Research using electronic health records: Balancing confidentiality and public good

被引:8
作者
Wallis, Katharine A. [1 ]
Eggleton, Kyle S. [1 ]
Dovey, Susan M. [2 ,3 ]
Leitch, Sharon [2 ]
Cunningham, Wayne K. [3 ]
Williamson, Martyn, I [2 ]
机构
[1] Univ Auckland, Dept Gen Practice & Primary Hlth Care, 261 Morrin Rd, Auckland 1072, New Zealand
[2] Univ Otago, Dunedin Sch Med, Dunedin, New Zealand
[3] Med Univ Bahrain, Royal Coll Surg Ireland, Busaiteen, Bahrain
关键词
D O I
10.1071/HC18040
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
General practitioners are increasingly approached to participate in research and share de-identified patient information. Research using electronic health records has considerable potential for improving the quality and safety of patient care. Obtaining individual patient consent for the use of the information is usually not feasible. In this article we explore the ethical issues in using personal health information in research without patient consent including the threat to confidentially and the doctor-patient relationship, and we discuss how the risks can be minimised and managed drawing on our experience as general practitioners and researchers.
引用
收藏
页码:288 / 291
页数:4
相关论文
共 15 条
  • [1] The social licence for research: why care.data ran into trouble
    Carter, Pam
    Laurie, Graeme T.
    Dixon-Woods, Mary
    [J]. JOURNAL OF MEDICAL ETHICS, 2015, 41 (05) : 404 - 409
  • [2] Dovey Susan M, 2017, JMIR Res Protoc, V6, pe10, DOI 10.2196/resprot.6696
  • [3] "Let's get the best quality research we can": public awareness and acceptance of consent to use existing data in health research: a systematic review and qualitative study
    Hill, Elizabeth M.
    Turner, Emma L.
    Martin, Richard M.
    Donovan, Jenny L.
    [J]. BMC MEDICAL RESEARCH METHODOLOGY, 2013, 13
  • [4] Who Owns the Data? Open Data for Healthcare
    Kostkova, Patty
    Brewer, Helen
    de Lusignan, Simon
    Fottrell, Edward
    Goldacre, Ben
    Hart, Graham
    Koczan, Phil
    Knight, Peter
    Marsolier, Corinne
    McKendry, Rachel A.
    Ross, Emma
    Sasse, Angela
    Sullivan, Ralph
    Chaytor, Sarah
    Stevenson, Olivia
    Velho, Raquel
    Tooke, John
    [J]. FRONTIERS IN PUBLIC HEALTH, 2016, 4
  • [5] Characteristics of a stratified random sample of New Zealand general practices
    Leitch, Sharon
    Dovey, Susan M.
    Samaranayaka, Ari
    Reith, David M.
    Wallis, Katharine A.
    Eggleton, Kyle S.
    McMenamin, Andrew W.
    Cunningham, Wayne K.
    Williamson, Martyn I.
    Lillis, Steven
    Tilyard, Murray W.
    [J]. JOURNAL OF PRIMARY HEALTH CARE, 2018, 10 (02) : 114 - 124
  • [6] Real-world data in the United Kingdom: opportunities and challenges
    McDonald, Laura
    Lambrelli, Dimitra
    Wasiak, Radek
    Ramagopalan, Sreeram V.
    [J]. BMC MEDICINE, 2016, 14
  • [7] Clinical Trial Participants' Views of the Risks and Benefits of Data Sharing
    Mello, Michelle M.
    Lieou, Van
    Goodman, Steven N.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2018, 378 (23) : 2202 - 2211
  • [8] National Data Guardian, 2016, DF CALD REV DAT SEC
  • [9] Putting patients in control of data from electronic health records
    New, John P.
    Leather, David
    Bakerly, Nawar Diar
    McCrae, John
    Gibson, J. Martin
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2018, 360 : j5554
  • [10] NHS Digital, 2018, GEN DAT PROT REG GDP