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e-Consent design and implementation issues for health information managers.

Heather Grain1

  • 1Department of Health Information Management, School of Public Health, Faculty of Health Sciences, La Trobe University, Victoria, Australia. H.Grain@latrobe.edu.au

Health Information Management : Journal of the Health Information Management Association of Australia
|May 21, 2008
PubMed
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Managing electronic health records (EHRs) involves critical e-consent issues. Patients need control over who accesses their health information and under what conditions, impacting system design and management.

Area of Science:

  • Health Informatics
  • Information Management
  • Patient Rights

Background:

  • Electronic health records (EHRs) are increasingly prevalent in healthcare.
  • Managing patient data access within EHR systems presents complex challenges.
  • E-consent is crucial for ensuring patient privacy and data security.

Purpose of the Study:

  • To identify and discuss key e-consent issues related to patient access to EHRs.
  • To explore challenges faced by Health Information Managers in the EHR environment.
  • To inform system development and policy regarding patient data control.

Main Methods:

  • Research involving general practices and health consumers.
  • Qualitative analysis of identified e-consent issues.

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  • Discussion of implications for system development and Health Information Managers.
  • Main Results:

    • Identified issues include: limiting health professional access, patient-defined access permissions and conditions, health professional awareness of access restrictions, audit trails for record tracking, and designated access agents.
    • These issues significantly impact EHR system development.
    • Key challenges for Health Information Managers in the EHR environment were highlighted.

    Conclusions:

    • Effective e-consent mechanisms are essential for secure and patient-centered EHR systems.
    • Addressing these e-consent issues is vital for Health Information Managers and system developers.
    • Further development is needed to empower individuals with control over their electronic health information.