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3.
S Afr Med J ; 110(6): 461-462, 2020 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-32880552

RESUMO

Given the increasing numbers of ethical and legal issues arising from the COVID-19 epidemic, particularly in respect of patient-doctor confidentiality, doctors must explain to patients how the measures taken to combat the spread of the virus impact on their confidentiality. Patients must be reassured that doctors are ethically bound to continue to respect such confidentiality, but it should be made clear to them that doctors must also comply with the demands of the law. While the Constitution, statutory law and the common law all recognise a person's right to privacy, during extraordinary times such as the COVID-19 pandemic, confidentiality must be breached to a degree to halt the spread of the virus.


Assuntos
Confidencialidade/legislação & jurisprudência , Infecções por Coronavirus/epidemiologia , Ética Médica , Relações Médico-Paciente/ética , Pneumonia Viral/epidemiologia , Confidencialidade/ética , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/legislação & jurisprudência , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
6.
S Afr Med J ; 110(3): 172-174, 2020 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-32657691

RESUMO

The Protection of Personal Information Act No. 4 of 2013 (POPIA) promises a new dispensation of privacy protection for research participants in South Africa. In a recent article, Staunton et al. proposed that a purposive interpretation of POPIA would allow for the retention of the status quo of broad consent in the context of genomic research. In this response article, we analyse the argument presented by Staunton et al., and conclude that it fails to convince: firstly, because Staunton et al. do not present empirical data for their factual assumption that moving up the consent benchmark is likely to stymie research; secondly, because genomic research does not have a monopoly on the public interest, but shares it with the privacy rights of research participants; and thirdly, because POPIA was designed to promote the protection of privacy, not simply to preserve the status quo as found in existing policy instruments. In contrast to the position advocated by Staunton et al., we suggest that a purposive interpretation of POPIA is aligned with the plain meaning of the statute - namely that specific (not broad) consent is a prerequisite for research on genomic information.This article, which comments on an article by Staunton et al. (Staunton C, Adams R, Botes M, et al. Safeguarding the future of genomic research in South Africa: Broad consent and the Protection of Personal Information Act No. 4 of 2013. S Afr Med J 2019;109(7):468-470. https://doi.org/10.7196/SAMJ.2019.v109i7.14148), is followed by a letter by Thaldar and Townsend (Privacy rights of human research participants in South Africa must be taken seriously. S Afr Med J 2020;110(3):175-176. https://doi.org/10.7196/SAMJ.2020.v110i3.14450); and a response to the article and letter by Staunton et al. (S Afr Med J 2020;110(3):175-176. https://doi.org/10.7196/SAMJ.2020.v110i3.14450).


Assuntos
Confidencialidade/legislação & jurisprudência , Privacidade Genética/legislação & jurisprudência , Pesquisa em Genética/legislação & jurisprudência , Genômica , Humanos , África do Sul
7.
S Afr Med J ; 110(5): 364-368, 2020 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-32657718

RESUMO

In everyday clinical practice, healthcare professionals (HCPs) are exposed to large quantities of confidential patient information, and many use WhatsApp groups to share this information. WhatsApp groups provide efficient mechanisms for clinical management advice, decision-making support and peer review. However, most HCPs do not fully understand the legal and ethical implications of sharing content in a WhatsApp group setting, which is often thought to be hosted on a secure platform and therefore removed from public scrutiny. In our paper, we unpack the legal and ethical issues that arise when information is shared in WhatsApp groups. We demonstrate that sharing content in this forum is tantamount to the publication of content; in other words, those who share content are subject to the same legal ramifications as a journalist would be. We also examine the role of the WhatsApp group administrator, who bears an additional legal burden by default, often unknowingly so. We consider the recommendations made by the Health Professions Council of South Africa in their guidelines for the use of social media, and highlight some areas where we feel the guidelines may not adequately protect HCPs from the legal repercussions of sharing content in a WhatsApp group. Finally, we provide a set of guidelines for WhatsApp group users that should be regularly posted onto the group by the relevant group administrator to mitigate some of the legal liabilities that may arise. We also provide guidelines for group administrators.


Assuntos
Responsabilidade Legal , Aplicativos Móveis/ética , Aplicativos Móveis/legislação & jurisprudência , Tomada de Decisão Clínica , Comunicação , Confidencialidade/legislação & jurisprudência , Humanos , Revisão por Pares , Mídias Sociais/legislação & jurisprudência , África do Sul
15.
NASN Sch Nurse ; 35(4): 198-202, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32413270

RESUMO

The Family Educational Rights and Privacy Act of 1974 is the federal law that protects the privacy of personally identifiable information from student education records and applies to all education entities that receive funding under any program administered by the U.S. Department of Education. The Health Insurance Portability and Accountability Act of 1996 is the federal law that establishes privacy requirements for patients' protected health information. Together these privacy laws establish rules that guide school nurses in the sharing of student information, even in times of public health emergencies. The U.S. Department of Education and the U.S. Department of Health and Human Services have issued special updates to privacy laws in response to the Novel Coronavirus Disease providing certain waivers of typical privacy requirements and direction to allow the sharing of information during this public health emergency. The purpose of this article is to briefly review the privacy laws as they relate to schools, as well as to provide an overview of the recent waivers to assist school nurses, school administrators, healthcare professionals, and public health agencies in protecting the health and safety of students during this current public health emergency.


Assuntos
Betacoronavirus , Confidencialidade/legislação & jurisprudência , Infecções por Coronavirus , Disseminação de Informação/legislação & jurisprudência , Pandemias , Pneumonia Viral , Privacidade/legislação & jurisprudência , Serviços de Enfermagem Escolar/legislação & jurisprudência , Serviços de Enfermagem Escolar/normas , Emergências , Guias como Assunto , Humanos , Saúde Pública/legislação & jurisprudência , Saúde Pública/normas , Estados Unidos
17.
J Am Med Inform Assoc ; 27(6): 963-966, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: covidwho-20452

RESUMO

The novel coronavirus disease 2019 infection poses serious challenges to the healthcare system that are being addressed through the creation of new unique and advanced systems of care with disjointed care processes (eg, telehealth screening, drive-through specimen collection, remote testing, telehealth management). However, our current regulations on the flows of information for clinical care and research are antiquated and often conflict at the state and federal levels. We discuss proposed changes to privacy regulations such as the Health Insurance Portability and Accountability Act designed to let health information seamlessly and frictionlessly flow among the health entities that need to collaborate on treatment of patients and, also, allow it to flow to researchers trying to understand how to limit its impacts.


Assuntos
Betacoronavirus , Confidencialidade/legislação & jurisprudência , Infecções por Coronavirus/epidemiologia , Regulamentação Governamental , Troca de Informação em Saúde/legislação & jurisprudência , Pandemias , Pneumonia Viral/epidemiologia , Controle de Doenças Transmissíveis , Busca de Comunicante/métodos , Infecções por Coronavirus/prevenção & controle , Troca de Informação em Saúde/ética , Health Insurance Portability and Accountability Act , Humanos , Disseminação de Informação/legislação & jurisprudência , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Prática de Saúde Pública/legislação & jurisprudência , Estados Unidos
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