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Addressing Privacy Concerns Through the Health Insurance Portability and Accountability Act Privacy Rule
American Journal of Bioethics
Lee Black and Emilie E. Anderson (2007) make a key point about the important role of physicians in protecting the confidentiality of health records. Regardless of the design features of a health record system, the first requirement of health privacy and confidentiality is trust by patients in their health care providers. If patients lack trust in their physicians’ commitment to protect their sensitive health information, they will not disclose matters essential to their health and they may even forgo medical care altogether.We agree that the ethical duty of physicians to protect the confidentiality of patient health records does not change with the advent of electronic health records.
This work presents experimental results on pickup velocity (critical velocity) measurements for a variety of particulate solids. The present experiments together with previously published experiments of a number of researchers encompass about 100 measurements of 24 materials for a wide range of particle sizes, shapes and densities. Based on the experimental results, three zones are defined by establishing simple relationships between the Reynolds and Archimedes numbers. The empirical relationships were further modified by taking into account the pipe diameter and particle shape (sphericity). The three-zone model was shown to reasonably correlate to Geldart's classification groups.
Each year individuals are required to execute millions of authorizations for the release of their health records as a condition of employment, applying for various types of insurance, and submitting claims for benefits. Generally, there are no restrictions on the scope of information released pursuant to these compelled authorizations, and the development of a nationwide system of interoperable electronic health records will increase the amount of health information released. After quantifying the extent of these disclosures, this article discusses why it is important to limit disclosures of health information for nonmedical purposes as well as how it may be possible to do so.