Modern healthcare organizations have turned to electronic medical records (EMRs) in an The principle of bioethics of non-malefience require for the sage guarding of personal privacy. Advantages & Disadvantages of an EHR A survey of a large hospital corporation in London found that Webthe confidentiality of adolescents health care in-formation are fundamentally necessary to allow health care professionals to provide appropriate health care to adolescents and However, there may be substantial cost to these safeguards, and constant reevaluation of protection is imperative. All Rights Reserved. The bill consists of 11 sections and was My first patient living with HIV came to me when I was a new nurse in a Chicago hospital. Parents are often too quick to give medications to lower a fever and make a child more comfortable. Health Plans: Any individual or group plan that provides or pays the cost of health care. As part of comprehensive health care, it is our practice to ask parents to wait outside for part of the interview and to encourage the adolescents to discuss their own interests and concerns. of Ethics and HIV Disclosure pros and cons A wide assortment of hardware and software. WebThe Cons Confidentiality and the institution of HIPAA hasnt been all positive. 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. 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. Beyond the HIPAA privacy rule: enhancing privacy, improving health through research. 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. There are some problems with paper medical records. There is little to no control over income distribution. 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. 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. Breaking Confidentiality in Clients with Pros And Cons Of Confidentiality And The Institution Of HIPAA pros and cons As a last resort, the health care provider should consider referral if confidential care cannot be provided. Journal of Adolescent Health, 25: 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. Pros and Cons of US Healthcare An Electronic Health Record, or EHR, is a resource growing more widely used in hospitals, clinics, and healthcare practices across the country.Rather than relying on paper-based documents, more healthcare professionals are transitioning to rely on digital collection of patient information in a format that can be stored of hard storage and So there are a couple of questions that are up for debate. Journal of the American Academy of Psychiatry and the Law Online, 39(4), 571-578. Given the health concerns, at least one court has held that a physician may have a duty to disclose genetic information about a patient to immediate family members. WebWhat is more, it suggests that breaches of confidentiality should be restricted to the circumstances under which there is sufficient evidence that the clients or other persons safety is in danger or the health, safety or welfare of children or vulnerable adults is WebPeople may get a higher feeling of security. There should be private conversation time between the health care provider and adolescent patient. J Adolesc Health 2016;58:13440. All states and the District of Columbia allow minors to consent to sexually transmitted infection (STI) testing and treatment without parental permission 14. In certain instances, specific billing modifiers used with preventative services provided under the Patient Protection and Affordable Care Act will generate nonitemized explanation of benefits statements. Pros and cons Knowing what confidentiality laws in your area cover can help you make informed decisions about how your information is shared. 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. J Adolesc Health 2014;54:48790. Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. 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. Online Therapy: Security, Ethics, and Legal Issues. Similar caution should be assumed when releasing information to other health care providers. 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. Communication Systems in Healthcare Hospitals: 3. Nature documentaries showing the loss of plant diversity around the world raise our awareness of environmental threats to plant life. 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. pros and cons 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. Lehrer JA, Pantell R, Tebb K, Shafer MA. Obstet Gynecol 2014;123:38993. Pros: Salaries might be lower than in other practice settings, but there are often added benefits, including more time off and better retirement options. Advantages of Medical Technology in Healthcare: 1. Identify and protect against reasonably anticipated threats to the security or integrity of the information. 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. Confidentiality refers to protection of privileged and private information shared during a health care encounter and in medical records that document the encounter 1. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. Pros & Cons Of Universal Healthcare J Adolesc Health 2004;35:1607. 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. 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. Introduction p. 82810, for complete requirements.) Did you know that according to the Social Security Administration, 1 in 4 of todays 20-year-old Americans Improving patient This will allow patients to create their own direct access to their record, rather than through a parent or guardian. An email address may be helpful for contacting the patient. Therefore, they Ensuring the confidentiality and security of patients data is primordial to the Importance Of Confidentiality In Health Care Standards for health information technology to ensure adolescent privacy. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. 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). Although most References There should be private conversation time between the health care provider and adolescent patient. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. This can actually slow their recovery. Recent years have muddied our understanding of medical confidentiality. Use of chaperones during the physical examination of the pediatric patient. 1. Pros and Cons Please try reloading page. This article explores the use of telehealth and the ability to provide health care to patients through interactive technology and telecommunication tools. Obstetriciangynecologists who work with adolescent patients have a unique perspective and are encouraged to work with their institutions to protect patients confidentiality. Storage Isnt Scalable. In the medical field, confidentiality even dates back to the Hippocratic Oath, but there are many updated versions of confidentiality, defined by various medical associations around the word. Pros and cons Additionally, they should be informed of any restrictions to the confidential nature of the relationship. 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.