Access controls for a pediatric personally controlled health record
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Published on: April 13, 2021
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.
Abstract:
While patient-controlled health records (PCHRs) promise easy and unprecedented access to medical information, user access policies will need to be carefully defined to preserve privacy and confidentiality. There are particular challenges in pediatrics, where both the minor's and the parent's rights to privacy and confidentiality need to be upheld. We propose a framework to define access control policies for a pediatric PCHR.
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