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E-raamat: Electronic Health Record: Ethical Considerations

(Professor, University of Victoria, Canada)
  • Formaat: EPUB+DRM
  • Ilmumisaeg: 26-Feb-2020
  • Kirjastus: Academic Press Inc
  • Keel: eng
  • ISBN-13: 9780128220467
  • Formaat - EPUB+DRM
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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 26-Feb-2020
  • Kirjastus: Academic Press Inc
  • Keel: eng
  • ISBN-13: 9780128220467

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The Electronic Health Record: Ethical Considerations analyses the ethical issues that surround the construction, maintenance, storage, use, linkage, manipulation and communication of electronic health records. Its purpose is to provide ethical guidance to formulate and implement policies at the local, national and global level, and to provide the basis for global certification in health information ethics.

Electronic health records (EHRs) are increasingly replacing the use of paper-based records in the delivery of health care. They are integral to providing eHealth, telehealth, mHealth and pHealth - all of which are increasingly replacing direct and personal physician-patient interaction - as well as in the developing field of artificial intelligence and expert systems in health care. The book supplements considerations that are raised by national and international regulations dealing with electronic records in general, for instance the General Data Protection Regulation of the European Union.

This book is a valuable resource for physicians, health care administrators and workers, IT service providers and several members of biomedical field who are interested in learning more about how to ethically manage health data.

  • Provides examples to explain the various points made in each chapter to increase the readability of the book and provide, in more familiar terms, illustrations of the reasoning that is advanced
  • Encompasses several diagrams to illustrate the logical structure of the ethical relationships that are discussed in the various chapters and to show how they are related to the decision making process
  • Presents a glossary to provide short definitions for some of the more technical terms used in the book
Preface vii
Acknowledgments xiii
1 The nature of electronic health records
1(22)
Introduction
1(1)
Health and records in the realm of health care
1(1)
Health records themselves
2(21)
Signs, data, information, and logical spaces
2(11)
EHRs and patient analogues
13(2)
Patients, EHRs, and isomorphs
15(2)
Paper-based records, EHRs, and patient analogues
17(2)
Patients and EHRs
19(1)
Some implications
20(3)
2 From ethical principles to information ethics
23(30)
Introduction
23(1)
Ethical principles in general
24(29)
Ethics and EHRs
27(2)
Definitions of "ethics"
29(3)
Ethics as framework
32(3)
The principles of ethics
35(5)
Principles of information ethics
40(10)
Conclusion
50(3)
3 Ownership, privacy, and related issues
53(28)
Introduction
53(28)
Ownership
55(7)
Privacy
62(10)
Genetic data and related issues
72(5)
Usability
77(3)
Conclusion
80(1)
4 Physicians, health information professionals, and health care institutions
81(24)
Introduction
81(24)
Physicians
82(9)
Health information professionals
91(7)
Institutions, employers, and IT service providers
98(5)
Conclusion
103(2)
5 Framework considerations
105(30)
Introduction
105(30)
Models of health care and EHRs
107(6)
Legacy systems
113(1)
Methods of health care delivery
114(6)
mHealth and related issues
120(3)
Artificial intelligence in health care
123(5)
Quantum technology
128(2)
Big data
130(2)
Conclusion
132(3)
6 Ethics, the reality of use and global considerations
135(12)
Introduction
135(1)
A confluence of factors
135(3)
Healthcare
136(1)
Technology
137(1)
Ethics in practice
138(4)
Pragmatic Considerations
142(3)
Ethics certification of HIPs
143(1)
Certification of institutions and corporations
144(1)
Final considerations
145(2)
Glossary 147(2)
Index 149
Eike Henner W. Kluge PhD, FRSC, taught at various universities in the US and Canada before joining University of Victoria. In 1989, Dr. Kluge was asked by the Canadian Medical Association to establish the Department of Ethics and Legal Affairs, for which he was the first Director. Dr. Kluge was the first expert witness in medical ethics recognized by Canadian courts. He is a member of working group SiHIS (Security in Health Information Systems) of the International Medical Informatics Association, and he was the lead author of the IMIA Code of Ethics (2003) and he wrote the revised Code (2016). In 2007, Dr. Kluge was awarded the Abbyann Lynch Medal in Bioethics by the Royal Society of Canada and was made a Fellow of the Royal Society of Canada in 2018. His other awards and honors include Woodrow Wilson Fellowship, senior Fellow of Phi Kappa Phi as well as General Motors, NSERC, and Canada Council Fellowships.