e-Health-com News
“Im Rahmen des europäischen Projektes „Electronic Health Records for Clinical Research” (EHR4CR) bauen Partner aus akademischer Forschung und Industrie bis 2014 gemeinsam eine europaweite Technologieplattform auf, die künftig die Sekundärnutzung von Daten aus elektronischen Patientenakten für die klinische Forschung ermöglichen soll.
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Were MC, Meslin EM. AMIA, Annual Symposium Proceedings, 2011
Electronic Health Record systems (EHRs) are increasingly being used in many developing countries, several of which have moved beyond isolated pilot projects to active large-scale implementation as part of their national health strategies. Despite growing enthusiasm for adopting EHRs in resource poor settings, almost no attention has been paid to the ethical issues that might arise.
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Baker DC, Bufka LF. Professional Psychology: Research and Practice, 42(6)
As technology advances, psychologists increasingly have the opportunity to engage with patients or other users of psychological services via less traditional methods. However, little guidance exists to prepare psychologists to navigate the legal, regulatory, reimbursement, and ethical issues that can arise when providing psychological services via technology.
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Bemister TB, Dobson KS. Canadian Psychology, 52(4)
The Canadian literature is void of contemporary guidelines for clinical record keeping for psychologists, as the most recent article was published more than two decades ago (Eberlein, 1990). However, the techniques used in record keeping have greatly advanced, specifically with regard to the role of computers and the use of electronic documents. Furthermore, new legislation and guidelines have been developed in response to these technological advancements.
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Salil Garg, Mudit Mathur, Express Healthcare
“Cyberspace is a fast-changing, globally-networked, multicultural, and multilingual information environment with vast possibilities. It calls into question, national and international borders, cultural and ethical standards, regulations, and laws, which it bypasses and challenges.
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Klitzman R. JAMA, 304(10)
Increasingly, physicians and patients face dilemmas of whether to exclude genetic information from medical charts, posing critical challenges for practice, research, policy, and education. Physicians and patients are obtaining more genetic information, yet medical records are rapidly becoming electronic, threatening confidentiality. Tensions thus arise between potential medical benefits vs social risks of including information.
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Kopala B, Mitchell ME. JONA'S Healthcare Law, Ethics and Regulation, 13(3)
There has been a proliferation in the use of digital health records. Although electronic records have many benefits, concerns have been raised about associated risks and barriers. This article focuses on risks associated with development, utilization, and maintenance of provider-owned electronic medical records and institution-owned electronic health records.
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Deldar K eta al, J Telemed Telecare, 2011
We evaluated an ask-the-doctor service which was set up as one of the accessory services of a health education website in Iran. The study lasted for five months. A total of 500 enquiries were submitted to the question and answer system. Eighty enquiries were excluded because they were duplicated submissions, not replied to by doctors or gave insufficient information for a reply. Most enquirers (33%) were female and aged 21-35 years.
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Fred Trotter
“The blue button initiative was a good initiative because it allowed greater access. It made that possible by ensuring that access to patient data did not have to wait for the VA/DOD/Whatever to create a download that conformed to the still-forming XML standards that make true interoperability possible.
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David Harlow, KevinMD
“Walgreens is being sued by customers who are not happy that their prescription information – even though it has been de-identified – is being sold by Walgreens to data-mining companies.
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Nesher L, Jotkowitz A. Journal of Medical Ethics, 37(11)
The past two decades have seen a dramatic increase in the use of telemedicine while the information technology revolution has contributed significantly to its popularity. In addition, there has been a recent increase in the use of telemedicine in the intensive care unit (ICU), partially driven by a critical shortage of intensivists.
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Sapa, Times Live
“Organisations offering the services of a doctor just a call away were in breach of patients’ rights, including the practitioner-patient relationship, patient confidentiality and informed consent, said HPCSA spokeswoman Bertha Peters-Scheepers.
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mobiThinking
“The problem with concentrating m-health services on smartphones – often just one or two types of smartphones – via download apps is that you are only focusing on people who have those smartphones. Not only is this excluding the vast majority of the population, but it is also focusing on a particular demographic – people who are rich enough to afford a smartphone (or, if the app only works on Apple, the most expensive of smartphones).
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Merle Spriggs and Craig Fry, The Sydney Morning Herald
“A significant change is about to occur in the Australian health system that promises to revolutionise the patient-provider relationship. By July 2012, you will be able to sign up for your own personally controlled electronic health record.
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Devi S. The Lancet, 377(9772)
Widespread use of new technologies such as social networking sites are creating ethical problems for physicians that some doctors’ organisations are beginning to address. Sharmila Devi reports.
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Kenneth Robertson, Virtual Mentor
“EHR, EMR, HIT, HIE. The letters themselves evoke emotion. The young find their pulses quickening with excitement about the new world order. Members of the older generation of doctors are more likely to experience tachycardia when they read these letters, due to the dread they evoke. One thing is certain: the digital age is invading health care and not about to retreat.
Now that my hair is thinning and turning to a white-gray mix (probably prematurely as a result of my interface with the “digitization” of health care), I get to share some of my thoughts on the many new and interesting ethical issues for physicians as we “go digital.”
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Sittig DF, Singh H. Pediatrics, 2011
Electronic health records (EHRs) facilitate several innovations capable of reforming health care. Despite their promise, many currently unanswered legal, ethical, and financial questions threaten the widespread adoption and use of EHRs. Key legal dilemmas that must be addressed in the near-term pertain to the extent of clinicians’ responsibilities for reviewing the entire computer-accessible clinical synopsis from multiple clinicians and institutions, the liabilities posed by overriding clinical decision support warnings and alerts, and mechanisms for clinicians to publically report potential EHR safety issues. Ethical dilemmas that need additional discussion relate to opt-out provisions that exclude patients from electronic record storage, sale of deidentified patient data by EHR vendors, adolescent control of access to their data, and use of electronic data repositories to redesign the nation’s health care delivery and payment mechanisms on the basis of statistical analyses.
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Bruce Friedman, Lab Soft News
“As I contemplate the idea that our young physicians are focusing on what Dr. Verghese calls throughput, I think that two factors contribute to this mindset. The first is the skyrocketing cost of inpatient care and the second is the use of length-of-stay (LOS) as a measure of hospital quality and efficiency. A decreasing LOS has been used for more than two decades as a key measure of effective hospital and patient management.
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Miller ST, MacGregor A. Virtual Mentor, 13(3)
The American Recovery and Reinvestment Act (ARRA) will stimulate medicine to adopt and “meaningfully” use electronic health records (EHR) within and across health organizations to improve patient outcomes and accountability, aid in coordination of care, promote effective health management across organizations, and align incentives with good patient and population outcomes—in short, for reasons that appear to be in line with ethical principles.
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Common Ground
“Should we be concerned about DNA testing of our babies in BC or anywhere else for that matter?
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