scholarly journals Patients' access to their psychiatric notes: a review

1991 ◽  
Vol 15 (12) ◽  
pp. 753-754
Author(s):  
Jeffrey R. Jones

Recent legislation, the Access to Health Records Act (1991), which came into force in November, will mean that patients will be able to apply for access to their written case file. This law will not be retrospective, and notes written before this date will not therefore fall under the scope of the act. Similar legislation has already been passed enabling access to Social Services case files (Access to Personal Files Act, 1987). The legislation follows increasing pressure for consumer rights in various areas and follows similar developments allowing access to health records in other countries.

1992 ◽  
Vol 16 (11) ◽  
pp. 675-677 ◽  
Author(s):  
Paul Crichton ◽  
Athanassios Douzenis ◽  
Claire Leggatt ◽  
Timothy Hughes ◽  
Shôn Lewis

During the last decade there have been a number of legislative changes establishing and extending the rights of patients to have access to their own medical and social service records. The Data Protection Act 1984, as modified by the Subject Access Modification Order 1987, gave patients access to computerised medical records with certain restrictions, in particular for information thought to be harmful to patients. The Access to Personal Files Act of 1987 granted access to Social Services Records. Again there were restrictions, e.g. to protect clients from serious harm or to protect confidential staff judgements. Finally, the Access to Health Records Act of 1990, which took effect on 1 November 1991 gives patients access to their own medical records and enables them to correct inaccuracies which they may find. Information likely to cause serious harm to the physical or mental health of the patient or of any other individual who could be identified can be withheld.


2017 ◽  
Vol 44 (8) ◽  
pp. 1134-1141 ◽  
Author(s):  
Vibeke Videm ◽  
Ranjeny Thomas ◽  
Matthew A. Brown ◽  
Mari Hoff

Objective.Self-reported diagnoses of inflammatory arthritis are not accurate. The primary study aim was to ascertain self-reported diagnoses of rheumatoid arthritis (RA) and ankylosing spondylitis (AS) in the Norwegian population-based Nord-Trøndelag Health Study (HUNT) using hospital case files. The secondary aim was to provide updated estimates of the prevalence and incidence of RA and AS.Methods.All inhabitants ≥ 20 years old from the county of Nord-Trøndelag were invited. Data from 70,805 unique participants from HUNT2 (1995–1997) and HUNT3 (2006–2008) were included. For participants who self-reported RA or AS, case files from all 3 hospitals in the catchment area were evaluated using standardized diagnostic criteria.Results.Of 2703 self-reported cases of RA, 19.1% were verified in hospital files. Of 1064 self-reported cases of AS, 15.8% were verified. Of 259 cases self-reporting both RA and AS, 8.1% had RA and 5.4% had AS. Overall, a self-report of 1 or both diagnoses could not be verified in 82.1%, including 22.8% with insufficient information or no case file. The prevalence of RA was 768 (95% CI 705–835) per 100,000. The incidence of RA from HUNT2 to HUNT3 was 0.48 (0.41–0.56) per 1000 per year. The prevalence of AS was 264 (228–305) per 100,000. The incidence of AS from HUNT2 to HUNT3 was 0.19 (0.15–0.24) per 1000 per year.Conclusion.Self-reported diagnoses of RA and AS are often false-positive. The prevalence and incidence of RA were comparable to reports from similar populations. The incidence of AS was higher than previously reported in a mixed population from Norway.


2021 ◽  
pp. 107780122110389
Author(s):  
Amanda Regis-Moura ◽  
Leonardo B. Ferreira ◽  
Bruno Bonfá-Araujo ◽  
Fabio Iglesias

Case files can show how aggressors use different explanations to reduce the seriousness of their crime. We aimed to identify and categorize a 2016 Brazilian case file from a perpetrator of femicide, based on moral disengagement theory. Content analysis yielded 47 verbalized excerpts, with 70 disengagement occurrences. The most frequently used mechanisms throughout the aggressor's speeches consisted of moral justification and blaming the victim herself. Results indicated that he reduced the seriousness of the femicide and sought reduction of the consequences. We discuss how speeches in criminal cases can serve as a secondary source for producing data on violence.


Author(s):  
Simon Y. Liu,

Consumers, industry, and government have recently focused attention on the potential of personal health records to empower patients in the health care process, improve patient-provider relationships, facilitate patient access to health information, and improve the quality of health care. A Personal Health Record (PHR) is a private and secure digital record that is created, managed, and owned by an individual, and contains the owner’s relevant health information. The benefits of PHRs have not yet been widely realized due to several significant challenges in their adoption, including the need for privacy, security, and interoperability, and the lack of accepted standards. Although many players in the healthcare arena are beginning to offer partial solutions, none have adequately addressed the full range of challenges. The adoption of PHRs can be significantly accelerated by the development of Open Source software that enables an individual to collect, create, organize, and manage his or her own private and secure PHR, using a standardized format and controlled vocabulary.


2020 ◽  
Vol 16 (4) ◽  
pp. 323-331
Author(s):  
Renée Monchalin ◽  
Janet Smylie ◽  
Cheryllee Bourgeois

Colonial policies and identity debates have resulted in major gaps in access to culturally safe health and social services for Métis Peoples living in Canada. To address the Métis health service gap, this qualitative study explores urban Métis women’s identity and their experiences with health and social services in Toronto, Canada. Métis women ( n = 11) understand Métis identity as having connection to community, intergenerational identity survival strategies, a learning journey, and connection to land. Building Métis community determined understandings of Métis identity into urban health and social services may be one step toward addressing existing culturally safe health service gaps.


1991 ◽  
Vol 159 (4) ◽  
pp. 590-591 ◽  
Author(s):  
Paul McLaren

2017 ◽  
Vol 7 (1) ◽  
pp. 73
Author(s):  
Mar Fuah

One of the problems in the criminal case completions is that the difficulty of making decision to estimate when the settlement of the case file will be fulfilled. It is caused by the number of case files handled and detention time changing. Therefore, the fast and accurate information is needed. The research aims to develop a monitoring system tracking and tracking of scheduling rules using Rule Based Expert Systems method with 17 rules, and supported by Radio Frequency Identification technology (RFID) in the form of computer applications. Based on the output of the system, an analysis is performed in the criminal case settlement process with a set of IF-THEN rules. The RFID reader read the data of case files through radio wave signals emitted by the antenna toward active-Tag attached in the criminal case file. The system is designed to monitor the tracking and tracing of RFID-based scheduling rules in realtime way that was built in the form of computer application in accordance with the system design. This study results in no failure in reading active tags by the RFID reader to detect criminal case files that had been examined. There were many case files handled in three different location, they were the constabulary, prosecutor, and judges of district court and RFID was able to identify them simultaneously. So, RFID supports the implementation of Rule Based Expert Systems very much for realtime monitoring in criminal case accomplishment.


2020 ◽  
pp. 108876792093961
Author(s):  
Shila René Hawk ◽  
Dean A. Dabney ◽  
Brent Teasdale

This study explores issues associated with the data commonly used in homicide clearance research. Data collected from 2009 to 2011 case files ( n = 252) were reviewed during interviews with investigators ( n = 29). The multifaceted data collection approach produced a more comprehensive dataset than was available based solely upon case file reviews, with alterations to the data occurring in as many as 69% of the cases. The process advanced the precision of the data recorded, reduced missingness, and heightened detail on key variables. Significant differences were noted in multivariate analyses of the datasets when modeling clearances. Findings suggest contextualizing case file data is valuable.


2005 ◽  
Vol 181 ◽  
pp. 100-121 ◽  
Author(s):  
Jennifer Adams ◽  
Emily Hannum

Fundamental changes in China's finance system for social services have decentralized responsibilities for provision to lower levels of government and increased costs to individuals. The more localized, market-oriented approaches to social service provision, together with rising economic inequalities, raise questions about access to social services among China's children. With a multivariate analysis of three waves of the China Health and Nutrition Survey (1989, 1993 and 1997), this article investigates two dimensions of children's social welfare: health care, operationalized as access to health insurance, and education, operationalized as enrolment in and progress through school. Three main results emerge. First, analyses do not suggest an across-the-board decline in access to these child welfare services during the period under consideration. Overall, insurance rates, enrolment rates and grade-for-age attainment improved. Secondly, while results underscore the considerable disadvantages in insurance and education experienced by poorer children in each wave of the survey, there is no evidence that household socio-economic disparities systematically widened. Finally, findings suggest that community resources conditioned the provision of social services, and that dimensions of community level of development and capacity to finance public welfare increasingly mattered for some social services.


2020 ◽  
Vol 1 (XX) ◽  
pp. 169-182
Author(s):  
Urszula Nowicka

The obligations of public administration to make case file available to parties to proceedings are regulated in Art. 73-74 of the Code of Administrative Procedure. The access to the file includes the form of insight into the case file, make notes based on them, make duplicates or copies and authenticating duplicates or copies of the case files or to issue certified copies from the case files, if it is justified by the important interest of the party. In turn, the refusal of access to the file is justified by the protection of classified information or important interest of the state. Based on these issues, many discussions and theories have appeared in doctrine and jurisprudence, which are analyzed in this article.


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