A wide assortment of hardware and software. Gostin, L. O., Levit, L. A., & Nass, S. J. 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. 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. In some research protocols, identifiers remain so that data can still be traced to particular individuals. Hospital rounds and kids' confidentiality, Why Do Politicians Weaponize Medicare? 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. American College of Obstetricians and Gynecologists. In fact, quite a lot of personal information is not protected at all. 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. American College of Obstetricians and Gynecologists. Sharing Patient Information: Pros, Cons and Implications Any potential conflicts have been considered and managed in accordance with ACOGs Conflict of Interest Disclosure Policy. During this era of socialized medicine, there are both pros and cons of confidentiality, rights, safety, and the security of the patients. Obstetriciangynecologists who treat adolescent patients should provide resources for parents and caregivers and encourage continued parental involvement 10. Electronic Medical Records: Pros and Cons | Virtru J Adolesc Health 2004;35:1607. HMOs often only cover Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. 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. There are numerous reasons for ensuring that there is protection of the privacy, security, and confidentiality of the health information. Flag a portion of the visit note as confidential in order for those sections to be omitted from access by a parent or guardian. 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. They can be printed or sent directly from the system in a digital file across email other online means. This may mitigate the intimidation some patients may experience from parents or guardians. Available at: Confidentiality in Adolescent Health Care, Addressing Patients and Parents or Guardians About Confidentiality, Provision of Health Care to Adolescent Patients, Suggestions for Protecting Adolescent Confidentiality Within Institutions, https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law, https://www.aafp.org/about/policies/all/adolescent-confidentiality.html, https://www.nihcm.org/component/content/article/5-issue-brief/1287-protecting-confidential-health-services-for-adolescents-young-adults, https://www.opennotes.org/tools-resources/for-health-care-providers/implementation-toolkit/, https://www.cahl.org/state-minor-consent-laws-a-summary-third-edition, Alliance for Innovation on Women's Health, Postpartum Contraceptive Access Initiative. Advantages & Disadvantages of an EHR In the next section, we will look at the circumstances under which confidentiality may be broken. 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. Advantages & Disadvantages of an EHR J Adolesc Health 2016;58:13440. 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 Ensuring the confidentiality and security of patients data is primordial to the In these cases, obstetriciangynecologists and other health care providers should be cognizant of alternative ways to share information with the adolescent if coercion to access the adolescents login information is suspected. Contradictory viewpoints. However, during this era of socialized medicine, it would not be prudent to keep some of the health information about health (Klein,2011). Confidentiality in Adolescent Health Care | ACOG This is due to the fact that if the doctor might not be able to offer the right care to the patient. Patient portals are mechanisms within the EHR system that provide patients with electronic access to their personal health record. Confidentiality is a fundamental right and is of paramount importance in our healthcare system. 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. As adolescents navigate this important developmental period, obstetriciangynecologists should engage with them and promote best practices that protect adolescents vulnerability and assist them in developing autonomy. 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. Measures to ensure protection will vary based on the EHR system capabilities and institution-specific policies. pros and cons Pediatrics 2011;127:9913. Add sensitive information into the prose of the visit note that is not included in billing or hospital searchable data. Therefore, they Employed physician in academic institution. Pharmacy and Therapeutics, 39(7), 491. The right of a mature minor to consent to medical care without previous parental or guardian consent has been recognized in many states.*. Ethical theories provide many different ways to view confidentiality laws. This claim is endlessly repeated but deeply obscure. Centers for Disease Control and Prevention High quality handovers are essential for safe healthcare and are used in many clinical situations. The United States continues to move toward a nationwide health information network that will allow health care providers to obtain quick access to patient medical information through EHRs. Storage Isnt Scalable. Quicker access to test results. Consequentialist theory suggests that without assurances of confidentiality, patients are less likely to disclose important medical information to their doctors. One of the biggest problems in confidentiality protections is the lack of clarity about when patient confidentiality can be breached. Pros and Cons Abstract. Ford C, English A, Sigman G. Confidential health care for adolescents: position paper for the Society for Adolescent Medicine. The Pros And Cons Of Confidentiality | ipl.org - Internet Public Often, the behavior is not disclosed to parents or guardians. Emancipation: A legal procedure whereby minors become legally responsible for themselves, and their parents or guardians are no longer responsible (financially or otherwise). Pros and Cons 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. The network of participating doctors and hospitals. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences. 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. 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. 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. Bulk pricing was not found for item. The Pros and Cons of Online Therapy - Verywell Mind Rules regarding privacy and confidentiality apply to a telehealth setting as much as they do to one that's face to face. The staff is always available to discuss health problems or answer questions. Pros And Cons Pros and Cons of Technology in Healthcare. American College of Obstetricians and Gynecologists Only a few states have comprehensive confidentiality laws, and many states control disclosure of health information through a combination of statutes addressing everything from particular disease information to autopsy records. Sexual misconduct. 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. American Academy of Family Physicians. If, however, you plan to take detailed actions based on It builds trust: Experimenting with a range of behavior is common among adolescents and young adults. A Story of Ethics and HIV Disclosure. Available at: National Institute for Health Care Management. Lack of confidentiality affects healthcare staff too 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. Another problem, however is what to do regarding the patient who has discovered a breach of confidentiality. (Health care providers should be cognizant of potential coercion by parent or guardian to maintain access.). 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. Published online on March 26, 2020.Copyright 2020 by the American College of Obstetricians and Gynecologists. Elk Grove Village (IL): American Academy of Pediatrics; 2017. There are times when a parental or guardian proxy to the adolescents patient portal may be appropriate, such as when an adolescent lacks the capacity for decision making, including those adolescents with severe intellectual or development disabilities. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. Confidentiality for adolescents accessing health care is complex, and concerns about lack of confidentiality can be a barrier to receiving appropriate care 2 3. People could make long-term plans in a more profound manner. References WebCharge capture refers to tracking each charge to a patient for medical services given. 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. Although much attention is currently focused on the federal privacy rule (HIPAA), there are a number of state confidentiality protections. These are the kinds of questions that are important to consider, and difficult to answer using legal theories of confidentiality. There are some problems with paper medical records. They also should find out what is viewable in their institutions EHR system, such as what is visible in the after-visit summary. 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. Identify and protect against reasonably anticipated threats to the security or integrity of the information. Wearable Technology: Disadvantages of Medical Technology in Healthcare: 1. Bright futures: guidelines for health supervision of infants, children, and adolescents . After her murder, the family sued, claiming that the physician should have warned the victim. 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. A 2016 study demonstrated that, when given the opportunity, adolescents use of EHRs afforded enhanced medical care and, although they accessed the portal less for laboratory results, appointments, or prescriptions, adolescents did engage in frequent confidential communications with their health care providers through patient portals 4. WebThe Cons Confidentiality and the institution of HIPAA hasnt been all positive. The Pros and Cons of Using Artificial Intelligence in the Healthcare The Pros and Cons of Big Data in the Healthcare Industry OpenNotes is a national initiative that encourages patient access to visit notes written by their health care providers 19. For additional quantities, please contact [emailprotected] Pros and Cons (2011). Top of Page In some states, physicians may experience serious disciplinary action for revealing a minors confidential sexual information. (Eds.). An EHR makes it much easier for a medical practice to track a charge for each procedure Cloudy confidentiality: clinical and legal implications of cloud computing in health care. A survey of a large hospital corporation in London found that 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. Pros and Cons 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). Not socialized medicinean Israeli view of health care reform. 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. This essay examines the pros and cons of the confidentiality, safety, rights, and the security of patients in an era of increased socialized medicine. 409 12th Street SW, Washington, DC 20024-2188, Privacy Statement 4. Adolescents also have rights to receive health care independently under legal principles such as mature minor and emancipated minor Box 2. Its just a matter of figuring out under what circumstances disclosures should occur. WebData access limitations. Beth Israel Deaconess Medical Center, Harvard Medical School. An overview of consent to reproductive health services by young people. pros and cons 2023 My Superior Paper. 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. Do not share any client information on social media sites. 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. Any concern for a HIPAA violation should be addressed by individual health care systems. Pros and Cons Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. Those who have good insurance All ACOG committee members and authors have submitted a conflict of interest disclosure statement related to this published product. 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. But genetic information does have implications for the health of blood relatives. Obstetriciangynecologists are encouraged to ensure conversation time alone with adolescents to clarify the adolescents privileges regarding the release of information and to obtain appropriate and preferred contact method. 26th January 2022 Tech Digest Correspondent Health. American College of Obstetricians and Gynecologists. Please try reloading page. It is not intended to substitute for the independent professional judgment of the treating clinician. Advantages of Medical Technology in Healthcare: 1. If protection of adolescent confidentiality is not possible within their electronic system, the information technology support within individual institutions should be employed to restrict parental access per HIPAA compliance. Washington, DC: NIHCM; 2011. Forgone health care among U.S. adolescents: associations between risk characteristics and confidentiality concern. WebPros And Cons Of Sarbanes-Oxley Act Of 2002. 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. 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. Employed physician in academic institution. of Ethics and HIV Disclosure Protecting confidential health services for adolescents and young adults: strategies and considerations for health plans . Web2 Pros and Cons of Managed Care in America Introduction I. It is unclear how this issue affects confidentiality, and, many states have been hesitant to extend such a duty to health professionals. 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. First, we want to make sure that adolescent patients have access to health care to make sure that they are healthy and safe. Recent years have muddied our understanding of medical confidentiality. Since its much easier and faster to access patient details and history through an electronic health record, its also much easier to immediately place imaging and laboratory work orders. p. 82810, for complete requirements.) Obstetriciangynecologists are encouraged to know their individual systems and institutional policies regarding confidentiality, EHRs, patient portals, and the open access for visit notes. 803. Meaningful use of a confidential adolescent patient portal. However, there is concern that it may result in important confidentiality breaches for adolescent patients. Bell SK, Mejilla R, Anselmo M, Darer JD, Elmore JG, Leveille S, et al. The most obvious benefit of utilizing AI technology is its ability to improve patient experiences.
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