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当《健康保险流通与责任法案》造成损害时:短信沟通的法律障碍可能会加剧医疗保健差距,并使弱势患者失去权益。

When HIPAA hurts: legal barriers to texting may reinforce healthcare disparities and disenfranchise vulnerable patients.

作者信息

Lindsey Denita, Sinkey Rachel, Travers Colm, Budhwani Henna, Richardson Molly, Quinney Rosylen, Turan Janet M, Wallace Eric, Wingate Martha S, Tita Alan, Carlo Waldemar A, Shukla Vivek V

机构信息

University of Alabama at Birmingham, Birmingham, AL, USA.

Florida State University, Tallahassee, FL, USA.

出版信息

J Perinatol. 2025 Feb;45(2):278-281. doi: 10.1038/s41372-024-02080-5. Epub 2024 Aug 15.

DOI:10.1038/s41372-024-02080-5
PMID:39147791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11825281/
Abstract

Effective health communication between healthcare providers and patients is a cornerstone of quality healthcare. It underpins trust, comprehension, and patient-informed care. Robust research shows that effective communication, including the use of text messaging for communication can improve maternal/fetal and neonatal outcomes and patient satisfaction, particularly among vulnerable patients. Health information privacy laws that do not evolve with technological advances can inadvertently create barriers to effective health communication, reinforcing perinatal disparities. This is particularly true regarding maternal and child health, where the use of text messaging for patient communication has the potential to make a substantial impact on health disparities. This article explores the complex interplay between health information privacy laws and text messaging, highlighting challenges and examining potential solutions. It stresses the need for consistent health information privacy laws that protect the privacy security of health information for pregnant patients and new mothers, while also aligning with evolving communication technologies.

摘要

医疗服务提供者与患者之间有效的健康沟通是优质医疗保健的基石。它是信任、理解和患者知情护理的基础。有力的研究表明,有效的沟通,包括使用短信进行交流,可以改善孕产妇/胎儿和新生儿的结局以及患者满意度,尤其是在弱势患者中。随着技术进步而没有同步发展的健康信息隐私法可能会无意中对有效的健康沟通造成障碍,加剧围产期的差异。在母婴健康方面尤其如此,使用短信与患者沟通有可能对健康差异产生重大影响。本文探讨了健康信息隐私法与短信之间复杂的相互作用,强调挑战并审视潜在的解决方案。它强调需要有一致的健康信息隐私法,既要保护孕妇和新妈妈健康信息的隐私安全,又要与不断发展的通信技术相适应。

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本文引用的文献

1
The effects of mHealth interventions on improving institutional delivery and uptake of postnatal care services in low-and lower-middle-income countries: a systematic review and meta-analysis.移动医疗干预对改善中低收入国家机构分娩率和产后护理服务利用率的影响:系统评价和荟萃分析。
BMC Health Serv Res. 2023 Jun 9;23(1):611. doi: 10.1186/s12913-023-09581-7.
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Effectiveness of message-framing to improve oral health behaviors and dental plaque among pregnant women.信息框架对改善孕妇口腔健康行为和牙菌斑的有效性。
Arch Public Health. 2021 Jun 28;79(1):117. doi: 10.1186/s13690-021-00640-1.
3
Targeted client communication via mobile devices for improving sexual and reproductive health.通过移动设备进行有针对性的客户沟通以改善性健康和生殖健康。
Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013680. doi: 10.1002/14651858.CD013680.
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Dropout and Abstinence Outcomes in a National Text Messaging Smoking Cessation Intervention for Pregnant Women, SmokefreeMOM: Observational Study.在一项针对孕妇的全国性短信戒烟干预措施 SmokefreeMOM 中,辍学和戒断结局的观察性研究。
JMIR Mhealth Uhealth. 2019 Oct 7;7(10):e14699. doi: 10.2196/14699.
5
Perceptions of health professionals about the quality of communication and deliberation with the patient and its impact on the health decision making process.医疗专业人员对与患者沟通和商议的质量及其对健康决策过程的影响的看法。
J Public Health Res. 2018 Dec 20;7(3):1445. doi: 10.4081/jphr.2018.1445.
6
Balancing Between Privacy and Patient Needs for Health Information in the Age of Participatory Health and Social Media: A Scoping Review.参与式健康与社交媒体时代隐私与患者健康信息需求之间的平衡:一项范围综述
Yearb Med Inform. 2018 Aug;27(1):29-36. doi: 10.1055/s-0038-1641197. Epub 2018 Apr 22.
7
Text Messaging and Protected Health Information: What Is Permitted?短信与受保护的健康信息:哪些是允许的?
JAMA. 2017 Jun 20;317(23):2369-2370. doi: 10.1001/jama.2017.5646.
8
Influenza vaccine text message reminders for urban, low-income pregnant women: a randomized controlled trial.城市低收入孕妇流感疫苗短信提醒:一项随机对照试验。
Am J Public Health. 2014 Feb;104 Suppl 1(Suppl 1):e7-12. doi: 10.2105/AJPH.2013.301620. Epub 2013 Dec 19.
9
New Orleans' HIMSS13 breaks attendance records.新奥尔良的医疗卫生信息与管理系统协会2013年年会打破了参会人数纪录。
Health Manag Technol. 2013 Apr;34(4):18-20.
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Health Manag Technol. 2013 Feb;34(2):18-20.