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Journal of the American Medical Informatics Association, Vol 3, 139-148, Copyright © 1996 by American Medical Informatics Association

ARTICLES

Privacy, confidentiality, and electronic medical records

RC Barrows Jr and PD Clayton
Department of Medical Informatics, Columbia University, New York, NY, USA.

The enhanced availability of health information in an electronic format is strategic for industry-wide efforts to improve the quality and reduce the cost of health care, yet it brings a concomitant concern of greater risk for loss of privacy among health care participants. The authors review the conflicting goals of accessibility and security for electronic medical records and discuss nontechnical and technical aspects that constitute a reasonable security solution. It is argued that with guiding policy and current technology, an electronic medical record may offer better security than a traditional paper record.


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