All Rights Reserved. Identify the adolescents cell phone number at check-in (in addition to collecting the parent or guardians cell phone number). Sharing medical information for research purposes is more controversial. A., & Arora, V. M. (2013). WebDisadvantages of Paper Medical Records. Sharing Patient Information: Pros, Cons and Implications Klein, C. A. Patients should have autonomy regarding parent or guardian presence during examination, but a parent or guardian should not take the place of a chaperone 12. If a patient declines a chaperone, it should be explained that the chaperone is an integral part of the clinical team whose role includes assisting with the examination and protecting the patient and the physician. 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. If notes automatically submit to EHRs, issues regarding sexuality, gender identity, substance use, mental health, and STIs may be included. In fact, quite a lot of personal information is not protected at all. 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). A survey of a large hospital corporation in London found that American College of Obstetricians and Gynecologists Protecting confidential health services for adolescents and young adults: strategies and considerations for health plans . 758, Promoting Healthy Relationships in Adolescents, for potential talking points when discussing confidentiality with parents, guardians, and patients 10. WebProponents of the right to health care say that no one in one of the richest nations on earth should go without health care. 4 Pros and Cons of Digital Patient Health Data Access Cons: Physicians have less autonomy and less continuity with patients. (2009). A Story of Ethics and HIV Disclosure. Society for Adolescent Health and Medicine, American Academy of Pediatrics. 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. 4th ed. Pros and Cons Any potential conflicts have been considered and managed in accordance with ACOGs Conflict of Interest Disclosure Policy. Jessica Wilen Berg is Professor of Law and Bioethics, Case Western Reserve University's School of Law and at the Department of Bioethics, Case Western Reserve School of Medicine, Cleveland, OH. Pros & Cons Of Universal Healthcare But genetic information does have implications for the health of blood relatives. Confidentiality is a fundamental right and is of paramount importance in our healthcare system. 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. All states and the District of Columbia allow minors to consent to sexually transmitted infection (STI) testing and treatment without parental permission 14. 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. Report confidentiality breaches to collaborative relationship to better protect the public health, safety and welfare. 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. 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. Journal of Adolescent Health, 25: Explanation of benefits statements (health care billing and insurance claims sent by insurance carriers) are an additional challenge to confidentiality. 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. They are of the argument that privacy is in itself objectively valuable, as an important component of human well-being. Web2 Pros and Cons of Managed Care in America Introduction I. WebConfidentiality. The Pros and Cons of the Confidentiality of Patients in an Era of Employed physician in academic institution. Telehealth Obstetriciangynecologists are encouraged to know their individual systems and institutional policies regarding confidentiality, EHRs, patient portals, and the open access for visit notes. 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. Confidentiality protections for adolescents and young adults in the health care billing and insurance claims process. The privacy rule, which is based on requirements contained in HIPAA, provides protection against parents or guardians access to protected health information for the following circumstances: adolescents aged 18 years and older; emancipated minors; minors who can legally consent to services or receive services without parental or guardian consent or notification according to state or other applicable law; or when a parent or guardian assents to an agreement of confidentiality between the minor adolescent and health care provider. Ethics Of Confidentiality In Health Care Elk Grove Village (IL): American Academy of Pediatrics; 2017. Hagan JF, Shaw JS, Duncan PM. p. 82810, for complete requirements.) 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. Introduction Engaging patients through open notes: an evaluation using mixed methods. Pediatrics 2012;130:98790. Often her small private room was crowded with family, friends, and loved ones. Ford C, English A, Sigman G. Confidential health care for adolescents: position paper for the Society for Adolescent Medicine. consultation with a healthcare professional. At least one court has held that a physician may have a duty to disclose genetic information about a patient to immediate family members. There should be private conversation time between the health care provider and adolescent patient. Ensuring privacy will also guarantee proper communication the patient and the physician; this is quite important as it will ensure provision of quality of care, improved autonomy, prevention of economic harm, discrimination and also an embarrassment. Leawood, KS: AAFP; 2018. 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. 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. The Pros and Cons of Big Data in the Healthcare Industry Adolescents gain more ownership over their own health: We encourage adolescents to be active participants in their health care as a step toward becoming adults and to take on more responsibility. 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. This essay examines the pros and cons of the confidentiality, safety, rights, and the security of patients in an era of increased socialized medicine. Quality healthcare services: The US has modern medical equipment and ensures citizens are able to get quality medical care. Patient Confidentiality: Privacy and Public Health - The Doctor Will We may have to disclose private information to protect a patients safety. 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. Pros of the Confidentiality, Safety, Rights, and the Security of Patients in an Era of Increased Socialized Medicine Employed physician in academic institution. The average increase in per-patient charges is $11.09 and patient collections have increased by $11.48 on average. Additionally, they should be informed of any restrictions to the confidential nature of the relationship. Offering clinician note feedback. WebInformed consent in medical ethics is commonly viewed as the key to respecting patient autonomy. pros and cons But what if a patient threatens suicide? There should be private conversation time between the health care provider and adolescent patient. Adolescents are beginning to take responsibility for their health care, and this should be encouraged and supported as they transition to adult patients. Adolescents should be made aware of specific instances when private information may be disclosed, such as suicidal or homicidal ideation or acts, life-threatening drug misuse, and an eating disorder causing bodily harm 1. The rapid development of technology geared toward healthcare services has led to the creation of the term telehealth, which essentially means virtual care. Electronic Health Records of Patients in Hospitals: 2. Farnan, J. M., Sulmasy, L. S., Worster, B. K., Chaudhry, H. J., Rhyne, J. The second issue, which stems from the first, is under what circumstances confidentiality should be broken. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. J Adolesc Health 2004;35:1607. The Health Insurance Portability and Accountability Act (HIPAA) privacy rule, however, defers to state and other federal applicable laws about disclosure of protected health information for unemancipated minors that may allow health care providers discretion regarding parental or guardian access to a minors protected health information 15. 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. American College of Obstetricians and Gynecologists 409 12th Street SW, Washington, DC 20024-2188. Pros and cons of disclosing your HIV status Annals of internal medicine, 158(8), 620-627. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Only individuals who are legally authorized to have access to patient data for a legally permissible purpose should be given access to patient WebPeople may get a higher feeling of security. 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. Pros: A single-payer system offers individuals greater control over their healthcare, providing the ability to choose their doctors based on approach or reputation. The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. 803. However, there may be substantial cost to these safeguards, and constant reevaluation of protection is imperative. 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. In as much as it is the right of the patient to keep his or her health information private, it is prudential for the person to consider that this would interfere with his or her health (Ventola, 2014). AI can be used for diagnostics, helping Unlike electronic medical records stored on cloud servers, paper medical records need physical space for storage purposes. The Cons of Patients Confidentiality, Security, Rights, and Privacy During this Era of Socialized Medicine Obstetriciangynecologists should emphasize to the parent or guardian that confidentiality is important to foster a safe and trusting environment for adolescents to discuss their concerns and health care. Did you know that according to the Social Security Administration, 1 in 4 of todays 20-year-old Americans Pediatrics 2011;127:9913. Adolescents often have questions or concerns that they may feel embarrassed to talk about in front of their parents or guardians. OpenNotes. If, after counseling, the patient refuses the chaperone, this decision should be respected and documented in the medical record 11. 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. Pros And Cons 2023 My Superior Paper. Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. In the latter situation, the laws usually provide protections against liability for disclosure. (Health care providers should be cognizant of potential coercion by parent or guardian to maintain access.). Chernichovsky, D. (2009). This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. 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. Genetic information is likely to be regarded as extremely useful to family members for predicting their own health care needs (possibly even more so than other types of medical information), and thus there may be a strong argument in favor of disclosure after a patient has died. of Ethics and HIV Disclosure WebCharge capture refers to tracking each charge to a patient for medical services given. Contradictory viewpoints. Similar issues apply to postmortem disclosure. Available at: English A, Bass L, Boyle AD, Eshragh F. State minor consent laws: a summary . Legal protections for confidentiality are the result of our societys interest in privacy, but they can still be outweighed in cases where other society values (such as public health and safety) outweigh them. People take this matter Because It Works, Nature Documentaries Could Help Save the Planet, Use of this site is your Agreement to the Terms. Confidentiality refers to protection of privileged and private information shared during a health care encounter and in medical records that document the encounter 1. Pros and cons J Adolesc Health 2019;64:3118. Technology Improving Healthcare in Hospitals: 4. Ethical Dilemmas: Breaking Confidentiality 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. Please try reloading page. 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. Breaking Confidentiality in Clients with Ventola, C. L. (2014). The Pros of Using AI. Pros and cons of 4 different practice settings, per the AMA 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. Do not share any client information on social media sites. This article will explore how confidentiality should be conceived and if and when it should be broken. Adolescents also have rights to receive health care independently under legal principles such as mature minor and emancipated minor Box 2. Challenges 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. Adolescent girls' and boys' preferences for provider gender and confidentiality in their health care. Legal Restrictions and Terms of Use: For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. 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. 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. Security measures and enhanced EHR standards should be adopted at the systems level to prevent breaches of patient confidentiality. Cons: Physicians have less autonomy and less continuity with patients. Again, it is a matter of weighing the pros and cons between keeping and breaching confidentiality. Available at: National Institute for Health Care Management. Importance Of Confidentiality In Health Care Adolescent health care, confidentiality . Social media and health care professionals: benefits, risks, and best practices. (2011). The immediate occasion is 2009, which is shown through the copyright year or the year of Ererere. Require a parent or guardian code word to access an adolescents patient portal. Any concerns the patient has regarding the presence of a chaperone should be elicited and addressed if feasible. Obstetriciangynecologists who work with adolescent patients have a unique perspective and are encouraged to work with their institutions to protect patients confidentiality. 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. They also should find out what is viewable in their institutions EHR system, such as what is visible in the after-visit summary. Patient portals are mechanisms within the EHR system that provide patients with electronic access to their personal health record. WebPros And Cons Of Sarbanes-Oxley Act Of 2002. J Adolesc Health 2016;58:13440. High quality handovers are essential for safe healthcare and are used in many clinical situations. Nature documentaries showing the loss of plant diversity around the world raise our awareness of environmental threats to plant life. Beyond the HIPAA privacy rule: enhancing privacy, improving health through research. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. 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. 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. Confidentiality Pros And Cons Of Sarbanes-Oxley Act Of 2002 | ipl.org WebThe uniqueness of HIEs-structures, relationships, funding, and authority-adds new complexities to the familiar issues of privacy, confidentiality, security, and information use. Advantages and Disadvantages of Medical Technology in Healthcare Confidentiality discussions and private time with a health-care provider for youth, United States, 2016. 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. Using technology to deliver health care has several advantages, including cost savings, convenience, and the ability to provide care to people Grilo SA, Catallozzi M, Santelli JS, Yan H, Song X, Heitel J, et al. Telehealth: The advantages and disadvantages - Harvard Health Available at: Anoshiravani A, Gaskin GL, Groshek MR, Kuelbs C, Longhurst CA. So there are a couple of questions that are up for debate. As a last resort, the health care provider should consider referral if confidential care cannot be provided. Disclosing this information would prolong his or her life, but it might also prolong suffering. J Adolesc Health 2007;40:21826. The average increase in per-patient charges is $11.09 and patient collections have increased by $11.48 on average. Parents are often too quick to give medications to lower a fever and make a child more comfortable. Sexual misconduct. you may experience negative reactions ranging from maltreatment to a breach of confidentiality and even to unfair dismissal. There are many distinct conceptions of individual autonomy in circulation, and even more views of the value and importance of these various conceptions. 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. The other advantage of privacy is that will enable an individual to alter peoples behavior with other people. WebThe Pros And Cons Of Confidentiality Soapstone Formal Analysis. Copyright document.getElementById("dte").innerHTML = new Date().getFullYear(); interMDnet Corporation. An overview of consent to reproductive health services by young people. For example, according to the medical ethics scholars Tom Beauchamp and James Childress, confidentiality protections can be justified using three types of arguments: Interestingly, none of these philosophical arguments suggests that confidentiality should not be breached under certain circumstances. Providing alone time, apart from a parent or guardian, for discussion between the adolescent patient and health care provider is an important aspect of the health care visit 5. Advantages of telehealth. HMOs often only cover American Academy of Family Physicians. Private information, especially if identifiable, should only be disclosed to the third party with the consent of the patient. Available at: https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law. However, there is concern that it may result in important confidentiality breaches for adolescent patients. In the next section, we will look at the circumstances under which confidentiality may be broken. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Pros and Cons of Technology in Healthcare. Literature discussing confidentiality and AIDS patients supports the notion that health care professionals (including counselors) have a duty to warn and protect at-risk third parties.
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