AI can be used for diagnostics, helping Social Media Use Common Expectations for Nurses 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. These unique issues include: The diversity of stakeholders. 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. The Pros and Cons of Using Artificial Intelligence in the Healthcare Knowing what confidentiality laws in your area cover can help you make informed decisions about how your information is shared. No part of this publication may be reproduced, stored in a retrieval system, posted on the internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. 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. WebWhich type of survey should I use? All rights reserved. Annals of internal medicine, 158(8), 620-627. This article will explore how confidentiality should be conceived and if and when it should be broken. 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. Although much attention is currently focused on the federal privacy rule (HIPAA), there are a number of state confidentiality protections. Technology Improving Healthcare in Hospitals: 4. Only individuals who are legally authorized to have access to patient data for a legally permissible purpose should be given access to patient We want to work with you to help your adolescent make the best choices for a healthy future. There is little to no control over income distribution. The Pros of Using AI. J Adolesc Health 2016;58:13440. Obstet Gynecol 2020;135:e4350. Committee on Practice and Ambulatory Medicine. 1. Protecting confidential health services for adolescents and young adults: strategies and considerations for health plans . Although most Get Your Custom Essay on, The Pros and Cons of the Confidentiality of Patients in an Era of Increased Socialized Medicine. Patient Access to Health Records 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. 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. On the other hand, in contrast to other definitions, the AMA immediately recognizes a number of exceptions to confidentiality, which include reporting of threats to inflict serious bodily harm on others, certain communicable diseases, and gunshot wounds or knife wounds. We are a society strangely obsessed both with privacy and obtaining information. Pros and cons of 4 different practice settings, per the AMA What is Confidentiality and When is It Not Protected? Patient access varies widely across institutions and by the type of EHR used by the health care provider. Ethical theories provide many different ways to view confidentiality laws. Electronic Medical Records: Pros and Cons | Virtru WebSolution for Explain the pros and cons of multipurpose pins on microcontrollers. Klein, C. A. Breaching an individuals confidentiality and privacy do not only affect an individuals dignity, and might as well cause harm (Gostin, Levit & Nass, 2009). The second issue, which stems from the first, is under what circumstances confidentiality should be broken. J Pediatr Adolesc Gynecol 2017;30:17683. 587. If a person is under covered by this social health care insurance, this may hamper the life of this individual. 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. 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. An EHR makes it much easier for a medical practice to track a charge for each procedure performed. 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. Employed physician in academic institution. According Chernichovsky (2009), the term Socialize medicine is defined as a health system where by which the government owns and operates both the financing of healthcare and also its delivery. Grilo SA, Catallozzi M, Santelli JS, Yan H, Song X, Heitel J, et al. WebThe Cons Confidentiality and the institution of HIPAA hasnt been all positive. Retrieved November 15, 2019. Use of chaperones during the physical examination of the pediatric patient. In Tarasoff, a patient informed his therapist of his intention to kill a young woman. However, there are some circumstances when it is necessary for the obstetriciangynecologist to share private information with a parent or guardian or others. Security measures and enhanced EHR standards should be adopted at the systems level to prevent breaches of patient confidentiality. 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. pros and cons 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. 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. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. Adolescents are beginning to take responsibility for their health care, and this should be encouraged and supported as they transition to adult patients. 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). Other states have consent laws that include substance misuse treatment, pregnancy prevention and care, and, sometimes, abortion services, mental health care, and emergency care. Confidential Health Care for Adolescents Pros And Cons (Monday through Friday, 8:30 a.m. to 5 p.m. By concealing the information about health, the patient may under cover through the socialized health cover. 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. Similar caution should be assumed when releasing information to other health care providers. WebHere are some pros and cons to think through before you discuss your HIV status. House confidential information in a separate section of the EHR that is not open access. Improving patient WebConfidentiality covers all medical records (including x-rays, lab-reports, etc. Identify the adolescents cell phone number at check-in (in addition to collecting the parent or guardians cell phone number). Sexual misconduct. Patient Access to Health Records Implement systemwide changes: train front desk personnel and medical staff who work with EHRs and answer office phone calls to be aware of and advocate for the confidentiality of adolescent patients as they transition into the adult health care system Box 3. Therefore, it is important to remember that there is difference between social health insurance. It is not intended to substitute for the independent professional judgment of the treating clinician. Sarbanes-Oxley Act of 2002 is a law enacted by US congress in July 30, 2002. Patients should be informed that there are laws protecting their confidentiality in the health care setting. If, after counseling, the patient refuses the chaperone, this decision should be respected and documented in the medical record 11. 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. Electronic Health Records of Patients in Hospitals: 2. 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. 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. Report confidentiality breaches to collaborative relationship to better protect the public health, safety and welfare. Still, they are horrified by the potential that their insurance company may need access for reimbursement purposes. social media in contemporary nursing: risks and benefits 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 Of Confidentiality And The Institution Of HIPAA For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. ), as well as communications between patient and doctor, and generally includes communications between the patient and other professional staff working with the doctor. What is Universal Health Care (2011). Committee Opinion No. Its just a matter of figuring out under what circumstances disclosures should occur. Explanation of benefits statements (health care billing and insurance claims sent by insurance carriers) are an additional challenge to confidentiality. Do not share any client information on social media sites. Committee on Adolescence, Council on Clinical and Information Technology. Recently, however, there have been some concerns raised about such databases, especially when the information can be linked to individuals (in other words, it is not completely anonymous) or it is stored electronically without adequate security. WebCharge capture refers to tracking each charge to a patient for medical services given. Although there are multiple benefits of EHRs, these benefits may conflict with the protection of confidentiality. Standards for health information technology to ensure adolescent privacy. Importance Of Confidentiality In Health Care Confidentiality in Adolescent Health Care | ACOG Confidentiality refers to protection of privileged and private information shared during a health care encounter and in medical records that document the encounter 1. Similar recommendations are supported by the American Academy of Pediatrics and the Society for Adolescent Health and Medicine 18. Cons: A single-payer system can be more costly, as it allows doctors and health care facilities to negotiate the terms of their contracts. Society for Adolescent Health and Medicine, American Academy of Pediatrics. If systems of EHRs have already been established, procedures to maintain adolescent confidentiality should be implemented where appropriate 17. The first is how to define confidentiality, since there are many different types, with different objectives at heart. Any concerns the patient has regarding the presence of a chaperone should be elicited and addressed if feasible. Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. Available at: https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law. During this era of socialized medicine, there are both pros and cons of confidentiality, rights, safety, and the security of the patients. ACOG Committee Opinion No. The consequences of undermining this duty of confidence would be damaging to the individuals health and treatment. As a last resort, the health care provider should consider referral if confidential care cannot be provided. Did you know that according to the Social Security Administration, 1 in 4 of todays 20-year-old Americans 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. J Adolesc Health 2004;35:1607. Copyright 2020 by the American College of Obstetricians and Gynecologists. Do not include specific laboratory data or counseling in after-visit summaries. But what if a patient threatens suicide? New York, NY: Guttmacher Institute; 2019. Storage Isnt Scalable. Gostin, L. O., Levit, L. A., & Nass, S. J. The use of telehealth continues to grow, reaching multiple medical specialties and providing care to a greater population of patients. 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. 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. The Pros of Using AI. Committee on Adolescence. As your adolescents doctor and as the parent (or guardian), we have two roles here. All of the different ways of conceptualizing confidentiality include exceptions, allowing disclosure under certain circumstances or to particular agencies. Obstetriciangynecologists who work with adolescent patients have a unique perspective and are encouraged to work with their institutions to protect patients confidentiality. Its value also sabotages any effort to solve financing problems. Bulk pricing was not found for item. Another problem, however, is what to do regarding the patient who has discovered a breach of confidentiality. We may have to disclose private information to protect a patients safety. However, the obstetriciangynecologist should exercise extreme caution when using a personal patient email address to relay medical information because email servers may not be secure 6. Special requirements for electronic medical records in adolescent medicine. The obvious solution is to go to court, but this means making public the information they did not want anyone to know in the first place! 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. 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. Pediatrics 2017;140:e20172858. Useful sources of information on state laws include the Guttmacher Institute 14 and the Center for Adolescent Health & the Law 23. There should be private conversation time between the health care provider and adolescent patient. 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. All rights reserved. Forgone health care among U.S. adolescents: associations between risk characteristics and confidentiality concern. 1. The other advantage of privacy is that will enable an individual to alter peoples behavior with other people. Reduction in Medical Errors: 5. WebProponents of the right to health care say that no one in one of the richest nations on earth should go without health care. WebPros And Cons Of Sarbanes-Oxley Act Of 2002. 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. 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. Available at: Anoshiravani A, Gaskin GL, Groshek MR, Kuelbs C, Longhurst CA. BMJ Open 2016;6:e010034. A wide assortment of hardware and software. State confidentiality protections vary widely. The Pros of Using AI. 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. 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. Ventola, C. L. (2014). J Adolesc Health 2019;64:3118. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. Ethical Dilemmas: Breaking Confidentiality
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