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Review
. 2005 Jan;45(1):53-9.
doi: 10.1016/j.annemergmed.2004.08.008.

From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part I: conceptual, moral, and legal foundations

John C Moskop  1 , Catherine A Marco, Gregory Luke Larkin, Joel M Geiderman, Arthur R Derse
Affiliations
Review

From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part I: conceptual, moral, and legal foundations

John C Moskop et al. Ann Emerg Med. 2005 Jan.

Abstract

Respect for patient privacy and confidentiality is an ancient and a contemporary professional responsibility of physicians. Carrying out this responsibility may be more challenging and more important in the emergency department than in many other clinical settings. Part I of this 2-part article outlines the basic concepts of privacy and confidentiality, reviews the moral and legal foundations and limits of these concepts, and highlights the new federal privacy regulations implemented under the Health Insurance Portability and Accountability Act of 1996. Part II of the article examines specific privacy and confidentiality issues commonly encountered in the ED.

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References

    1. Reich W.T., editor. Vol. 5. Macmillan; New York, NY: 1995. Oath of Hippocrates; p. 2632. (Encyclopedia of Bioethics).
    1. World Medical Association . Declaration of Geneva. In: Reich W.T., editor. Vol. 5. Macmillan; New York, NY: 1995. pp. 2646–2647. (Encyclopedia of Bioethics).
    1. Liang B.A. Medical information, records, and confidentiality. In: Liang B.A., editor. Health Law and Policy. Butterworth-Heinemann; Boston, MA: 2000. pp. 45–62.
    1. US Department of Health and Human Services, Office for Civil Rights. Standards for privacy of individually identifiable health information; security standards for the protection of electronic protected health information; general administrative requirements including civil monetary penalties: procedures for investigations, imposition of penalties, and hearings. Regulation text. 45 CFR Parts 160 and 164. December 28, 2000, as amended: May 31, 2002, August 14, 2002, February 20, 2003, and April 17, 2003. Available at: http://www.hhs.gov/ocr/combinedregtext.pdf. Accessed February 2, 2004.
    1. US Department of Health and Human Services, Office for Civil Rights. Summary of the HIPAA privacy rule. Available at: http://www.hhs.gov/ocr/privacysummary.pdf. Accessed February 2, 2004.

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