Personally identifiable health information about individuals and general
medical information is increasingly available in electronic form in health
databases and through online networks. The proliferation of electronic data
within the modern health information infrastructure presents significant benefits
for medical providers and patients, including enhanced patient autonomy, improved
clinical treatment, advances in health research and public health surveillance,
and modern security techniques. However, it also presents new legal challenges
in 3 interconnected areas: privacy of identifiable health information, reliability
and quality of health data, and tort-based liability. Protecting health information
privacy (by giving individuals control over health data without severely restricting
warranted communal uses) directly improves the quality and reliability of
health data (by encouraging individual uses of health services and communal
uses of data), which diminishes tort-based liabilities (by reducing instances
of medical malpractice or privacy invasions through improvements in the delivery
of health care services resulting in part from better quality and reliability
of clinical and research data). Following an analysis of the interconnectivity
of these 3 areas and discussing existing and proposed health information privacy
laws, recommendations for legal reform concerning health information privacy
are presented. These include (1) recognizing identifiable health information
as highly sensitive, (2) providing privacy safeguards based on fair information
practices, (3) empowering patients with information and rights to consent
to disclosure (4) limiting disclosures of health data absent consent, (5)
incorporating industry-wide security protections, (6) establishing a national
data protection authority, and (7) providing a national minimal level of privacy
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and
Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early
dhildhood mortality and growth failure data and their association with maternal
Thank you for submitting a comment on this article. It will be reviewed by JAMA editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 77
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.