Mario Ruiz wrote:
Peter,
We do not have a clinical stream to our pms but have been looking a
little bit into these and other related issues.
Our view is that actually the patient owns the ehr content and
portability choices, therefore a practitioner that wants to restrict
access to the patient's ehr would be clearly overstepping their
authority as the patient chooses where to go and who to see. In our
opinion, is up to the patient and not to the practitioner to restrict
access. Are we over-simplifying privacy and ownership issues?
Mario,
A medical practitioner must continue to have control over his/her
records. In a highly litigious environment this is a given. If a patient
decides to commence an action against a medical practitioner, and the
practitioner doesn't 'own' the record, they are in great trouble. It's
standard practice that practitioners must report loss of records, or
unauthorised access to their professional indemnity insurer.
The record is their only defence in asserting what they claim occurred,
as opposed to a different version that a litigious patient may claim.
The current emphasis on upgrading practice information security relates
to this, and the reality that losing patient information, or letting it
escape into the wild, may harm the patient as well.
The admittedly very weak privacy principles, in effect, let patients
access their record, but if they own it or can alter or block access to
sections of it, how do practitioners protect themselves?
If practitioners incur costs in providing copies to patients, or
allowing more open access, how are they to be compensated, as they
compile and store the record? If they don't, a third party with some i
dependence surely must?
Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200
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