Assignment: Medical Records Confidentiality

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Assignment: Medical Records Confidentiality

Assignment: Medical Records Confidentiality

Thank you for your initial discussion post.  It stimulated my thinking, so thank you for that.  Specifically on release of information waivers from patients and I remembered reading in the class cafe that you are from Miami and work in a psychiatric facility.  While working in transplant I would, with consent of the patient, have access to their electronic medical record at other hospitals.  However, one of the records we were not permitted to enter was the psychiatric evaluation due to the sensitivity of the information contained in those records.  What are your thoughts on mental health researchers using the confidential records of mental health patients to further evidenced based practices?  I have provided a link for you if you would like to refer to an article.  

Renee Scialli

The word “ethics” comes from the ancient Greek word “ethos,” which means “to know what is good and evil.” 
[1] It refers to person’s own internal moral standards and ideals. 
“Any systematic examination aimed to produce or contribute to generalizable information” is how research is defined. 


According to the World Health Organization (WHO), 10% of the world’s population is affected by psychiatric illness, and 25% of people will encounter psychiatric illness at some point in their lives.


According to study by Math and Srinivasaraju, at least 20% of India’s population suffers from psychological disorders. 
Mental disease accounts for five out of ten primary causes of disability, including depression, alcohol misuse, bipolar mood disorder, schizophrenia, and obsessive-compulsive disorder (OCD). 
The continuous pain and incapacity caused by mental disease necessitates the development of novel treatments and research into the subject of psychiatry.


Psychiatric diseases are associated with lot of stigma, myths, and prejudices. 
Explanatory models of illness, as defined by cultural psychiatrists, include the moral model, religious model, magical or supernatural model, medical model, and psychosocial stress model for psychiatric disorders. 


When it comes to psychiatric problems and research, ethics plays critical role in preserving the rights of people with mental illnesses while also defending the interests of researchers. 
In research, ethical principles help to ensure transparency and responsibility. 
As result, several ethical norms for distinct categories of researchers have been proposed by national and international organizations.


The first international norm for ethical conduct of research, the Nuremberg Code, was developed in 1947 when ethical misuse in human research was discovered in tests conducted by Nazi doctors on inmates.


It was founded on 10 principles, including informed consent, the ability to withdraw from study, and the prohibition of experiments that hurt patients. 
The World Medical Association also endorsed the Declaration of Helsinki, list of 32 principles focusing on informed consent, confidentiality, vulnerable populations, and the provision of research protocol describing the study’s scientific basis, which must be reviewed by the Ethics Committee. 
In 1974, the National Commission for the Protection of Human Subjects in Biomedical and Behavioral Research was established in response to the controversial Tuskegee Syphilis study of 1972. 
The Belmont Report – Ethical Principles and Guidelines for the Protection of Human Subjects of Research was written by the committee in 1979. 
The Council for International Organizations of Medical Sciences, in collaboration with WHO, developed “International Ethical Guidelines for Biomedical Research Involving Human Subjects” in 1982 in response to an increase in research conducted by pharmaceutical companies in underdeveloped and developing countries. 
According to Strech et al., about half of the 123 psychiatry journals that mentioned the International Committee of Medical Journal Editors (ICMJE) and COPE guidelines required ethical review (54%) and informed consent (58%) in their editorial policies, while 14 percent and 19 percent required reporting of these issues in the manuscript, respectively. 
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