pros and cons of confidentiality in healthcare

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. In the next section, we will look at the circumstances under which confidentiality may be broken. Ability to share health information with family members and other relevant clinicians. consultation with a healthcare professional. They are of the argument that privacy is in itself objectively valuable, as an important component of human well-being. The parent or guardian and patient should be aware that these discussions are considered private, not secret, and obstetriciangynecologists may disclose private information when concerned for the immediate danger of patients to themselves or others, or both, and when reporting is required by public health laws 6. Pros and Cons Advantages & Disadvantages of an EHR The Pros and Cons of Online Therapy - Verywell Mind Miscommunication during handovers can lead to unnecessary Telehealth refers to providing healthcare services outside the bounds of a With appropriate safeguards, EHRs may offer more security than traditional paper-record systems. 803. Sharing Patient Information: Pros, Cons and Implications This compromises trust in the providerpatient relationship. 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." The American College of Obstetricians and Gynecologists recommends that a chaperone be in the room during the physical examination, as well as during diagnostic studies such as transvaginal ultrasonography 11. Online Therapy: Security, Ethics, and Legal Issues. Ford C, English A, Sigman G. Confidential health care for adolescents: position paper for the Society for Adolescent Medicine. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. 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. Ethical theories provide many different ways to view confidentiality laws. A., & Arora, V. M. (2013). The American College of Obstetricians and Gynecologists encourages obstetriciangynecologists and other health care providers to ensure that their existing EHR systems protect the confidentiality of minor patients, including any OpenNotes features. ACOG Committee Opinion No. It provides a safe space to ask questions: Talking to adolescents one-on-one also gives adolescents a chance to ask questions or give information they may feel self-conscious about. It must be acknowledged by the nurse and the nursing profession that social media has the power to enable the nurse to network with colleagues and share research findings through both private and open forums. Obstetriciangynecologists are encouraged to know their individual systems and institutional policies regarding confidentiality, EHRs, patient portals, and the open access for visit notes. The staff is always available to discuss health problems or answer questions. 758. Wearable Technology: Disadvantages of Medical Technology in Healthcare: 1. Get Your Custom Essay on, The Pros and Cons of the Confidentiality of Patients in an Era of Increased Socialized Medicine. p. 82810, for complete requirements.) ), as well as communications between patient and doctor, and generally includes communications between the patient and other professional staff working with the doctor. Statutes on the rights of minors to consent to health care services vary by state, and obstetriciangynecologists and other health care providers should be familiar with the regulations that apply to their practice. 4. It has increased paper work for health care professionals (Livestrong, 2015). The average increase in per-patient charges is $11.09 and patient collections have increased by $11.48 on average. Obstetriciangynecologists should make clear to the patient what limitations, if any, exist in the EHR system. What Is Supplemental Disability Insurance? Using technology to deliver health care has several advantages, including cost savings, convenience, and the ability to provide care to people 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. 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. Pros & Cons Of Universal Healthcare 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. Pros And Cons (Health care providers should be cognizant of potential coercion by parent or guardian to maintain access.). If, however, you plan to take detailed actions based on Disclosing this information would prolong his or her life, but it might also prolong suffering. The rapid development of technology geared toward healthcare services has led to the creation of the term telehealth, which essentially means virtual care. Retrieved November 15, 2019. Hospital rounds and kids' confidentiality, Why Do Politicians Weaponize Medicare? This claim is endlessly repeated but deeply obscure. Obstet Gynecol 2018;132:e21320. 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. 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. Journal of Adolescent Health, 25: Review individual cases and provide proxy access for parents of adolescent patients with disabilities when appropriate. Pros and Cons 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. Additionally, it is costly for vendors to develop and maintain the levels of mandated confidentiality because the laws regarding confidentiality vary by state 4. (Monday through Friday, 8:30 a.m. to 5 p.m. Additionally, they should be informed of any restrictions to the confidential nature of the relationship. Any concerns the patient has regarding the presence of a chaperone should be elicited and addressed if feasible. We may have to disclose private information to protect a patients safety. Bright futures: guidelines for health supervision of infants, children, and adolescents . Web2 Pros and Cons of Managed Care in America Introduction I. Universal Healthcare Pros and Cons - Is It a Human Right? Guttmacher Institute. This will allow patients to create their own direct access to their record, rather than through a parent or guardian. The ACOG policies can be found on acog.org. 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. Thompson LA, Martinko T, Budd P, Mercado R, Schentrup AM. However, during this era of socialized medicine, it would not be prudent to keep some of the health information about health (Klein,2011). Breaking Confidentiality in Clients with 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. The Pros of Using AI. Sexual and reproductive health care services in the pediatric setting. Often her small private room was crowded with family, friends, and loved ones. 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. Almost all states have child abuse reporting statutes. New York, NY: Guttmacher Institute; 2019. Not socialized medicinean Israeli view of health care reform. The Pros and Cons of the Confidentiality of Patients in an Era of All rights reserved. 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. They argue that a right to health care would stop medical 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. WebWhich type of survey should I use? Washington, DC: NIHCM; 2011. 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. Protecting confidential health services for adolescents and young adults: strategies and considerations for health plans . Can be especially important for children. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented. Available at: https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law. Teens also have a right to confidential mental health and substance abuse treatment. In fact, quite a lot of personal information is not protected at all. Gostin, L. O., Levit, L. A., & Nass, S. J. Committee on Adolescence. Any updates to this document can be found on acog.org or by calling the ACOG Resource Center. They are required to keep information about patients health private unless the patient give permission to release his/her health information (De Bord et al, 2013). Advantages of Medical Technology in Healthcare: 1. Only individuals who are legally authorized to have access to patient data for a legally permissible purpose should be given access to patient WebDisadvantages of Paper Medical Records. WebConfidentiality is one of the main duties of health care providers. Its just a matter of figuring out under what circumstances disclosures should occur. Don't use plagiarized sources. 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. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. The statutes and case law governing exceptions can be separated into a number of different areas, including public health, public safety, protection of vulnerable persons, and research. However, there may be substantial cost to these safeguards, and constant reevaluation of protection is imperative. Pros and Cons But what if a patient threatens suicide? The right of a mature minor to consent to medical care without previous parental or guardian consent has been recognized in many states.*. 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. It is important for obstetriciangynecologists to be aware of their individual state and local laws. The minor can consent to medical, dental, or psychiatric care. Confidentiality, Privacy, and Unreliable Technology Keeping your personal information private is a major concern in psychotherapy, but online treatment adds a layer Patients should be informed that there are laws protecting their confidentiality in the health care setting. Obstet Gynecol 2020;135:e4350. Pediatrics 2011;127:9913. Identify the patients preferred route of contact. 4th ed. Pros and Cons of Confidentiality in Healthcare - prosconss.com In fact, quite a lot of personal information is not protected at all. The bill consists of 11 sections and was created as a reaction to high numbers of fraud and business misbehavior in major US corporations. Duty to warn cases focus on (1) the seriousness of the threat of harm and (2) the identifiability of the victim (whether there is a specific individual at risk). J Adolesc Health 2019;64:3118. 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. Additionally, they should be informed of any restrictions to the confidential nature of the relationship. As your adolescents doctor and as the parent (or guardian), we have two roles here. The Importance of Supplemental Disability Insurance. 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. Nature documentaries showing the loss of plant diversity around the world raise our awareness of environmental threats to plant life. Cloudy confidentiality: clinical and legal implications of cloud computing in health care. Similar recommendations are supported by the American Academy of Pediatrics and the Society for Adolescent Health and Medicine 18. Pros and cons It is not intended to substitute for the independent professional judgment of the treating clinician. 803. 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. 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. If, after counseling, the patient refuses the chaperone, this decision should be respected and documented in the medical record 11. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. There are many ways to define confidentiality, and how we conceptualize it affects how it functions in our everyday lives.

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