Algunas amenazas actuales a la confidencialidad en medicina.
SOME CURRENT THREATS TO CONFIDENTIALITY IN MEDICINE
Author
Echeverría B., Carlos; Hospital Naval “Almirante Nef”.
Goic G., Alejandro; Academia de Medicina del Instituto de Chile
Herrera C., Carolina; Clínica Avansalud
Quintana V., Carlos; Facultad de Medicina, Pontificia
Universidad Católica de Chile
Rojas O., Alberto; Facultad de Medicina, Universidad Andrés Bello
Ruiz-Esquide, Gonzalo; Clínica Santa María
Salinas R, Rodrigo; Facultad de Medicina, Universidad de Chile
Serani M, Alejandro; Facultad de Medicina, Universidad de los Andes
Taboada R, Paulina
Vacarezza Y, Ricardo; Facultad de Medicina, Universidad de Chile
Abstract
Social, technical and legal conditions of the current practice of medicine make it necessary to insist on certain actions and circumstances that may jeopardize the confidentiality of information, offered by patients to their health providers. Therefore, some effects of the current Chilean law are analyzed in this respect, regarding access to data from the clinical record of a patient. Also, the risks of putting certain data on social networking sites are analyzed, as well as some of its effects on clinical practice. The reasons because of mandatory reporting of diseases, meaning danger to public health, is allowed, are mentioned. We also discuss the difficulties involved in managing the results of preventative health screenings and its knowledge by third parties, as well as some possible violations of personal privacy, regarding dissemination of some people health information and its further mention or figuration in mass media. We conclude that it is a must for both physicians and other health team members, to safeguard confidentiality of data to which they have had access, as well as the need to know the relevant law, in order to respect human dignity of patients, each one as a person. We address the attention to the possibility that, practicing in a different way, it could endanger the reliability of clinical records, also impairing the quality of people’s health care. Social, technical and legal conditions of the current practice of medicine make it necessary to insist on certain actions and circumstances that may jeopardize the confidentiality of information, offered by patients to their health providers. Therefore, some effects of the current Chilean law are analyzed in this respect, regarding access to data from the clinical record of a patient. Also, the risks of putting certain data on social networking sites are analyzed, as well as some of its effects on clinical practice. The reasons because of mandatory reporting of diseases, meaning danger to public health, is allowed, are mentioned. We also discuss the difficulties involved in managing the results of preventative health screenings and its knowledge by third parties, as well as some possible violations of personal privacy, regarding dissemination of some people health information and its further mention or figuration in mass media. We conclude that it is a must for both physicians and other health team members, to safeguard confidentiality of data to which they have had access, as well as the need to know the relevant law, in order to respect human dignity of patients, each one as a person. We address the attention to the possibility that, practicing in a different way, it could endanger the reliability of clinical records, also impairing the quality of people’s health care.
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