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Ethics and information technology : a case-based approach to a health care system in transition / James G. Anderson, Kenneth W. Goodman.
Holman Biotech Commons R858 .A475 2002
Available
- Format:
- Book
- Author/Creator:
- Anderson, James G.
- Series:
- Health informatics
- Language:
- English
- Subjects (All):
- Medical informatics--Moral and ethical aspects.
- Medical informatics.
- Medicine--Information services--Moral and ethical aspects.
- Medicine.
- Computer networks--Social aspects.
- Computer networks.
- Medical Informatics.
- Ethics, Medical.
- Medicine--Information services.
- Medical Subjects:
- Medical Informatics.
- Ethics, Medical.
- Physical Description:
- xviii, 213 pages : illustrations ; 24 cm.
- Place of Publication:
- New York : Springer, [2002]
- Summary:
- This book presents 13 case studies illustrating ethical and social issues that arise from the increasing use of computers in medicine, nursing, psychology, pharmacy and the allied health professions. These case studies will inspire discussion to aid understanding of the subject.
- Contents:
- 1 Introduction: Case Studies in Ethics and Health Informatics 1
- 2 The Business of Cyber Health Care 9
- Health Services Online 14
- Case 2.1 Shopping on the Web for Surgical Options 14
- Case 2.2 Let the Buyer Beware 15
- Case 2.3 Virtual Doctors 16
- Case 2.4 Online Doctor Visits 16
- Case 2.5 Litigious Patients 17
- Case 2.6 Virtual Health Care Systems 18
- Case 2.7 Online Coverage for Uninsured Consumers 19
- Case 2.8 Smart Cards 19
- Case 2.9 An Electronic Soapbox 20
- Virtual House Calls 21
- Case 2.10 Cyber Home Health Care 21
- Case 2.11 The Virtual House Call 21
- Case 2.12 Dial-Up Medicine 22
- Case 2.13 Cybercare 23
- Case 2.14 Avoiding Drug-Drug Interactions 23
- Case 2.15 An Interactive Support Group for ALS 24
- Case 2.16 Information and Support on the Internet 25
- Case 2.17 Fear and Communication 25
- Sale of Body Parts 26
- Case 2.18 Internet Bids for a Kidney 26
- Case 2.19 Sperm Bank Advertisements on the Internet 27
- Case 2.20 Models' Eggs for Sale 27
- Suicide on the Web 28
- Case 2.21 Suicide Web Site 28
- Online Medical Records 28
- Case 2.22 Secure Medical Records on the Internet 28
- Case 2.23 Cyber File Cabinet 29
- Case 2.24 Medical Records on the Internet 29
- Case 2.25 Medical Records Online 30
- Case 2.26 Doctor Posts Patient Files on the Net 31
- Pharmaceutical Products 31
- Case 2.27 Drug Bazaar 31
- Case 2.28 The Internet Diet Doctor 32
- Case 2.29 Dispensing via the Internet 33
- Case 2.30 Dying for Sex 33
- Case 2.31 Internet Prescriptions 34
- Case 2.32 Online Importation of Drugs to the United States 35
- Case 2.33 Foreign Sales of Drugs on the Internet 35
- Case 2.34 Online Auction for Pharmaceuticals 36
- Case 2.35 Drug Database Sells Advertisements to Sponsors 37
- Mental Health Services 37
- Case 2.36 Diagnosing Depression by Computer 37
- Case 2.37 The Cybercouch 38
- Case 2.38 Counseling on the Internet 39
- Cyberchondriasis 39
- Case 2.39 Tingling Feet or MS? 39
- Case 2.40 Munchausen Syndrome and Medical Record Hacking 40
- Case 2.41 Munchausen Syndrome Online 41
- 3 Contents Consumer Health Information: Let the Viewer
- Beware (Caveat Viewor) 47
- Inaccurate Information 51
- Case 3.1 Inaccurate Medical Information on the Web
- Childhood Diarrhea 51
- Case 3.2 Cancer Information on the Internet 51
- Case 3.3 Internet Advice on Home Management of Feverish Children 52
- Unverified Health Claims 53
- Case 3.4 "Web Slippery with Snake Oil" 53
- Case 3.5 The Growth of Unverified Health Claims 53
- Case 3.6 Laetrile 54
- Case 3.7 Fears of Aspartame 55
- Case 3.8 Beware of Dangerous Medical Advice Online 55
- Conflicts of Interest 56
- Case 3.9 Web Site Sponsorship 56
- Case 3.10 Promoting Products and Services 57
- Case 3.11 Listing for Sale? 58
- Case 3.12 Headache Resources on the Internet 58
- Case 3.13 Professional Associations and For-Profit Web Sites 59
- 4 Privacy and Confidentiality 63
- Breaches of Security 73
- Case 4.1 Sex Doctor's Patient Files on the Web 73
- Case 4.2 Medical Records Online at a University Medical Center 74
- Case 4.3 Security Breach of a Hospital's Voice Mail System 75
- Case 4.4 Access to an Electronic Medical Record 75
- Case 4.5 Electronic Mental Health Records 76
- Case 4.6 A Case of Mistaken Identity 77
- Case 4.7 Confidential Medical Records on Used Computers 77
- Case 4.8 E-mail Goes Astray 78
- Inappropriate Use of Health Information 79
- Case 4.9 Inappropriate Access to a Celebrity's Medical Record 79
- Case 4.10 Patients Told They Had AIDS 80
- Case 4.11 Medical Records for Sale 81
- Case 4.12 Medical Care Database Information for Sale 82
- Case 4.13 Credit Card Fraud 82
- Case 4.14 Banker Calls in Loans of Cancer Patients 83
- Case 4.15 Misuse of Public Health Data 83
- Case 4.16 Integrated Health Care Systems 84
- Case 4.17 Patients' Files Used for Obscene Calls 85
- Case 4.18 Abortion Clinic Sues CompuServe 85
- Case 4.19 Men Contract Syphilis after Meeting in an Internet Chatroom 86
- Secondary Use of Medical Information 86
- Case 4.20 Privacy of Pharmacy Data 86
- Case 4.21 Tracking Consumers on the Web 87
- Case 4.22 Release of Medical Information 88
- Case 4.23 The Medical Insurance Bureau 89
- Case 4.24 The Psychiatric Case Register 90
- Case 4.25 Wellness Plan Files Used to Fight Employee Job-Related Injury Claims 90
- Case 4.26 Dispute over Use of Medicaid Records 91
- Case 4.27 Billing Data Released in Fraud Case 92
- Data Sharing 93
- Case 4.28 Creating a National Database 93
- Case 4.29 Medical Web Site Faulted on Privacy 94
- Case 4.30 Privacy on Cancer Support Web Sites 95
- Case 4.31 Violation of the Privacy of Pharmacy Customers 96
- Case 4.32 Marketing Prescription Drugs 96
- Case 4.33 Inappropiate Use of Patient Pharmacy Data 97
- Case 4.34 Doctor Shaken to Find Personal Data on the Web 98
- Case 4.35 Data Mining 98
- Rating Physicians 99
- Case 4.36 Rating Physicians on Outcomes 100
- Case 4.37 Physician Disciplinary Reports on the Internet 100
- Case 4.38 The Wall of Silence 101
- Case 4.39 AMA Fights for Control of Price Data 101
- Protection of Patients' Privacy 102
- Case 4.40 Confidentiality of Patient Data 102
- Case 4.41 Legislated Restrictions on Access to Medical Records for Research 103
- Hackers 104
- Case 4.42 Beware: Hackers at Play 104
- Case 4.43 Computer Engineer Sentenced 104
- Case 4.44 University Tightens Computer Security 105
- Privacy Online 105
- Case 4.45 Uncovering Physicians' Online Identities 105
- Case 4.46 CEO Sues Online Critics 106
- 5 The Challenge of Bioinformatics 113
- Issues in Bioinformatics 117
- Case 5.1 Computational Pharmacogenomics 117
- Case 5.2 Genetic Information in Centralized Databases 119
- Case 5.3 Computational Genomics and Intellectual Property 120
- Case 5.4 Web-mediated Paternity Testing 120
- Case 5.5 Errors in Genetic Databases 121
- 6 Evaluation: An Imperative to Do No Harm 123
- Failure of Health Information Systems 131
- Case 6.1 A Troubled Hospital Medical Information System 131
- Case 6.2 A Borrowed Pharmacy System 132
- Case 6.3 Problems with a Billing and Payment System 133
- Case 6.4 Physician Resistance to an Internet Based System 134
- Case 6.5 Unanticipated Consequences of a Physician Order Entry System 135
- Case 6.6 Automation of Inefficient Processes 136
- Case 6.7 Failure of a "Best of Breed" Information System 137
- Case 6.8 "No OSCAR" 138
- Case 6.9 An Unsuccessful Computerized Medical Record System 139
- Case 6.10 An Abandoned Computerized Medical Record System 140
- Case 6.11 The Effects of Computerizing Medical Records on Clinic Function 142
- Case 6.12 Electronic Prescriptions 143
- Case 6.13 Programming Error Results in Overpayment of Doctors 144
- Information Systems That Harm Patients 144
- Case 6.14 Malfunction of the Therac-25 144
- Case 6.15 Failure to Integrate Information Systems 146
- Case 6.16 Concerns about the "Bedside Assistant" 147
- 7 Online Challenges for Human Subjects Research 154
- Clinical Trials 157
- Case 7.1 Information Exchange as a Confounder 157
- Case 7.2 Web Site with Patient Reports on HIV Treatment 158
- Case 7.3 Promising Trial of New Drug Spurs Demand 159
- The Doctor-Patient Relationship 159
- Case 7.4 Alternative Protocols for Cancer 159
- Case 7.5 Patient-Doctor Conflict Over the Appropriateness of a Therapy 160
- Case 7.6 Protocol Shopping on the Internet 160
- Research Ethics 161
- Case 7.7 Mining Patient Records 161
- Case 7.8 Snooping on Internet Chat Rooms 162
- Case 7.9 Tracing Syphilis in Cyberspace 162
- Appendices Ethical Standards for Health Web Sites 165
- Appendix 1 HON Code of Conduct (HONcode) for Medical and Health Web Sites 166
- Appendix 2 eHealth Code of Ethics 168
- Appendix 3 TRUSTe's Consumer Privacy Protection Guidelines 176
- Appendix 4 TRUSTe Model Privacy Statement 178
- Appendix 5 Health Internet Ethics: Ethical Principles For Offering Internet Health Services to
- Consumers 184
- Appendix 6 Criteria for Assessing the Quality of Health Information on the Internet 191
- Appendix 7 Principles Governing AMA Publications Web Sites 199.
- Notes:
- Includes bibliographical references and index.
- ISBN:
- 0387953086
- OCLC:
- 46936220
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