Skip to main content

Keeping Confidence in Confidentiality: Linking Ethics, Efficacy, and Opportunity in Health Care Computing — A Case Study

  • Chapter

Summary

The application of computing technology to healthcare is long-established and rapidly growing, with new horizons opening up rapidly as a result of increased processing power, lower costs, increased recognition of the potential improvements to health care and its delivery, and the managerial and research potential of quality databases capable of easier analysis. However, new technical opportunities often need matching new policies and controls, and this has not had sufficient attention.

“ We are all in the gutter, but some of us are looking at the stars.” Oscar Wide

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Wilde O: Lady Windermere’s Fan.

    Google Scholar 

  2. NHS Management Executive Information Management Group: An Information Management and Technology Strategy for the NHS in England - Getting Better with Information; Department of Health, Leeds, 1993.

    Google Scholar 

  3. Banta HD, Schersten T, Jonsson E: Implications of Minimally Invasive Therapy; Health Policy, 23, 167–178, 1993.

    Google Scholar 

  4. Anderson R: Clinical System Security: Interim Guidelines; British Medical, Journal, 312, 109–111 (1996).

    Google Scholar 

  5. NHS Management Executive: Computerisation in GP Practices 1993 Survey; Department of Health, Leeds, 1993.

    Google Scholar 

  6. M.J. Rigby: Decisions, Please (Item on strategic policy issues on information); The Health Summary, IX, II, 5–6, London, February 1992.

    Google Scholar 

  7. M. Rigby: NHS Information Handicap Stakes; The Health Summary, X, X, 4–6, October 1993.

    Google Scholar 

  8. Rigby M., Robins S: Community Health - Delivering the Vision; British Journal of Healthcare Computing and Information Management, 1994, 11, 6, 34–36.

    Google Scholar 

  9. Department of Health: Draft Guidelines on Confidentiality; Department of Health, London, 1994.

    Google Scholar 

  10. Department of Health: The Protection and Use of Patient Information: Department of Health, London, 1996.

    Google Scholar 

  11. Royal College of Psychiatrists: Report of the Mental Health Information Systems Working Group, Royal College of Psychiatrists, London, 1992.

    Google Scholar 

  12. Audit Commission: For Your Information - A Study of Information Management and Systems in the Acute Hospital; H.M.S.O., London, 1995.

    Google Scholar 

  13. Molteno B: Is Our Clinical Information Safe?; British Journal of Healthcare Computing and Information Management, 12, 12, 40–42.

    Google Scholar 

  14. Smith J: Personal Communications, 1995.

    Google Scholar 

  15. Anderson RJ: Security in Clinical Information Systems; British Medical Association, London, 1996

    Google Scholar 

  16. Personal communication, 1996.

    Google Scholar 

  17. Personal communication, 1996.

    Google Scholar 

  18. Institute of Medicine: The Computer-Based Patient Record - An Essential Technology for Health Care (Dick RS, Steen EB, eds.); National Academy Press, Washington DC. 1991.

    Google Scholar 

  19. Drazen EL et al: Patient Care Information Systems; Springer-Verlag, New York, 1995.

    Book  Google Scholar 

  20. Bussey AL, Holmes B: Immunisation Levels and the Computer; Lancet, i, 450,1978.

    Google Scholar 

  21. Sullivan F, Mitchell E: Has General Practice Computing Made a Difference to Patient Care? - A Systematic Review of Published Reports; British Medical Joumal, 311, 848–852, 1995.

    Google Scholar 

  22. Welsh Project Nurses Forum: Implementation of Nurse Information Systems - Benefits Assessment Studies, A Practical Guide; Welsh Health Common Services Authority, Cardiff, 1992.

    Google Scholar 

  23. Roger-France F, Noothoven van Goor J, Staer-Johansen K: Case-Based Telematic Systems Towards Equity in Health Care (Studies in Health Technology and Informatics Vol. 14); IOS Press, Amsterdam, 1994.

    Google Scholar 

  24. Rigby MJ, Robins SC: A Networked Patient-Based Integrated Care System as a Basis for the Achievement of Quality in Practice; in Roger-France F, Noothoven van Goor J, Staer-Johansen K: Case-Based Telematic Systems Towards Equity in Health Care (Studies in Health Technology and Informatics Vol. 14); IOS Press, Amsterdam, 1994.

    Google Scholar 

  25. Roberts R, Thomas J, Rigby M, Williams JG: Practical Protection of Confidentiality in Acute Healthcare; Paper to Cambridge University/BMA Conference on the Security of Personal Information, Cambridge University, Cambridge, 1996 (and reproduced in this volume).

    Google Scholar 

  26. Fowler HW, Fowler FG (eds.): The Concise Oxford Dictionary of Current English (Fifth edition); Oxford University Press, Oxford, 1964.

    Google Scholar 

  27. Maxwell RJ: Quality Assessment in Health; British Medical Journal, 288, 14701472, 1984.

    Google Scholar 

  28. Austin C: Confidentiality, Clinicians, and Computers; British Journal of Occupational Therapy, 59 (2), 62–64, 1996.

    Google Scholar 

  29. Rigby MJ: Electronic Patient records - Confidentiality, Access, and the ‘Need to Know’, a discussion paper; Plymouth Community Services NHS Trust, Plymouth, 1995.

    Google Scholar 

  30. British Medical Association: A Bill Governing Collection, Use and Disclosure of Personal Health Information; British Medical Association, London, 1995.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Rigby, M. (1997). Keeping Confidence in Confidentiality: Linking Ethics, Efficacy, and Opportunity in Health Care Computing — A Case Study. In: Anderson, R. (eds) Personal Medical Information. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59023-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59023-8_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-63244-3

  • Online ISBN: 978-3-642-59023-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics