Klein, C. A. Get Your Custom Essay on, The Pros and Cons of the Confidentiality of Patients in an Era of Increased Socialized Medicine. A number of states have adopted this principle, and some have extended it to all physicians or mental health professionals. Available at: National Institute for Health Care Management. Obstetriciangynecologists and other health care providers should be active in educating their staff and patients regarding the confidentiality of services. Social media and health care professionals: benefits, risks, and best practices. Every patient has got the right to privacy and therefore has got every right to ensure that the information about his or her health is concealed. Pros and cons of 4 different practice settings, per the AMA Abstract. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. 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. All Rights Reserved. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. The rapid development of technology geared toward healthcare services has led to the creation of the term telehealth, which essentially means virtual care. Use of chaperones during the physical examination of the pediatric patient. 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. Pros and Cons If, however, you plan to take detailed actions based on What is Confidentiality and When is It Not Protected? An email address may be helpful for contacting the patient. Similar issues apply to postmortem disclosure. The bill consists of 11 sections and was created as a reaction to high numbers of fraud and business misbehavior in major US corporations. American Academy of Family Physicians. 4. The network of participating doctors and hospitals. Pros And Cons Of Sarbanes-Oxley Act Of 2002 | ipl.org First, we want to make sure that adolescent patients have access to health care to make sure that they are healthy and safe. 796. Committee on Practice and Ambulatory Medicine. Available at: Promoting healthy relationships in adolescents. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. 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. Although laws vary by state, all minors have a right to some confidential health care. J Pediatr Adolesc Gynecol 2017;30:17683. Con: Healthcare data security concerns Patient portals, generally speaking, are a health IT interface on which patients can view their own protected health information (PHI). American College of Obstetricians and Gynecologists. J Adolesc Health 2012;51:40914. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. Obstetriciangynecologists are encouraged to know their individual systems and institutional policies regarding confidentiality, EHRs, patient portals, and the open access for visit notes. Ensuring the confidentiality and security of patients data is primordial to the Available at: English A, Bass L, Boyle AD, Eshragh F. State minor consent laws: a summary . Pros and cons Fidelity-based confidentiality suggests that physicians have an obligation not to disclosure information shared with them in their medical role. Contradictory viewpoints. As adolescents navigate this important developmental period, obstetriciangynecologists should engage with them and promote best practices that protect adolescents vulnerability and assist them in developing autonomy. Thompson LA, Martinko T, Budd P, Mercado R, Schentrup AM. 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. WebSafeguarding data confidentiality is not always easy as technological advances also provide means of easily accessing information from remote locations and making it Available at: Esch T, Mejilla R, Anselmo M, Podtschaske B, Delbanco T, Walker J. The Pros and Cons of Using Artificial Intelligence in the Healthcare At least one court has held that a physician may have a duty to disclose genetic information about a patient to immediate family members. 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. 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. Committee on Adolescence. There is little to no control over income distribution. ), as well as communications between patient and doctor, and generally includes communications between the patient and other professional staff working with the doctor. It has increased paper work for health care professionals (Livestrong, 2015). Importance Of Confidentiality In Health Care Farnan, J. M., Sulmasy, L. S., Worster, B. K., Chaudhry, H. J., Rhyne, J. 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. Confidentiality 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. Once confidentiality is breeched, it is difficult to regain trust; so, obstetriciangynecologists should make efforts to avoid the violation of the trust between the health care provider and patient. The immediate occasion is 2009, which is shown through the copyright year or the year of Ererere. This article explores the use of telehealth and the ability to provide health care to patients through interactive technology and telecommunication tools. Special requirements for electronic medical records in adolescent medicine. Confidentiality in pediatric and adolescent gynecology: when we can, when we can't, and when we're challenged. or call toll-free from U.S.: (800) 762-2264 or (240) 547-2156 Social Media Use Common Expectations for Nurses 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. Sexual misconduct. Hospital rounds and kids' confidentiality, Why Do Politicians Weaponize Medicare? Patient Access to Health Records 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. 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." Similar recommendations are supported by the American Academy of Pediatrics and the Society for Adolescent Health and Medicine 18. This will allow patients to create their own direct access to their record, rather than through a parent or guardian. Do not include specific laboratory data or counseling in after-visit summaries. The consequences of undermining this duty of confidence would be damaging to the individuals health and treatment. All rights reserved. Cloudy confidentiality: clinical and legal implications of cloud computing in health care. Flag a portion of the visit note as confidential in order for those sections to be omitted from access by a parent or guardian. 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). 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. 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. social media in contemporary nursing: risks and benefits 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 Pros and Cons of Online Therapy - Verywell Mind 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. Committee Opinion No. Challenges Sexual and reproductive health care services in the pediatric setting. The Pros and Cons of Electronic Medical Records (EMRs) By Editorial Team. It builds trust: Experimenting with a range of behavior is common among adolescents and young adults. How do we weigh the pros and cons of sharing personal health information with others in the medical community and with the government? The Pros and Cons of Big Data in the Healthcare Industry Employed physician in academic institution. 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. 1. Beyond the HIPAA privacy rule: enhancing privacy, improving health through research. Do not share any client information on social media sites. 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. ACOG Committee Opinion No. (2009). Adolescents often have questions or concerns that they may feel embarrassed to talk about in front of their parents or guardians. s Right to Confidential Reproductive Health Care 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! 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. 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. It is important for obstetriciangynecologists to be aware of their individual state and local laws. Some states have statutes that require reporting of abuse of hospital patients or long-term care patients, elder abuse, spousal abuse, and domestic abuse. They are of the argument that privacy is in itself objectively valuable, as an important component of human well-being. Although this can be viewed as a good thing because patients do have the right to see their own health data, it also opens doors for security concerns. This article will explore how confidentiality should be conceived and if and when it should be broken. Advantages & Disadvantages of an EHR There is little to no control over income distribution. The ACOG policies can be found on acog.org. We want to work with you to help your adolescent make the best choices for a healthy future. 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.