Patients, pictures, and privacy: managing clinical photographs in the smartphone era.
Patients, pictures, and privacy: managing clinical photographs in the smartphone era.
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DOI：
10.1016/j.artd.2018.10.001
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发表时间：
2019-03-01
影响因子：
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通讯作者：
Bal, B Sonny
中科院分区：
文献类型：
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作者：
Nettrour, John F;Burch, M Benjamin;Bal, B Sonny
使用现代智能手机可以轻松捕获和共享临床照片和 X 射线图像。这项技术使医疗保健提供者能够快速协作并促进对患者的护理。然而，这种改进增加了对患者隐私和受保护健康信息保护的担忧。医疗保健提供者应该了解患者照片的去识别化过程，因为该过程从根本上改变了提供者处理这些信息的期望和要求。正确去除身份信息的患者照片（和其他数据）不再被视为可识别的受保护健康信息，并且不受《健康保险流通与责任法案》规定的处理要求的约束。本文解决了医疗保健提供者之间采集、传输和共享临床照片所带来的患者隐私问题。它为在实践中采用这些新技术时寻求最大限度降低不遵守隐私要求的风险的提供商提供了指导方针。
It is easy to capture and share clinical photographs and x-ray images using modern smartphones. This technology affords health-care providers the ability to rapidly collaborate and facilitate care for their patients. This improvement, however, has increased concerns regarding patient privacy and the safeguarding of protected health information. Health-care providers should understand the deidentification process for patient photographs because this process fundamentally changes the expectations and requirements for how providers are to handle this information. Properly deidentified patient photographs (and other data) are no longer considered identifiable protected health information and are not subject to the handling requirements mandated by the Health Insurance Portability and Accountability Act. This article addresses patient privacy concerns attendant to the acquisition, transmission, and sharing of clinical photographs among health-care providers. It provides guidelines for providers seeking to minimize the risk of noncompliance with privacy requirements as they adopt these new technologies into their practices.