Hi Richard,
This is very serious stuff
"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."
Many people need many identities to avoid abuse and persecution.
There is no plan I know about of ID management to handle this issue. EHR's will not happen I reckon till it is worked out.
Curious to know what others think
Cheers
David
---- Dr David G More MB, PhD, FACHI Phone +61-2-9438-2851 Fax +61-2-9906-7038 Skype Username : davidgmore E-mail: [EMAIL PROTECTED] On Sun, 19 Mar 2006 14:01:53 +0800, Richard Hosking wrote:
>
> 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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>>
>>
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