- This topic has 17 replies, 14 voices, and was last updated 3 years, 7 months ago by Navinee Kruahong.
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2020-10-03 at 8:12 am #22962SaranathKeymaster
Please watch the VDO for topic discussion.
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2020-10-10 at 11:01 pm #23239Pongsakorn SadakornParticipant
As a health information professional or data controller, I am not telling anyone about the diagnosis because I need to protect the patient’s personal data so data will be used only for treatment purposes or research only. This data will keep under Thailand Regulation on the protection of personal data (2019) to ensure that personal data will keep confidential. However, I have to ensure that the data is accurate so I will check the data with the laboratory sector again. If the data is correct, the data will send to the responsible unit. In addition, I need to ensure that these data sent securely by appropriate safeguards.
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2020-10-12 at 1:05 am #23277Saravalee SuphakarnParticipant
I agree with your idea about should recheck accuracy of the result again because HIV result is sensitive issue .
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2020-10-14 at 11:22 pm #23320Ornpicha ThiampolParticipant
According to my experience, I think the laboratory results are accurate as they need to do a 3-time different method to make sure before confirming the result. But there is a possibility to be false-result. If she asks me, I will advise her to test in a different hospital. However, I will not tell her that I know this result. I think she will feel shame if I told her straight, and she will not believe in the privacy of patient information in the hospital anymore. Maybe, she can sue me because I lack ethics.
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2020-10-18 at 7:04 pm #23402Sittidech SurasriParticipant
I do agree with your comment. But I think that you are not permitted to re-check the data/result without permission. And at each health service provider (Hospital, clinic, Laboratory) follow the National Guideline for HIV testing to ensure that the patient will get the accurate and reliable (counseling and lab testing).
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2020-10-11 at 8:04 am #23242Kridsada SirichaisitParticipant
This information is the privacy of patient then I can inform to my friend. I think the medical counselling is the answer of this situation. This situation is dilemma issue and must have the proper management. I can’t tell to my friend in this information directly but in usually medical counselling will tell to patient’s family on this information.
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2020-10-11 at 4:11 pm #23254Sila KlanklaeoParticipant
In this case, I will not tell anyone about his data because that is the patient’s personal health data. However, I will advise my friend on how to HIV infection and protection.
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2020-10-12 at 1:02 am #23276Saravalee SuphakarnParticipant
Because the principle of information privacy and openness, as a health informatics professional, shouldn’t disclose the data to others people if the subject of the data didn’t permit and the data should disclosed in appropriate and timely which is duty of his doctor. Although my friend be at risk, I can’t tell her about her husband EMR. I just can give her about medical information of HIV such as transmission and prevention of the disease. I think my answer that don’t tell this issue to others is follow the fundamental principle about right to self determination – doing good ad doing no harm to others.
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2020-10-14 at 8:35 pm #23317Rawinan SomaParticipant
In this situation, I choose not to tell my friend, because I will respect to patient autonomy and confidentiality. In addition, it strongly against the Personal Data Protecting Act, it is illegal. In this case, only attending physician have right to disclose the data to my friend’s husband. After all, their attending physician will follow the HIV counselling guideline and giving advice to my friend respectively
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2020-10-14 at 11:12 pm #23319Ornpicha ThiampolParticipant
According to the principle of information privacy and disposition, I cannot tell anyone. It’s the patient’s privacy. The personal data should keep confidential, so I should not access any information about my family or my friend without their consent. I can only give her advice to test again in different hospitals if she consults with me, but I will say nothing if she didn’t ask. As a health information professional, I should respect the privacy of patients and not harm them. As I mentioned, it’s our obligation to hold the information with us to protect patient privacy.
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2020-10-15 at 1:39 am #23322Wachirawit SupasaParticipant
It’s important to protect the data of the patients. Even for the close friend’s benefits cannot be an allegation and right to disclose any patient’s information also, HIV is not a major infectious disease that law required to report. By working as a medical technologist, I have encountered a lot about these issues and we learn the duty of a data collector not to distribute any information without their consent.
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2020-10-19 at 11:23 pm #23424Kaung Khant TinParticipant
Sometimes, the ethics and principles limit the capability of the people to do the good thing. And I think at such times, I could cleverly use these ethics and principles to prevent harm for the others. There’s always a way out and we just need to take time to see it.
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2020-10-18 at 3:32 pm #23398Khaing Zin Zin HtweParticipant
As a health information professional, I have no right to disclose the information to my friend. In this case, I would directly ask the attending physician if my friend knows her husband’s HIV status or not. I’m sure of the physician with deep understanding of ethics that he/she have already planned about information disclosure with the patient. Unless so, I would discuss with the physician regarding the HIV status of my friend and her safety if it was already negative.
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2020-10-18 at 6:43 pm #23401Sittidech SurasriParticipant
Per this scenario, If I am a health information professional with assigned duty to checking on electronic medical records (or EMR) of patients. I will follow the principle of information privacy and disposition, and it is the obligation to hold the information with us to protect patient privacy. Even you saw the HIV result or any result of your friends or who you may recognized because it is the patient confidentiality and privacy, I should not tell anyone. At each health service providers (Hospital, Clinic, Laboratory, Health Center) must follow the national guideline in providing the HIV testing, patient must follow their guideline; Pre and Post counseling, inform consent process. So, in this case, I think the counselor will provide advice on how to prevent HIV transmission to other.
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2020-10-19 at 7:45 pm #23416NaphatParticipant
Health information professional could not tell your friend because this is for privacy and security of personal information. Especially in HIV is very sensitive for their couple life and the unexpected consequences after told her.
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2020-10-19 at 9:58 pm #23421Phone Suu KhaingParticipant
I do not the right to disclose patient’s information to others as a health information professional. So, I would not disclose this information to my friend. I would request patient’s doctor to send peer counselor to him for self-determination to disclose his status to my friend. While requesting patient’s doctor, I would say “reminding to reinforce couple testing” for prevention purpose and not mentioning any personal info about patient and his wife (my friend).
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2020-10-19 at 11:18 pm #23423Kaung Khant TinParticipant
Being a health information professional with access to the medical records of the patients, I surely cannot disclose her husband sensitive medical record to her. And I cannot interfere with other people or family issue in such cases. Anyway, I do think that my friend should know about this as she is at the risk of contracting the HIV virus.
According to the principle of autonomy from fundamental ethical principles, her husband has a fundamental right to self-determination which means he can decide whether he disclose his HIV status to my friend or not. Anyway, according to the principle of beneficence and principle of non-maleficence, I do have a right to discuss this with my husband’s physician as I have a duty to advance the good of my friend and to prevent harm to my friend. And I will make sure that his physician does the required counselling and health education relating with HIV, and encourages him to disclose his HIV status to his family for the benefits of his family. -
2020-10-19 at 11:29 pm #23425Navinee KruahongParticipant
As a health information professional, my responsibilities are to ensure the health records are maintained, used, manipulated only with the voluntary of the subjects, to assist healthcare workers in having appropriate timely, usability and integrity of the data, and importantly to avoid conflict of interest. In this case, I cannot tell anyone about the patients’ record, even my friends or my family. I should avoid conflict between my friend and I, because I hold ethical obligations of the health information professional. Protecting the privacy and security of EMR and respect for subjects should be my first priority, and then ensure doing no harm from the use of patients’ information. Telling my friend about her husband health status to protect her might be right in term of moral, but as a health information professional, it is unethical.
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