John Roberts, MT; Sheila R. Decter, MA; Denise Nagel, MD
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Roberts J, Decter SR, Nagel D. Confidentiality and Electronic Medical Records. Ann Intern Med. 1998;128:510. doi: 10.7326/0003-4819-128-6-199803150-00032
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Published: Ann Intern Med. 1998;128(6):510.
TO THE EDITOR:
We write in response to Rind and colleagues' article on maintaining the confidentiality of electronic medical records shared over the Internet . Although the proposed policy has some excellent features, we believe it also contains the following flaws.
First, no explicit procedure is provided for informing all patients that they may object to the electronic transmission of their records between institutions. Second, it is not clear how clinicians will obtain information about the existence of a patient's records at other institutions and whether this will be done in a way that does not violate patient confidentiality. Third, it is not clear whether the patient will have control over what information is transmitted. Will the patient's entire record be transmitted? This issue is critical in view of the fact that the record becomes part of the permanent record of the recipient institution.
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