Please check this for me I had posted my first copy under Law and Ethics but it should have been under Confidentiality I don't know if this sound ok like this or prehaps I should use some things from my other papaer any ideas would be great thanks so much for your time :)
The ethical opinion on computer confidentiality is covered by the American Medical Association AMA) principle of Patient Privacy and Confidentiality. Protecting the patient’s right to privacy is of utmost concern to the AMA Ethical Force Oversight Body. Their Main purpose is to “protect patient information from rapid evolution of health – care informatics and to monitor rapid massive possibility of silent breaches of confidentiality”
Confidentiality is the right of an individual to have personal, identifiable medical information kept private. Such information should be available only to the physician of record and other health care and insurance personnel as necessary. As of 2003, patient confidentiality was protected by federal statute. (my source here). Health care providers use the data for research, to collect reimbursement, coordinate diagnosis and treatment, conduct quality assurance and monitor other providers. Clinical data repositories and management systems will likely reduce health care costs and improve patient care. (my source here)
Medical information about a patient's condition is a very sensitive issue that doctors should take into consideration. If there a case of possible corrections with Medical information, it is ethical to make visible the date and time of the made corrections. In this way, the medical data can be considered credible as well as the patient's concern can be given attention regarding the viability of the made corrections. Indeed, it is quite ethical if corrections concerning medical issues will always date and time stamped.
Privacy is not absolute, and must be balanced with the efficient provision of medical care and the availability of resources. (my source here) In this regard, the patient has the right to know that there is an existing computerized database that contain medical information about his her health. This is a very ethical way of being open to the patient's need to know his or her health condition as far as he or she and his or her physician is concerned.
The patient has to know as soon as possible any inaccurate information about his condition most especially if it his life is at risk. According to the AMA principles, (my source here) Physicians should inform patients of the limits of confidentiality protections and allow the patients to decide whether treatment outweighs the risk of the disclosure of sensitive information. A patient expects to have his or her privacy respected by the physician and should not be disappointed. If a record must be released, the patient should sign an appropriate release authorizing the disclosure of information in the medical record. However, general releases will not suffice for records containing HIV or other sensitive material.
Physicians have always had a duty to keep their patients' confidences. In essence, the physician's duty to maintain confidentiality means that a physician may not disclose any medical information revealed by a patient or discovered by a physician in connection with the treatment of a patient. In this regard, the patient's consent would be the greatest consideration of the physician to signal ones action to have computerized medical database be online to the computer terminal. According to (my source here) once the patient has given consent to release the record, the disclosure requirement may be mandatory for the holder of the medical record or merely permissive.
It has been viewed that the main concern is the welfare of the patient and to maintain trust and professionalism in the line of keeping medical data well. If ever there have been erased records by the computer service bureau it is more ethical to let the physician know the concern in this matter so that if ever the patient would confront the physician regarding important data that have been damaged, the physician can be prepared to back up the files with the first hand information and to access computer database that are stored in softcopies for the welfare of the patient. However, when patient's identifiable data is to be destroyed, it must be disposed of in a way that protects the confidentiality of the information. Employees must shred the data or in other ways disassociate the patient's name and medical record number from the data. (-my source here)
The identification of the individuals and organizations with access to the databases of a patient should be made clear between the physician and the patient. If the patient decided to know who these people are, then the physician don't have any right to withhold the interest of ones patient of knowing these people. Moreover, according to (my source here) confidential information also is disseminated through clinical repositories and shared databases. Sharing this information allows patients to be treated more efficiently and safely. The challenge for physicians is to utilize this technology, while honoring and respecting patient confidentiality.
AMA ethics opinion imply the safety of the patients welfare with regards especially to medical data that should be confidentially taken cared of by respective physicians with the sole consent of their patients. It was also mentioned that Physicians should have their contracts with system vendors, consultants, and all health care providers participating in a data repository reviewed by an attorney. They should also have comparable confidentiality and security policies; implement security controls over sensitive patient information (e.g., HIV status, pregnancy termination, and history of mental health problems or drug and alcohol abuse); maintain good system security; and train staff and secure agreements concerning confidentiality and security. It is also advisable to have security experts periodically assess the security of the clinical data repository and require that users who access the information sign appropriate user agreements.
Disclosure of public health data could be made only for purposes consistent with the original collection. Thus, data could be disclosed only where clearly necessary to avert a significant health risk, for the direct therapeutic benefit of the subject, or for surveillance. (-my source here). A patient's consent to disclosure of confidential information contained in a medical record may also be implied from the circumstances. For example, medical personnel directly involved in a patient's care or treatment generally have access to the medical record. Even if the patient has not expressly authorized disclosure of his or her medical record, such consent is implied from the patient's acceptance of treatment or hospitalization. Consent is also implied when a patient is transferred from one health care practitioner or facility to another. In such circumstances, disclosure of confidential patient information may be necessary to ensure continuation of patient care or treatment. State and federal statutes may also authorize or require disclosure of medical records to health care professionals or providers involved in the patient's treatment or upon transfer of the patient from one facility to another.
(my sourece)
References:
here
Lei,
I would love to know where you found all of your resources on this matter. I have had a terrible time finding enough information to conplete my research paper.
Based on the information provided, it seems that you are writing a paper on computer confidentiality in the context of medical information and patient privacy. You are seeking suggestions on whether to use some information from another paper and whether the content sounds appropriate to be categorized under Confidentiality.
To ensure that your paper is well-structured and appropriate for the topic of confidentiality, here are some steps you can follow:
1. Review the AMA Principles: The American Medical Association's principles on patient privacy and confidentiality are the main guidelines for your paper. Refer to these principles to ensure that your arguments align with their recommendations.
2. Identify the main points: Identify the key points that you want to present in your paper. Based on the information provided, it seems that the main points include the importance of patient privacy, the need for accurate and time-stamped information, the balance between privacy and efficient medical care, the patient's right to know about the existence of medical databases, and the physician's duty to maintain confidentiality.
3. Evaluate your sources: It is crucial to ensure that your sources are reliable and authoritative. Check the credibility of the sources you have used and evaluate whether they provide accurate and up-to-date information. Make sure to include proper citations to support your arguments.
4. Consider incorporating additional information: If you believe that there are relevant points from your other paper, you can consider incorporating them into your current paper. However, be cautious to ensure that the information flows well within the context and supports your main points effectively.
5. Structure and organization: Make sure that your paper has a clear and coherent structure. Start with an introduction that provides an overview of the topic and your main arguments. Then, organize the body of the paper into paragraphs, each focusing on a specific aspect of confidentiality. Finally, conclude your paper by summarizing the main points and reinforcing the importance of maintaining patient privacy.
6. Proofread and edit: Once you have written your paper, make sure to proofread and edit it for clarity, grammar, and coherence. Check for any inconsistencies or gaps in your arguments and make the necessary revisions to improve the overall quality of your paper.
By following these steps, you should be able to create a well-structured and informative paper on computer confidentiality in the context of patient privacy.