The My Health Record System: Potential to Undermine the Paradigm of Patient Confidentiality?

2019 ◽  
Vol 42 (2) ◽  
Author(s):  
Gabrielle Wolf ◽  
Danuta Mendelson
Keyword(s):  
Electronic Health Records ◽  
Healthcare Providers ◽  
Health Record ◽  
Sensitive Information ◽  
Record System ◽  
Health Records ◽  
Patient Confidentiality ◽  
Health Practitioners ◽  
Electronic Health ◽  
Traditional Paradigm

Australia’s national electronic health records system – known as the ‘My Health Record (‘MHR’) system’ – may threaten to undermine the traditional paradigm of patient confidentiality within the therapeutic relationship. Historically, patients have felt comfortable imparting sensitive information to their health practitioners on the understanding that such disclosures are necessary and will be relied on principally for the purpose of treating them. The MHR system potentially facilitates access to patients’ health information by individuals and entities beyond the practitioners who are directly providing them with healthcare and, in some circumstances, without the patients’ consent. It may also enable patients’ health practitioners and their employees to read records that those practitioners did not create or receive in the course of treating the patients and that are irrelevant to their treatment of them. The MHR system could have harmful consequences for individual and public health if patients become unwilling to disclose information to their healthcare providers because they fear it will not remain confidential. In addition to examining the risks of breaches of patient confidentiality in the MHR system, this article considers how the potential benefits of an electronic health records system might be achieved while maintaining patient confidentiality to a significant extent.

Electronic Health Records Implementation in Jordan: Perceptions of Healthcare Providers and Determinant Factors (Preprint)

2020 ◽  
Author(s):  
Tamadur Shudayfat ◽  
Çağdaş Akyürek ◽  
Noha Al-Shdayfat ◽  
Hatem Alsaqqa
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Healthcare Providers ◽  
Health Record ◽  
Health Records ◽  
Context Factors ◽  
Electronic Health ◽  
Acceptance Model

BACKGROUND Acceptance of Electronic Health Record systems is considered an essential factor for an effective implementation among the Healthcare providers. In an attempt to understand the healthcare providers’ perceptions on the Electronic Health Record systems implementation and evaluate the factors influencing healthcare providers’ acceptance of Electronic Health Records, the current research examines the effects of individual (user) context factors, and organizational context factors, using Technology Acceptance Model. OBJECTIVE The current research examines the effects of individual (user) context factors, and organizational context factors, using Technology Acceptance Model. METHODS A quantitative cross-sectional survey design was used, in which 319 healthcare providers from five public hospital participated in the present study. Data was collected using a self-administered questionnaire, which was based on the Technology Acceptance Model. RESULTS Jordanian healthcare providers demonstrated positive perceptions of the usefulness and ease of use of Electronic Health Record systems, and subsequently, they accepted the technology. The results indicated that they had a significant effect on the perceived usefulness and perceived ease of use of Electronic Health Record, which in turn was related to positive attitudes towards Electronic Health Record systems as well as the intention to use them. CONCLUSIONS User attributes, organizational competency, management support and training and education are essential variables in predicting healthcare provider’s acceptance toward Electronic Health records. These findings should be considered by healthcare organizations administration to introduce effective system to other healthcare organizations.

Electronic Health Record System using Blockchain

2019 ◽  
Vol 1 (2) ◽  
pp. 57-61
Author(s):  
Sangeetha R ◽  
Harshini B ◽  
Shanmugapriya A ◽  
Rajagopal T.K.P.
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Family Health ◽  
Health Record ◽  
Medical Organization ◽  
Record System ◽  
Health Records ◽  
Related Information ◽  
Health Related ◽  
Electronic Health

This paper deals with the Electronic Health Records for storing information of the patient which consist of the medical reports. Electronic Health Records (EHRs) are entirely controlled by Hospitals instead of patients, which complicates seeking medical advices from different hospitals. In the existing system of storing details of the patients are very dependent on the servers of the organization. In the proposed all the information of the patient are stored in the blockchain by using the Metamask and these details are stored in the block chain as a blocks of data. Each block consists of the data which is encrypted data. Electronic Health Record (EHR) systems record health-related information on an individual so that it can be consulted by clinicians or staff for patient care. The data is encrypted by the algorithm known as SHA-256 which is used to encrypt all the data of the patients into a single line 256 bit encrypted text which will be stored in the block at etherscan. These records for not only useful for the consultation but also for creation of historic family health information tree that keeps track of genetic health issues and diseases it can also be used for any health service with the authorization from both the patient and medical organization.

scholarly journals Blockchain Usage in the Electronic Health Record System using Attribute-Based Signature

2019 ◽  
Vol 8 (2S11) ◽  
pp. 993-997
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Patient Data ◽  
Electronic Health Record System ◽  
Health Record ◽  
Record System ◽  
Health Records ◽  
Block Chain ◽  
Electronic Health ◽  
The Government

Block-chain is a list of records which are stored in its blocks that are linked through cryptography. It is used previously for bitcoin transactions only. Now the government and also other organizations are going to use this block-chain in different fields. Electronic Health Records (EHRs) are used for storing the information about the patients. In EHR the information is stored in the paper through web which has some disadvantages. Here we use block-chain and Attribute- Based Signatures (ABS) to store the information about the patient’s in the blocks of block-chain which is stored in cloud. By this we can provide security to the patient data and also there are no storage problems and also through ABS we provide some attributes to the users who are going to access the data of patient.

scholarly journals Electronic Health Records (EHR)

2012 ◽  
Vol 3 (3) ◽  
pp. 201-210 ◽  
Author(s):  
Tom Seymour ◽  
Dean Frantsvog ◽  
Tod Graeber
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Radio Frequency Identification ◽  
Healthcare Providers ◽  
Health Record ◽  
Clinical Documentation ◽  
Health Records ◽  
Quality Healthcare ◽  
Documentation Quality ◽  
Electronic Health

Electronic Health Records are electronic versions of patients’ healthcare records. An electronic health record gathers, creates, and stores the health record electronically. The electronic health record has been slow to be adopted by healthcare providers. The federal government has recently passed legislation requiring the use of electronic records or face monetary penalties. The electronic health record will improve clinical documentation, quality, healthcare utilization tracking, billing and coding, and make health records portable. The core components of an electronic health record include administrative functions, computerized physician order entry, lab systems, radiology systems, pharmacy systems, and clinical documentation. HL7 is the standard communication protocol technology that an electronic health record utilizes. Implementation of software, hardware, and IT networks are important for a successful electronic health record project. The benefits of an electronic health record include a gain in healthcare efficiencies, large gains in quality and safety, and lower healthcare costs for consumers. Electronic health record challenges include costly software packages, system security, patient confidentiality, and unknown future government regulations. Future technologies for electronic health records include bar coding, radio-frequency identification, and speech recognition. 

scholarly journals Real-time clinician text feeds from electronic health records

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
James T. H. Teo ◽  
Vlad Dinu ◽  
William Bernal ◽  
Phil Davidson ◽  
Vitaliy Oliynyk ◽  
...  
Keyword(s):  
Social Media ◽  
Electronic Health Records ◽  
Real Time ◽  
Capacity Planning ◽  
Low Cost ◽  
Disease Outbreaks ◽  
Record System ◽  
Health Records ◽  
Keywords And Phrases ◽  
Electronic Health

AbstractAnalyses of search engine and social media feeds have been attempted for infectious disease outbreaks, but have been found to be susceptible to artefactual distortions from health scares or keyword spamming in social media or the public internet. We describe an approach using real-time aggregation of keywords and phrases of freetext from real-time clinician-generated documentation in electronic health records to produce a customisable real-time viral pneumonia signal providing up to 4 days warning for secondary care capacity planning. This low-cost approach is open-source, is locally customisable, is not dependent on any specific electronic health record system and can provide an ensemble of signals if deployed at multiple organisational scales.

scholarly journals Patients’ moral attitudes toward electronic health records: Survey study with vignettes and statements

2021 ◽  
Vol 27 (1) ◽  
pp. 146045822098003
Author(s):  
Tania Moerenhout ◽  
Ignaas Devisch ◽  
Laetitia Cooreman ◽  
Jodie Bernaerdt ◽  
An De Sutter ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
De Novo ◽  
Information Access ◽  
Survey Study ◽  
Sensitive Information ◽  
Patient Portal ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health ◽  
Moral Attitudes

Patient access to electronic health records gives rise to ethical questions related to the patient-doctor-computer relationship. Our study aims to examine patients’ moral attitudes toward a shared EHR, with a focus on autonomy, information access, and responsibility. A de novo self-administered questionnaire containing three vignettes and 15 statements was distributed among patients in four different settings. A total of 1688 valid questionnaires were collected. Patients’ mean age was 51 years, 61% was female, 50% had a higher degree (college or university), and almost 50% suffered from a chronic illness. Respondents were hesitant to hide sensitive information electronically from their care providers. They also strongly believed hiding information could negatively affect the quality of care provided. Participants preferred to be informed about negative test results in a face-to-face conversation, or would have every patient decide individually how they want to receive results. Patients generally had little experience using patient portal systems and expressed a need for more information on EHRs in this survey. They tended to be hesitant to take up control over their medical data in the EHR and deemed patients share a responsibility for the accuracy of information in their record.

A Global Socio-economic-medico-legal Model for the Sustainability of Longitudinal Electronic Health Records

2006 ◽  
Vol 45 (03) ◽  
pp. 240-245 ◽  
Author(s):  
A. Shabo
Keyword(s):  
Electronic Health Records ◽  
Healthcare Providers ◽  
Financial Assets ◽  
Healthcare Organizations ◽  
Health Records ◽  
Record Keeping ◽  
Proposed Model ◽  
Legal Model ◽  
Electronic Health

Summary Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. Methods: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. Results: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual’s records, and that healthcare providers no longer serve as the legal record keepers. Conclusions: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.

scholarly journals Pilot Study of Meaningful Use of Electronic Health Records in Radiation Oncology

2012 ◽  
Vol 8 (4) ◽  
pp. 219-223 ◽  
Author(s):  
Xinglei Shen ◽  
Adam P. Dicker ◽  
Laura Doyle ◽  
Timothy N. Showalter ◽  
Amy S. Harrison ◽  
...  
Keyword(s):  
Pilot Study ◽  
Electronic Health Records ◽  
Electronic Health Record ◽  
Radiation Oncology ◽  
Meaningful Use ◽  
Health Record ◽  
Health Records ◽  
Widespread Adoption ◽  
Electronic Health

Most large academic radiation oncology practices have incorporated electronic health record systems into practice and plan to meet meaningful use requirements. Further work should focus on needs of smaller practices, and specific guidelines may improve widespread adoption.

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