Ethical issues and the electronic health record. Export

@article{citeulike:4267638, abstract = {Ethical issues related to electronic health records (EHRs) confront health personnel. Electronic health records create conflict among several ethical principals. Electronic health records may represent beneficence because they are alleged to increase access to health care, improve the quality of care and health, and decrease costs. Research, however, has not consistently demonstrated access for disadvantaged persons, the accuracy of EHRs, their positive effects on productivity, nor decreased costs. Should beneficence be universally acknowledged, conflicts exist with other ethical principles. Autonomy is jeopardized when patients' health data are shared or linked without the patients' knowledge. Fidelity is breached by the exposure of thousands of patients' health data through mistakes or theft. Lack of confidence in the security of health data may induce patients to conceal sensitive information. As a consequence, their treatment may be compromised. Justice is breached when persons, because of their socioeconomic class or age, do not have equal access to health information resources and public health services. Health personnel, leaders, and policy makers should discuss the ethical implications of EHRs before the occurrence of conflicts among the ethical principles. Recommendations to guide health personnel, leaders, and policy makers are provided.}, author = {Layman, E. J.}, citeulike-article-id = {4267638}, citeulike-linkout-0 = {http://dx.doi.org/10.1097/01.HCM.0000285044.19666.a8}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/18475119}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=18475119}, doi = {10.1097/01.HCM.0000285044.19666.a8}, issn = {1525-5794}, journal = {The health care manager}, keywords = {electronic-medical-records, ire, taskr}, number = {2}, pages = {165--176}, posted-at = {2009-04-20 14:29:51}, priority = {2}, title = {Ethical issues and the electronic health record.}, url = {http://dx.doi.org/10.1097/01.HCM.0000285044.19666.a8}, volume = {27}, year = {2008} }

TY - JOUR ID - citeulike:4267638 L3 - citeulike-article-id:4267638 N2 - Ethical issues related to electronic health records (EHRs) confront health personnel. Electronic health records create conflict among several ethical principals. Electronic health records may represent beneficence because they are alleged to increase access to health care, improve the quality of care and health, and decrease costs. Research, however, has not consistently demonstrated access for disadvantaged persons, the accuracy of EHRs, their positive effects on productivity, nor decreased costs. Should beneficence be universally acknowledged, conflicts exist with other ethical principles. Autonomy is jeopardized when patients' health data are shared or linked without the patients' knowledge. Fidelity is breached by the exposure of thousands of patients' health data through mistakes or theft. Lack of confidence in the security of health data may induce patients to conceal sensitive information. As a consequence, their treatment may be compromised. Justice is breached when persons, because of their socioeconomic class or age, do not have equal access to health information resources and public health services. Health personnel, leaders, and policy makers should discuss the ethical implications of EHRs before the occurrence of conflicts among the ethical principles. Recommendations to guide health personnel, leaders, and policy makers are provided. IS - 2 JF - The health care manager SN - 1525-5794 EP - 176 TI - Ethical issues and the electronic health record. VL - 27 SP - 165 KW - electronic-medical-records KW - ire KW - taskr AU - Layman, EJ PY - 2008///n UR - http://dx.doi.org/10.1097/01.HCM.0000285044.19666.a8 ER -