Yes - ownership and control of the record will have moved from the Dr to someone else (and I am not convinced that that is the patient/client either). I suspect a second proxy record will become commonplace for the Dr at least to store stuff that he doesnt want the pt/govt/lawyers to get hold of for his own protection. There might even be a third record for the patient's benefit.

R

David Guest wrote:

as its champions hope, the door to privacy abuses will swing wide
open. One suggested solution is to give patients the right to work
with the doctors to decide what is included in his or her record. A
small step to be sure, but if the law and doctors were to give
patients this amount of empowerment and autonomy, the doctor-patient
relationship will have come a long way."

/Spyros Andreopoulos is director emeritus of the Office of
Communication and Public Affairs at Stanford University School of
Medicine. The article reflects his opinion alone./

"If patient information moves successfully from paper to the computer,

I am still not sure about all this privacy stuff. I had a patient
wanting her file under FoI yesterday. That was fine by me. In the last
ten years I haven't written anything in a file that I did not want the
patient to read. Some of  my specialist colleagues are not so
circumspect but that is also part of their job.

So if a patient has control over what goes into the file does that mean
they don't have the illness. Can patients choose not to have
Huntington's or schizophrenia or a history of sexual abuse? I find it
hard to understand these things in this age of Newspeak.

David


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