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Ethical issues and the electronic health record.

Elizabeth J Layman¹

¹Department of Health Services and Information Management, College of Allied Health Sciences, East Carolina University, 600 Moye Boulevard, Greenville, NC 27834, USA. laymane@ecu.edu

The Health Care Manager

|May 14, 2008

Summary

Electronic health records (EHRs) present ethical challenges, potentially conflicting with patient autonomy and data security. Addressing these ethical implications is crucial for healthcare professionals and policymakers.

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Area of Science:

Bioethics
Health Informatics
Medical Ethics

Background:

Electronic health records (EHRs) are increasingly adopted in healthcare settings.
EHR implementation raises significant ethical considerations for healthcare personnel.
The ethical principles of beneficence, autonomy, fidelity, and justice are central to EHR discussions.

Purpose of the Study:

To explore the ethical issues and conflicts arising from the use of EHRs.
To analyze how EHRs impact core ethical principles in healthcare.
To provide recommendations for healthcare personnel, leaders, and policymakers.

Main Methods:

Ethical analysis of EHR functionalities and implications.
Review of potential conflicts between EHR benefits and ethical principles.
Identification of breaches in autonomy, fidelity, and justice due to EHRs.

Main Results:

While EHRs are intended to improve care and reduce costs (beneficence), evidence for consistent benefits is lacking.
Patient autonomy is threatened by data sharing without consent.
Fidelity is compromised by data breaches, and justice is undermined by unequal access to health information resources.

Conclusions:

EHRs create complex ethical dilemmas that challenge established healthcare principles.
Proactive discussion and ethical guideline development are essential before conflicts escalate.
Recommendations are provided to guide stakeholders in navigating EHR ethical challenges.