在药房福利管理计划中使用和滥用处方药信息
1Center for AIDS Prevention Studies, and the Division of General Internal Medicine, University of California, San Francisco, USA. bernie@medicine.ucsf.edu
JAMA
|February 22, 2000
概括
在药房福利管理中,患者隐私至关重要. 政策必须平衡保密与健康信息的适当使用,以确保患者受益并防止滥用.
科学领域:
- 医疗信息学 医疗信息学
- 生物伦理学生物伦理学
- 制药政策 制药政策
背景情况:
- 管理护理和计算机化增加了对患者保密的风险.
- 药房福利管理 (PBM) 计划面临着关于个人健康信息 (PHI) 的道德审查.
- 药品成本上给PBMs带来了利用PHI的压力,引发了保密性问题.
研究的目的:
- 检查在PBM中使用PHI的伦理影响.
- 确定与PBM相关的特定保密风险.
- 提出政策建议,以保护PBM中的患者隐私.
主要方法:
- 分析了一起涉及不适当使用处方数据用于药物广告的事件.
- 关于PHI的PBM实践的伦理审查.
- 关于保密性,PBM和健康数据隐私的文献综述.
主要成果:
- 这一事件凸显了数字时代患者数据的脆弱性.
- 由于金融利益冲突,缺乏授权,第三方访问和保护措施薄弱,PBMs存在独特的机密性挑战.
- 确保患者的利益和手段的适当性是关键的伦理考虑.
结论:
- 需要制定政策来保护保密性,同时允许在PBM中适当地使用PHI.
- 有效的政策需要患者获益的证据,监督,授权,冲突披露和强有力的保障措施.
- 建议限制广告和加强对敏感疾病的保护.
关键词:
专业患者关系 专业患者关系更多相关视频
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