confidentiality. However, there may be substantial cost to these safeguards, and constant reevaluation of protection is imperative. As your adolescents doctor and as the parent (or guardian), we have two roles here. ACOG Committee Opinion No. 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. Identify the adolescents cell phone number at check-in (in addition to collecting the parent or guardians cell phone number). National Academies Press. 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. Statutes and regulations regarding medical record information should be updated to ensure this standard is achieved. 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.
Social Media Use Common Expectations for Nurses Developments in technology have challenged our traditional understanding of "personal" information and privacy. There should be private conversation time between the health care provider and adolescent patient. Klein, C. A.
pros and cons J Adolesc Health 2004;35:1607. Protect against reasonably anticipated, impermissible uses or disclosures. Sexual misconduct. Committee on Practice and Ambulatory Medicine. 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. Can be especially important for children. One of the biggest problems in confidentiality protections is the lack of clarity about when patient confidentiality can be breached. 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. By concealing the information about health, the patient may under cover through the socialized health cover. Do not share any client information on social media sites. It is not intended to substitute for the independent professional judgment of the treating clinician. 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 The principle of bioethics of non-malefience require for the sage guarding of personal privacy. ), as well as communications between patient and doctor, and generally includes communications between the patient and other professional staff working with the doctor. (2009). Lehrer JA, Pantell R, Tebb K, Shafer MA. 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. 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.
Pros and cons of 4 different practice settings, per the AMA Communication Systems in Healthcare Hospitals: 3. Bell SK, Mejilla R, Anselmo M, Darer JD, Elmore JG, Leveille S, et al. Using technology to deliver health care has several advantages, including cost savings, convenience, and the ability to provide care to people Contradictory viewpoints. Electronic Health Records of Patients in Hospitals: 2. State confidentiality protections vary widely. 803.
Patient Confidentiality: Privacy and Public Health - The Doctor Will Therefore, it is important to develop "front-end" safeguards that prevent unauthorized breaches from occurring. Statutes vary by state, but minors may become emancipated when they marry, serve in active duty in the U.S. military, or obtain a declaration from the court. In the next section, we will look at the circumstances under which confidentiality may be broken. Committee on Adolescence, Council on Clinical and Information Technology. This article will explore how confidentiality should be conceived and if and when it should be broken. Available at: National Institute for Health Care Management.
Pros and Cons 587. (2011). Telehealth refers to providing healthcare services outside the bounds of a But genetic information does have implications for the health of blood relatives.
Pros and Cons of Confidentiality in Healthcare - prosconss.com What is Universal Health Care Farnan, J. M., Sulmasy, L. S., Worster, B. K., Chaudhry, H. J., Rhyne, J. WebPro 2 Instituting a right to health care could lower the cost of health care in the United States. 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.
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