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August 17, 1979, Vol 242, No. 7 >
ARTICLE | August 17, 1979

Access to Medical Records

Jermyn F. McCahan, MD
JAMA. 1979;242(7):618. doi:10.1001/jama.1979.03300070016013.
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ABSTRACT

To the Editor.—  I hope that the letter by David Jacknow, MD (241:2701, 1979), regarding his concern for the preservation of confidentiality of medical records will stimulate other physicians to speak publicly on this issue.He is concerned that if the Occupational Safety and Health Administration (OSHA) finalizes their proposed regulations permitting access to the complete medical record of workers, a physician in private practice who accepts referrals from industry will have the impossible task of attempting to separate occupational information about patients from nonoccupational information. If the physician were not permitted to do this, Dr Jacknow points out, the patient would be exposed to "wide-open scrutiny" by OSHA, the National Institute for Occupational Safety and Health (NIOSH), or an "authorized representative." Physicians in the full-time practice of occupational medicine are equally concerned about this issue.Dr Jacknow states he believes this problem has been overlooked, because an article in

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