Please check my English Grammar etc thanks so much Does this sound ok or what can I do to make it better thanks again
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 source)
Overall, your writing is clear and understandable. However, there are a few areas where you can make improvements for better clarity and flow. Here are some suggestions:
1. In the first paragraph, instead of saying "Their Main purpose is," you can rephrase it as "The main purpose of the AMA Ethical Force Oversight Body is."
2. In the second paragraph, instead of saying "As of 2003, patient confidentiality was protected by federal statute," you can specify which federal statute, such as "As of 2003, patient confidentiality was protected by the Health Insurance Portability and Accountability Act (HIPAA)."
3. In the third paragraph, instead of saying "If there a case," it should be "If there is a case."
4. In the fourth paragraph, instead of saying "most especially if it his life is at risk," it should be "especially if his/her life is at risk."
5. In the sixth paragraph, instead of saying "ones action," it should be "one's action."
6. In the seventh paragraph, instead of saying "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," you can rephrase it as "Physicians should make it clear to the patient which individuals and organizations have access to their medical databases."
7. In the eighth paragraph, instead of saying "It was also mentioned that Physicians should have their contracts," you can omit "It was also mentioned that" and start the sentence with "Physicians should have their contracts."
8. In the ninth paragraph, instead of saying "Disclosure of public health data could be made only for purposes consistent with the original collection," you can rephrase it as "Public health data should only be disclosed for purposes consistent with the original collection."
These are just a few suggestions to improve your writing. Remember to proofread for any grammatical errors and ensure that your ideas flow smoothly from one paragraph to the next.
Overall, your English grammar and structure are good, but there are a few areas where you can make improvements to enhance clarity and readability. Here are some suggestions:
1. Use proper punctuation: Ensure that each sentence ends with a period and that you use commas appropriately to separate ideas within a sentence.
2. Break up long sentences: Some of your sentences are quite long and can be difficult to follow. Consider breaking them up into smaller, more concise sentences for better readability.
3. Proofread for typos and errors: Check for any spelling or grammatical errors that may have been overlooked. Make sure words are correctly spelled, and sentences are grammatically correct.
4. Use more precise language: Some of your sentences contain vague or repetitive language. Clarify your ideas by using more specific terminology or providing more detailed explanations.
5. Cite your sources consistently: Ensure that you properly cite your sources for the information you mention. Include the author or organization responsible, the title of the source, and the date of publication or access.
Here's the revised paragraph incorporating these suggestions:
"The ethical opinion on computer confidentiality is addressed by the American Medical Association (AMA) principle of Patient Privacy and Confidentiality. Protecting patients' right to privacy is of utmost concern to the AMA Ethical Force Oversight Body. Their main purpose is to safeguard patient information from the rapid evolution of health-care informatics and monitor potential breaches of confidentiality. Confidentiality refers to an individual's right to keep personal, identifiable medical information private. This information should only be accessible to the treating physician, as well as other necessary healthcare and insurance personnel. Since 2003, patient confidentiality has been protected by federal statute (source). Healthcare providers utilize this data for research, reimbursement, diagnosis coordination, treatment, quality assurance, and monitoring purposes. The use of clinical data repositories and management systems is expected to reduce healthcare costs and enhance patient care (source).
Medical information regarding a patient's condition is highly sensitive, and doctors should handle it with care. In cases where corrections are necessary, it is ethical to ensure that the date and time of the corrections are visible. By doing so, the medical data can be seen as credible, and the patient's concerns regarding the accuracy of the corrections can be addressed. It is considered ethical for all medical corrections to be timestamped (source).
Privacy is not absolute and must be balanced with efficient medical care provision and resource availability (source). Patients have the right to know that their medical information is stored in a computerized database. This transparency is an ethical way of meeting patient needs and ensuring they are aware of their health conditions as perceived by them and their physicians.
As soon as possible, patients should be informed about any inaccurate information related to their condition, especially if it poses a risk to their life. According to AMA principles (source), physicians should inform patients of the limits of confidentiality protections and allow them to decide whether the benefits of treatment outweigh the risk of disclosing sensitive information. Patients expect their privacy to be respected by physicians, and they should not be let down. If medical information needs to be released, the patient should sign a release authorizing the disclosure of information in the medical record. However, general releases are insufficient for records containing HIV or other sensitive material.
Physicians have always had a duty to maintain patient confidentiality. This means that physicians are not allowed to disclose any medical information shared by or discovered about a patient during treatment. Patient consent is a significant factor that informs a physician's decision to have a computerized medical database accessible online through a computer terminal. Once the patient gives consent to release the record, the disclosure may become a mandatory requirement for the medical record holder or remain permissive (source).
The main concern is the welfare of the patient, maintaining trust, and professionalism in managing medical data. If computer service bureaus accidentally erase records, it is more ethical to inform the physician so that they can address any concerns raised by the patient regarding damaged data. The physician can then provide backup files with firsthand information and access computer databases stored as soft copies for the patient's welfare. When identifiable patient data needs to be destroyed, it must be disposed of in a manner that protects confidentiality. Employees should shred the data or disassociate the patient's name and medical record number from it (source).
It is important for the patient and physician to be aware of the individuals and organizations with access to the patient's databases. If the patient wants to know who these people are, the physician has no right to withhold that information. Confidential information is disseminated through clinical repositories and shared databases, which allows for more efficient and safe treatment. Physicians need to utilize this technology while maintaining patient confidentiality and respecting their privacy (source).
AMA ethics opinion primarily focuses on ensuring patients' safety and welfare regarding the confidentiality of their medical data. Physicians should review their contracts with system vendors, consultants, and all healthcare providers involved in data repositories with an attorney. Comparable confidentiality and security policies should be implemented, along with security controls over sensitive patient information (e.g., HIV status, pregnancy termination, history of mental health problems, or drug and alcohol abuse). Good system security should be maintained, and staff should receive training on confidentiality and security. Security experts should periodically assess the security of the clinical data repository, and users accessing the information should sign appropriate user agreements.
Disclosure of public health data should only occur for purposes consistent with the initial collection. Data may be disclosed if necessary to prevent a significant health risk, provide direct therapeutic benefit to the subject, or for surveillance. A patient's consent to disclose confidential information contained in a medical record may also be implied from the circumstances, such as medical personnel directly involved in the patient's care or treatment. Consent may also be implied when a patient is transferred from one healthcare practitioner or facility to another. State and federal statutes may also authorize or require disclosure of medical records to healthcare professionals or providers involved in the patient's treatment or upon transfer between facilities (source)."