+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Ethics and electronic health information technology: challenges for evidence-based medicine and the physician-patient relationship



Ethics and electronic health information technology: challenges for evidence-based medicine and the physician-patient relationship



Ghana Medical Journal 45(3): 115-124



The National Health Insurance Scheme (NHIS), and the National Identification Authority (NIA), pose ethical challenges to the physician-patient relationship due to interoperability. This paper explores (1) the national legislation on Electronic Health Information Technology (EHIT), (2) the ethics of information technology and public health and (3) the effect on the Physician-patient relationship. This study consisted of systematic literature and internet review of the legislation, information technology, the national health insurance program, and the physician-patient relationship. The result shows that (1) EHIT have eroded a big part of the confidentiality between the physician and patient; (2) The encroachment on privacy is an inevitable outcome of EHIT; (3) Legislation on privacy, the collection, storage and uses of electronic health information is needed and; (4) the nexus between EHIT, NHIS, NHA, Ethics, the physician-patient relationship and privacy. The study highlights the lack of protection for physician-patient relationship as medical practice transitions from the conventional to the modern, information technology driven domain.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 053047253

Download citation: RISBibTeXText

PMID: 22282579


Related references

Ethics, information technology, and public health: new challenges for the clinician-patient relationship. Journal of Law Medicine and Ethics 38(1): 58-63, 2010

Extracting physician group intelligence from electronic health records to support evidence based medicine. Plos one 8(5): E64933, 2013

Conceptual model of health information ethics as a basis for computer-based instructions for electronic patient record systems. Studies in Health Technology and Informatics 129(Pt 2): 1442-1446, 2007

Ethics and electronic health information technology. Ghana Medical Journal 45(3): 87-88, 2011

Clinical care improvement with use of health information technology focusing on evidence based medicine. Healthcare Informatics Research 18(3): 164-170, 2012

Implementing health information technology in a patient-centered manner: patient experiences with an online evidence-based lifestyle intervention. Journal for Healthcare Quality 35(5): 47-57, 2014

The ethics of efficiency in hospital medicine: developing a new paradigm for the patient-physician relationship. Virtual Mentor 10(12): 817-822, 2008

High technology medicine and the physician-patient relationship. Journal of Critical Care 2(4): 282-287, 1987

Developing Guidance on Ethics for Patient Groups Collecting and Reporting Patient Information for Health Technology Assessments. Patient 9(1): 1-4, 2016

Where medicine and technology meet. Four strategies for gaining physician support and acceptance of evidence-based medicine. Health Management Technology 22(8): 44-46, 2001

Health information technology: standards, implementation specifications, and certification criteria for electronic health record technology, 2014 edition; revisions to the permanent certification program for health information technology. Final rule. Federal Register 77(171): 54163-54292, 2012

Introduction: The Association of Academic Health Sciences Libraries symposium: "Electronic Health Records and Knowledge-based Information: State-of-the-art and Roles for Libraries in Health Information Technology". Journal of the Medical Library Association 98(3): 204-205, 2011

Cura Te Ipsum: physician burnout as the most lethal threat to humanism in medicine and the health of the patient-physician relationship. Connecticut Medicine 78(7): 429-430, 2014

Meaningful Use and Electronic Laboratory Reporting: Challenges Health Information Technology Vendors Face in Kentucky. Online Journal of Public Health Informatics 9(3): E196, 2017

Provision of information. Physician-patient-nurse relationship based on sharing of information. Japanese Journal of Nursing 37(5): 28-33, 1985