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J Am Med Inform Assoc 1996;3:139-148 doi:10.1136/jamia.1996.96236282
  • The Practice of Informatics
  • Review

Privacy, Confidentiality, and Electronic Medical Records

  1. Randolph C Barrows Jr,
  2. Paul D Clayton
  1. Affiliation of the authors: Department of Medical Informatics, Columbia University, New York, NY
  1. Correspondence and reprints: Randolph C. Barrows, Jr., MD, Center for Medical Informatics, Columbia Presbyterian Medical Center, 1310 Atchley Pavilion, 161 Fort Washington Avenue, New York, NY 10032. e-mail: barrows{at}cucis.cis.columbia.edu

    Abstract

    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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