National health information privacy - Regulations under the Health Insurance Portability and Accountability Act
National health information privacy - Regulations under the Health Insurance Portability and Accountability Act
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DOI：
10.1001/jama.285.23.3015
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发表时间：
2001-06-20
影响因子：
120.7
通讯作者：
Gostin, LO
中科院分区：
文献类型：
--
作者：
Gostin, LO
健康信息隐私权在美国社会中非常重要，但现有的联邦和州法律并没有提供足够的保护，卫生和公众服务部根据1996年《健康保险流通和责任法》授予的权力，最近发布了一项最终规则，提供系统的，全国性的健康信息隐私权保护。该规则范围广泛，适用于健康计划，医疗保健结算所和医疗保健提供者（医院）。诊所和卫生部门）进行电子金融交易（“覆盖实体”）。该规则适用于任何形式的个人身份信息，无论是电子通信，书面或口头，该规则并不优先于提供更严格的隐私保护的州法律;因此，医疗保健行业将不得不遵守多层次的联邦和州法律。该规则赋予病人接受隐私保护教育的权利，获得他们的医疗记录，和用于校正记录的过程。虽然隐私是一个重要的价值观，但它可能与将数据用于社会公益的公共责任相冲突。该规则对用于研究、公共卫生、执法和商业营销的卫生信息的披露有特别规定。关于隐私问题的辩论将在国会和总统政府内部继续进行。主要重点将是医疗保健提供者的成本和负担、医疗保健专业人员在治疗患者时使用和分享全部医疗信息的能力、及时有效地提供患者护理以及父母获得有关其子女健康的信息。
Health information privacy is important in US society, but existing federal and state law does not offer adequate protection, The Department of Health and Human Services, under powers granted by the Health Insurance Portability and Accountability Act of 1996, recently issued a final rule providing systematic, nationwide health information privacy protection. The rule is extensive in its scope, applying to health plans, health care clearinghouses, and health care providers (hospitals. clinics, and health departments) who conduct financial transactions electronically ("covered entities"). The rule applies to personally identifiable information in any form, whether communicated electronically, on paper, or orally, The rule does not preempt state law that affords more stringent privacy protection; thus, the health care industry will have to comply with multiple layers of federal and state law, The rule affords patients rights to education about privacy safeguards, access to their medical records, and a process for correction of records. It also requires the patient's permission for disclosures of personal information.While privacy is an important value, it may conflict with public responsibilities to use data for social goods. The rule has special provisions for disclosure of health information for research, public health, law enforcement, and commercial marketing. The privacy debate will continue in Congress and within the president's administration. The primary focus will be on the costs and burdens on health care providers, the ability of health care professionals to use and share full medical information when treating patients, the provision of patient care in a timely and efficient manner, and parents' access to information about the health of their children.