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). Copyright 2020 by the American College of Obstetricians and Gynecologists. Rules regarding privacy and confidentiality apply to a telehealth setting as much as they do to one that's face to face. 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. 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. Hagan JF, Shaw JS, Duncan PM. 1. WebConfidentiality. The right of a mature minor to consent to medical care without previous parental or guardian consent has been recognized in many states.*. Published online on March 26, 2020.Copyright 2020 by the American College of Obstetricians and Gynecologists. 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. It is not intended to substitute for the independent professional judgment of the treating clinician. The Pros and Cons of the Confidentiality of Patients in an Era of The principle of bioethics of non-malefience require for the sage guarding of personal privacy. pros and cons American College of Obstetricians and Gynecologists Gray SH, Pasternak RH, Gooding HC, Woodward K, Hawkins K, Sawyer S, et al. Annals of internal medicine, 158(8), 620-627. The Pros And Cons Of Confidentiality - 1814 Words Employed physician in academic institution. This is because; 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. There are some problems with paper medical records. ACOG Committee Opinion No. The Cons of Patients Confidentiality, Security, Rights, and Privacy During this Era of Socialized Medicine Pros and Cons American College of Obstetricians and Gynecologists. Web2 Pros and Cons of Managed Care in America Introduction I. 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. Pros and cons of disclosing your HIV status Although most 3rd ed. My first patient living with HIV came to me when I was a new nurse in a Chicago hospital. Its just a matter of figuring out under what circumstances disclosures should occur. 758, Promoting Healthy Relationships in Adolescents, for potential talking points when discussing confidentiality with parents, guardians, and patients 10. The bill consists of 11 sections and was ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. 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 Miscommunication during handovers can lead to unnecessary 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. 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. References But what if a patient threatens suicide? Online Therapy: Security, Ethics, and Legal Issues. If systems of EHRs have already been established, procedures to maintain adolescent confidentiality should be implemented where appropriate 17. 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. Obstet Gynecol 2020;135:e4350. 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. Developments in technology have challenged our traditional understanding of "personal" information and privacy. State confidentiality protections vary widely. 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.] Ethical theories provide many different ways to view confidentiality laws. Protecting confidential health services for adolescents and young adults: strategies and considerations for health plans . Wearable Technology: Disadvantages of Medical Technology in Healthcare: 1. Employed physician in academic institution. Although much attention is currently focused on the federal privacy rule (HIPAA), there are a number of state confidentiality protections. When feasible, obstetriciangynecologists and other health care providers should work with government agencies and legislative bodies to eliminate or mitigate the effect of laws that unduly restrict confidential health services for minor adolescents. Obstetriciangynecologists should make clear to the patient what limitations, if any, exist in the EHR system. Over time, however, regulations have been developed to protect the privacy and security of certain health information. Available at: Anoshiravani A, Gaskin GL, Groshek MR, Kuelbs C, Longhurst CA. All Rights Reserved. Pros: Salaries might be lower than in other practice settings, but there are often added benefits, including more time off and better retirement options. Chapel Hill (NC): Center for Adolescent Health and the Law; 2010. National Academies Press. What is managed Care One form of medical coverage is the managed-care plan. 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. In the next section, we will look at the circumstances under which confidentiality may be broken. Journal of Adolescent Health, 25: 803. If, after counseling, the patient refuses the chaperone, this decision should be respected and documented in the medical record 11. Any updates to this document can be found on acog.org or by calling the ACOG Resource Center. 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! Pros and Cons Another problem, however is what to do regarding the patient who has discovered a breach of confidentiality. 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. 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. One of the biggest problems in confidentiality protections is the lack of clarity about when patient confidentiality can be breached. As your adolescents doctor and as the parent (or guardian), we have two roles here. New York, NY: Guttmacher Institute; 2019. Pros and Cons Security measures and enhanced EHR standards should be adopted at the systems level to prevent breaches of patient confidentiality. Whether or not to disclose personal medical information is often said to be a balancing act between the benefits of keeping confidentiality and the benefits of waiving it. An EHR makes it much easier for a medical practice to track a charge for each procedure My patient was a petite woman in her mid-forties with long dark hair. Beth Israel Deaconess Medical Center, Harvard Medical School. pros and cons 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 can actually slow their recovery. The Importance of Supplemental Disability Insurance. Universal Healthcare Pros and Cons - Is It a Human Right? If notes automatically submit to EHRs, issues regarding sexuality, gender identity, substance use, mental health, and STIs may be included. The final category, waiving confidentiality for research purposes is a little bit different, but even here the goal is linked to health specifically advancing general knowledge so as to achieve future health benefits. American College of Obstetricians and Gynecologists. 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 rapid development of technology geared toward healthcare services has led to the creation of the term telehealth, which essentially means virtual care. 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. It is important for obstetriciangynecologists to be aware of their individual state and local laws. During this era of socialized medicine, there are both pros and cons of confidentiality, rights, safety, and the security of the patients. When providing care for neurotypical (ie, without a defined neurologic difference) adolescents, obstetriciangynecologists and other health care providers should consider issues of parental access to the adolescents login information. With appropriate safeguards, EHRs may offer more security than traditional paper-record systems. Similar recommendations are supported by the American Academy of Pediatrics and the Society for Adolescent Health and Medicine 18. Medicare is often a target when politicians seek a quick way to cut costs. The use of telehealth continues to grow, reaching multiple medical specialties and providing care to a greater population of patients. Obstet Gynecol 2020;135:e1717. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. Committee on Practice and Ambulatory Medicine. 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. Webthe confidentiality of adolescents health care in-formation are fundamentally necessary to allow health care professionals to provide appropriate health care to adolescents and Challenges As citizens become more aware of the many issues involved in medical confidentiality, they can help shape the discussion and make their voices heard as lawmakers address the issues. 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. However, it also has the potential to negatively influence patient care. (Monday through Friday, 8:30 a.m. to 5 p.m.

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