the international council on medical & care compunetics


December, 2014


Giving Patients Granular Control of Personal Health Information: Using an Ethics ‘Points to Consider’ to Inform Informatics System Designers

There are benefits and risks of giving patients more granular control of their personal health information in electronic health record (EHR) systems. When designing EHR systems and policies, informaticists and system developers must balance these benefits and risks. Ethical considerations should be an explicit part of this balancing. Our objective was to develop a structured ethics framework to accomplish this.

We reviewed existing literature on the ethical and policy issues, developed an ethics framework called a “Points to Consider” (P2C) document, and convened a national expert panel to review and critique the P2C.
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11 September 2013 | No Comments »
Categories: Bibliography, Journal Article, Patients, RA Research | Keyword(s): , , , , , , , , ,

Retractions in the medical literature: how many patients are put at risk by flawed research?

Steen RG. Journal of Medical Ethics, 2011

Clinical papers so flawed that they are eventually retracted may put patients at risk. Patient risk could arise in a retracted primary study or in any secondary study that draws ideas or inspiration from a primary study.

To determine how many patients were put at risk, we evaluated 788 retracted English-language papers published from 2000 to 2010, describing new research with humans or freshly derived human material. These primary papers-together with all secondary studies citing them-were evaluated using ISI Web of Knowledge. Excluded from study were 468 basic science papers not studying fresh human material; 88 reviews presenting older data; 22 case reports; 7 papers retracted for journal error and 23 papers unavailable on Web of Knowledge. Overall, 180 retracted primary papers (22.8%) met the inclusion criteria. Subjects enrolled and patients treated in 180 primary studies and 851 secondary studies were combined.
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22 May 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , ,

eHealth in Belgium, a new “secure” federal network: Role of patients, health professions and social security services

France FR. International Journal of Medical Informatics, 2010

eHealth platform is the official federal network in Belgium (created by law on 21 August 2008) devoted to a secure exchange of health data in many types of applications, such as health care purposes, simplification of administrative procedures and contribution to health policy. It implies a controlled access to decentralized databases and uses encrypted personal data. The national identification number has been chosen in order to authenticate the requester, the patient, and the receiver of information exchange. Authorizations have to be respected in order to obtain personal health data.
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29 October 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , ,

The Effect of Credibility-Related Design Cues on Responses to a Web-Based Message About the Breast Cancer Risks From Alcohol: Randomized Controlled Trial

Harris, Peter R. et al, J Med Internet Res, 11(3)

Internet sites typically contain visual design elements that are unrelated to the quality of the health information presented but that could influence credibility judgments and responses to health advice. To assess the effects of such design elements, or credibility cues, experimentally, we exposed women with different levels of weekly alcohol consumption to a website containing high quality but unpalatable information about a related health risk (breast cancer). The information was presented alongside either positive or negative credibility cues unrelated to information content.
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25 August 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , , , ,

Personal Health Records: Directing More Costs and Risks to Consumers?

Terry, Nicolas P., SSRN eLibrary

This article is principally concerned with a subset of electronic health records known as personal health records. In contrast to the more familiar charts, paper records, and electronic medical records maintained by health care providers, personal health records are medical records created and maintained by patients.
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15 August 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , , , ,

Perceptions regarding electronic health record implementation among health information management professionals in Alabama: a statewide survey and analysis

Houser, Shannon H., and Lucretia A. Johnson, Perspectives in Health Information Management, 5

Moving from paper records to electronic health records (EHRs) has been a challenge for many Alabama hospitals. Implementation of this innovative technology will assist in providing better patient care by allowing for and providing more accurate and available patient information. The purposes of this study were to assess the status of implementation of EHRs among Alabama hospitals;the factors that are associated with EHR implementation; andthe benefits of, barriers to, and risks of EHR implementation. A self-completed survey was mailed to 131 directors in the health information management (HIM) department of Alabama hospitals.
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6 June 2008 | No Comments »
Categories: Journal Article | Keyword(s): , , , , , , , , ,

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