Medical Records Confidentiality in a Changing Health Care Environment: Hearing of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Sixth Congress, First Session ... S. 881 and S. 578, Bills to Ensure Confidentiality with Respect to Medical Records and Health Care-related Information, April 27, 1999, Opseg 4

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U.S. Government Printing Office, 1999 - Broj stranica: 118
 

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Stranica 4 - Zeleznik professor of psychiatry and director of the law and psychiatry program at the University of Massachusetts Medical School.
Stranica 53 - Clinical Professor of Psychiatry at the University of Southern California School of Medicine, "People don't feel safe in their homes Dust] because their state has enacted the death penalty.
Stranica 42 - ... be drawn by a neutral and detached magistrate instead of being judged by the officer engaged in the often competitive enterprise of ferreting out crime.
Stranica 100 - ... test" will necessarily enable courts to decide questions such as this with mathematical precision. But if the purpose of the attorney-client privilege is to be served, the attorney and client must be able to predict with some degree of certainty whether particular discussions will be protected. An uncertain privilege, or one which purports to be certain but results in widely varying applications by the courts, is little better than no privilege at all.
Stranica 51 - Independence today, we would probably add privacy to the list of 'life, liberty, and the pursuit of happiness' as a fundamental right" By a 71-27% margin, Americans agree that consumers have lost all control over how personal information about them is circulated and used by companies.
Stranica 93 - ... with the intent to sell, transfer, or use protected health information for the purpose of marketing a product or service." Thus, the limitations on the use of information disclosed under the procedures of section 202 do not seem to be as broad as the finding indicates that they should be. By contrast, section 203(e) expressly states that information disclosed under that procedure may be used or disclosed, "solely to carry out the purpose for which the information was authorized for release.
Stranica 118 - Effective psychotherapy, by contrast, depends upon an atmosphere of confidence and trust in which the patient is willing to make a frank and complete disclosure of facts, emotions, memories, and fears. Because of the sensitive nature of the problems for which individuals consult psychotherapists, disclosure of confidential communications made during counseling sessions may cause embarrassment or disgrace. For this reason, the mere possibility of disclosure may impede development of the confidential...
Stranica 83 - Therefore, far from adding additional burdens, the federal law will provide a substantial degree of uniformity simply by preempting weaker state laws. A federal floor — if it is set at an appropriate level — will actually standardize the vast majority of health privacy and security practices. Moreover, there is no evidence that the interplay between state and federal laws in these areas significantly interferes with interstate commerce. The Right to Financial Privacy Act, the Fair Credit Reporting...
Stranica 86 - Use or disclosure •without informed consent should be permitted only under exceptional circumstances^— for example, if a person's life is endangered, if there is a threat to the public health, or if there is a compelling law enforcement need. Disclosure of individually identifiable health information for marketing or commercial purposes should never be permitted without informed consent. Any time information is used or disclosed it should be limited to the minimum amount necessary for the use...
Stranica 3 - Chairman, want you to know that we are looking forward to working with you and with other members of the committee.

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