The consequences of undermining this duty of confidence would be damaging to the individuals health and treatment. This essay examines the pros and cons of the confidentiality, safety, rights, and the security of patients in an era of increased socialized medicine. The staff is always available to discuss health problems or answer questions. My patient was a petite woman in her mid-forties with long dark hair. What is Confidentiality and When is It Not Protected? 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. Modern healthcare organizations have turned to electronic medical records (EMRs) in an It is unclear how this issue affects confidentiality, and, many states have been hesitant to extend such a duty to health professionals. Confidentiality laws regarding medical information are currently undergoing changes at both the state and federal levels. WebSolution for Explain the pros and cons of multipurpose pins on microcontrollers. Obstet Gynecol 2020;135:e4350. Protection of privacy also ensures that the societal values are also protected. 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 of US Healthcare Obstetriciangynecologists who treat adolescent patients should provide resources for parents and caregivers and encourage continued parental involvement 10. They can be printed or sent directly from the system in a digital file across email other online means. 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. Top of Page WebHealth Care Providers: Any provider of medical or other health services, or supplies, who transmits any health information in electronic form in connection with a transaction for which standard requirements have been adopted. Challenges 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. 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. These are the kinds of questions that are important to consider, and difficult to answer using legal theories of confidentiality. Ethical Issues in Nursing: The Impact of Smartphones on ACOG Committee Opinion No. Another problem, however is what to do regarding the patient who has discovered a breach of confidentiality. 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. 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. For that matter, it is important to note that by ensuring privacy, this will promote more effective communication between the service provider and the patient. ), as well as communications between patient and doctor, and generally includes communications between the patient and other professional staff working with the doctor. Gray SH, Pasternak RH, Gooding HC, Woodward K, Hawkins K, Sawyer S, et al. Pros: Salaries might be lower than in other practice settings, but there are often added benefits, including more time off and better retirement options. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Nature documentaries showing the loss of plant diversity around the world raise our awareness of environmental threats to plant life. All rights reserved. Universal healthcare can increase overall life expectancy. Confidentiality in pediatric and adolescent gynecology: when we can, when we can't, and when we're challenged. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. How do we weigh the pros and cons of sharing personal health information with others in the medical community and with the government? What Is Supplemental Disability Insurance? Another problem, however, People would have to worry less about their future. For example, it is much easier to obtain a persons credit history (even legally) than it is to gain access to his/her medical history, even though both may be considered highly personal and private information. Pharmacy and Therapeutics, 39(7), 491. s Right to Confidential Reproductive Health Care The other advantage of privacy is that will enable an individual to alter peoples behavior with other people. 4 Pros and Cons of Digital Patient Health Data Access The immediate occasion is 2009, which is shown through the copyright year or the year of Ererere. 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. Contradictory viewpoints. Miscommunication during handovers can lead to unnecessary Telehealth: The advantages and disadvantages - Harvard Health Confidentiality for adolescents accessing health care is complex, and concerns about lack of confidentiality can be a barrier to receiving appropriate care 2 3. Sharing Patient Information: Pros, Cons and Implications Breaching an individuals confidentiality and privacy do not only affect an individuals dignity, and might as well cause harm (Gostin, Levit & Nass, 2009). Klein, C. A. For patients ages 18 and older, require a signed release of information for a parent or guardian to ask health questions about the adolescent by telephone. 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. The rapid development of technology geared toward healthcare services has led to the creation of the term telehealth, which essentially means virtual care. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. All states and the District of Columbia allow minors to consent to sexually transmitted infection (STI) testing and treatment without parental permission 14. 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. Chapel Hill (NC): Center for Adolescent Health and the Law; 2010. This may mitigate the intimidation some patients may experience from parents or guardians. 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. 803. Breaking Confidentiality in Clients with 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. Obstetriciangynecologists should be aware of how the process of the release of medical records of minors is addressed by their institution. Report confidentiality breaches to collaborative relationship to better protect the public health, safety and welfare. Web2 Pros and Cons of Managed Care in America Introduction I. J Adolesc Health 2019;64:3118. Read terms, Number 803 (Replaces Committee Opinion Number 599, May 2014). 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. Again, it is a matter of weighing the pros and cons between keeping and breaching confidentiality. Although many genetic traits may be passed on to ones children, they clearly are not transmissible in the same way as contagious diseases and thus do not exactly fit under a discussion of public health concerns. 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 Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Confidentiality protections for adolescents and young adults in the health care billing and insurance claims process. Obstetriciangynecologists and other health care providers should be active in educating their staff and patients regarding the confidentiality of services. Alderman EM. Cons: A single-payer system can be more costly, as it allows doctors and health care facilities to negotiate the terms of their contracts. Pros And Cons Its value also sabotages any effort to solve financing problems. 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. WebHealth care workers must respect patients confidences. The Pros and Cons of the Confidentiality of Patients in an Era of Legal Restrictions and Terms of Use: 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. Annals of internal medicine, 158(8), 620-627. (2011). In the former situation, liability may be imposed for failing to disclose. When a patient turns 18 years old, allow EHR systems to reset the patient as an adult. Confidential Health Care for Adolescents Centers for Disease Control and Prevention Cons: Physicians have less autonomy and less continuity with patients. This compromises trust in the providerpatient relationship. 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. The use of telehealth continues to grow, reaching multiple medical specialties and providing care to a greater population of patients. Patient Access to Health Records: Pros and Cons New York, NY: Guttmacher Institute; 2019. Adolescent girls' and boys' preferences for provider gender and confidentiality in their health care. pros and cons (Monday through Friday, 8:30 a.m. to 5 p.m. This article will explore how confidentiality should be conceived and if and when it should be broken.
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