¶ … HIPAA has made finding subjects for clinical trials easier or more difficult is moot. HIPAA was passed almost twenty years ago. Since 1996, HIPAA rules protect the privacy of test subjects, strengthen informed consent, and have generally changed the culture around these issues, further protecting people who are involved in clinical trials. It's law, and that's what clinical researchers have to work with. Further, the privacy rule was designed with one objective (protect privacy), so evaluating it against another objective (making research easier) is a red herring. The theory is that HIPAA should make it easier to find subjects, but it wasn't written for that so much as just to assuage apprehension about the privacy of medical information. Because HIPAA is law, it doesn't much matter if it has made it harder or easier, the only thing that matters is that practitioners understand the best practices as to how to recruit in the current legal environment. Once a law is passed, worrying about its impacts isn't as important as actually doing what you can to manage those impacts. 2. Considering how old I was when HIPAA was enacted, I can safely say that this is another moot question....
But in the theoretical abstract, I do not believe that privacy protection is a deal-breaker or deal-maker for this decision, at least not for me. Indeed most patients have never heard of HIPAA, don't really understand the issue, and therefore cannot offer a reasoned opinion on the matter. I like that there are better privacy protections than they used to be, but as someone in the health care field I am pretty sure that if a clinical study offered me a chance to make a greater contribution to the field, and had the potential to offer me better treatment than I could otherwise receive, I would do it. My decision to participate in a clinical trial would be related to medical factors and my personal views about the value of clinical trials, and those issues would override any privacy issues, I should think.
The health record, also known as the medical record, is a systematic documentation of a patient's medical history and care. While the primary purpose of health records is to record details regarding patient care and treatment to provide continuity of care among healthcare providers (Menachemi & Collum, 2011), there are several secondary purposes that extend beyond clinical care into areas such as legal documentation, billing, research, and quality management. From a
100). Much of the focus of personnel selection using psychological testing was on new troops enlisting in the military during two world wars and the explosive growth of the private sector thereafter (Scroggins et al., 2008). Psychological testing for personnel selection purposes, though, faded into disfavor during the 1960s, but it continues to be used by human resource practitioners today. In this regard, Scroggins and his colleagues advise, "Many
This 1996 Act was part of a Civil Rights concern that as information became more electronically disseminated, it would lead to misuse of that information (U.S. Department of Health and Human Services, 2010). Certainly, one of the benefits of electronic information is that on one hand it is available to a larger number of people, but it is also verifiable on who views that information at what time. This
Case Summary Client Y is a 33-year-old African-American female with two children aged 3 and 5, and married to a 39-year-old Hispanic male. Client Y presents following a referral by her sister, who thinks that she is under severe emotional distress. Symptoms at the time of presentation included a depressed mood, inability to concentrate, nightmares, sleeping difficulties, and heightened irritability. Client reported that symptoms began 4 months earlier, after a violent
Passing Congress with bipartisan support, the Health Insurance Portability and Accountability Act (HIPAA, Public Law 104-191) became the legislative vehicle to address those issues. Your health information cannot be used or shared without your written permission unless this law allows it. Because telemedicine allows medical information to be sent anywhere in the world, there is a possibility that protected patient information may fall into unauthorized hands. For example, the
Integrated Patient Managed-Care Information System Identifying a Cost-Effective Integrated Patient Managed-Care System for Concord Hospital: A Managed-Care White Paper This white paper is provided in response to a request review integrated patient managed-care systems for possible implementation at Concord. Because there are a number of sophisticated applications specifically designed for such purposes today, each with its own attributes, it is important to select the software package that best suits Concord's needs and
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