The full content of Annals is available to subscribers

Subscribe/Learn More  >
Medicine and Public Policy |

Ethical and Legal Issues Related to the Use of Computer Programs in Clinical Medicine

[+] Article, Author, and Disclosure Information

Grant support: by grants R01-LM-03710 from the National Library of Medicine and R24-RR-01101 from the Division of Research Resources of the National Institutes of Health (Dr. Miller); the National Science Foundation's EVIST program, the National Endowment for the Humanities, and the Arthur Vining Davis Foundation (Dr. Schaffner); and Clinical Research Center Grant MH-30915 from the National Institute of Mental Health and a University of Pittsburgh School of Law research stipend (Prof. Meisel).

▸Requests for reprints should be addressed to Randolph A. Miller, M.D.; 1360 Scaife Hall, University of Pittsburgh School of Medicine; Pittsburgh, PA 15261.

Pittsburgh, Pennsylvania

©1985 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1985;102(4):529-536. doi:10.7326/0003-4819-102-4-529
Text Size: A A A

As computer programs are used with increasing frequency in the clinical setting, ethicists, lawyers, computer scientists, clinicians, and patients must confront a group of problems: In what situations is it appropriate to use a medical computer program? Who should use these programs and how should they be used? What is the legal status of a computer program that provides medical advice? Can a proper balance be achieved between confidentiality of patient information and shared access to records by health care personnel? How can regulatory agencies, physicians, and patients determine if a program is safe for human use? Will programs be able to communicate with users well enough to prevent clinically harmful misunderstandings? Because few if any definitive answers are yet available, these questions remain the subject of much discussion.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Journal Club
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.