Access controls for a pediatric personally controlled health record

Patrick Taylor1, Fabienne C Bourgeois, Kenneth D Mandl

  • 1Children's Hospital Boston, Massachusetts, USA.

Insights

Patient-controlled health records (PCHRs) offer easy access to medical data but require careful privacy policies. A proposed framework addresses unique pediatric challenges, balancing minor and parent confidentiality rights for PCHR access control.

Area of Science:

  • Health Informatics
  • Pediatric Healthcare
  • Information Privacy

Background:

  • Patient-controlled health records (PCHRs) enhance patient access to medical information.
  • Defining user access policies is crucial for maintaining privacy and confidentiality in PCHRs.
  • Pediatric PCHRs present unique challenges in balancing minor and parental privacy rights.

Purpose of the Study:

  • To propose a framework for defining access control policies in pediatric patient-controlled health records.
  • To address the specific privacy and confidentiality needs of minors and their parents within PCHR systems.
  • To ensure secure and appropriate data access in pediatric healthcare settings.

Main Methods:

  • Development of a conceptual framework for pediatric PCHR access control.
  • Analysis of privacy and confidentiality requirements for minors and parents.
  • Definition of policy components for managing access to pediatric health information.

Main Results:

  • A structured framework for pediatric PCHR access policy definition has been developed.
  • The framework considers the dual privacy needs of children and guardians.
  • Guidelines for implementing secure and ethical access controls in pediatric PCHRs are outlined.

Conclusions:

  • Implementing robust access control policies is essential for the safe adoption of pediatric PCHRs.
  • The proposed framework provides a foundation for managing sensitive health data in pediatrics.
  • Balancing accessibility with privacy is key to successful PCHR implementation for children.

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