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2016 | OriginalPaper | Buchkapitel

An Unclear Question: Who Owns Patient Information?

A Kantian Take on the Concept of Datenherrschaft

verfasst von : Jani Koskinen, Kai K. Kimppa

Erschienen in: Technology and Intimacy: Choice or Coercion

Verlag: Springer International Publishing

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Abstract

Patient information systems are critical instruments in modern healthcare; thus, modern healthcare systems cannot function properly without them. While there are countless varieties of information systems used in healthcare, there is one overarching commonality among them – they all contain information about patients. Different groups involved in healthcare have an interest in patients’ information for different reasons. However, in many countries, it remains unclear who exactly owns the data. This issue thus needs to be resolved. As ethics is critical in determining the justifiable owner of patient information, any legislative solution to competing interests ought to be ethically well justified. In this paper, we argue that an ethically acceptable formulation of the ownership of patient data has already been suggested and that it can be further justified also through the Kantian tradition.

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Fußnoten
1
There are of course other traditions, but the authors want to underline the differences between the United States and (particularly continental) Europe, which have been the main traditions of relevance to this topic.
 
2
We use the term patient information (system) to avoid the problem of different terms being used, for example, electronic health record (ERH) or electronic medical record (EMR) etc. What is important is that the patient information system, or whichever term is used, stores information about the patient.
 
3
Laki potilaan asemasta ja oikeuksista 785/1992.
 
4
Laki sosiaali- ja terveydenhuollon asiakastietojen sähköisestä käsittelystä 2007/159.
 
5
Sosiaali- ja terveysministeriön asetus potilasasiakirjoista 298/2009.
 
6
[11 p. 229].
 
7
[9 p. 54].
 
8
The author notes that in healthcare, patients are not treated as objects in the sense that they do not have rights; they are ‘objects’ for healthcare in the sense that healthcare contains information designed for healthcare professionals about patients, and by mixing this information and professional work, healthcare executes the medical tasks appointed to it.
 
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Metadaten
Titel
An Unclear Question: Who Owns Patient Information?
verfasst von
Jani Koskinen
Kai K. Kimppa
Copyright-Jahr
2016
DOI
https://doi.org/10.1007/978-3-319-44805-3_1

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