Law School, Vanderbilt University, Nashville, Tennessee, USA.
Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
J Am Med Inform Assoc. 2022 Dec 13;30(1):155-160. doi: 10.1093/jamia/ocac155.
The Supreme Court recently overturned settled case law that affirmed a pregnant individual's Constitutional right to an abortion. While many states will commit to protect this right, a large number of others have enacted laws that limit or outright ban abortion within their borders. Additional efforts are underway to prevent pregnant individuals from seeking care outside their home state. These changes have significant implications for delivery of healthcare as well as for patient-provider confidentiality. In particular, these laws will influence how information is documented in and accessed via electronic health records and how personal health applications are utilized in the consumer domain. We discuss how these changes may lead to confusion and conflict regarding use of health information, both within and across state lines, why current health information security practices may need to be reconsidered, and what policy options may be possible to protect individuals' health information.
最高法院最近推翻了既定的判例法，该判例法肯定了孕妇的宪法堕胎权。虽然许多州将承诺保护这项权利，但许多其他州已经颁布了法律，限制或完全禁止在其境内堕胎。此外，还在努力阻止孕妇在其所在州以外寻求医疗护理。这些变化对医疗保健的提供以及患者与提供者的保密性都有重大影响。特别是，这些法律将影响电子健康记录中的信息记录和访问方式，以及个人健康应用程序在消费者领域中的使用方式。我们讨论了这些变化可能如何导致在州内和州际之间使用健康信息时出现混淆和冲突，为什么需要重新考虑当前的健康信息安全实践，以及可能采取哪些政策选择来保护个人的健康信息。
