In article <[log in to unmask]
solutions.co.uk>, Mark Treleaven <[log in to unmask]> writes
>-------
>
>Speaking as a patient - I would be more concerned that a medical
>professional was providing care without a full view of appropriate
>information - the 'holistic' approach to care when provided under a
>multi-disciplined environment will surely necessitate the 'sharing' of all
>appropriate information - this may or may not require the sharing of
>'sensitive' information.
Hmm - so how do you propose we do that with paper based notes - or even
the EPR - do I have to tag each note entry with 'suitable for dietician,
not suitable for chiropodist, suitable for office staff' etc - if so,
forget it!
>
>Definition of 'appropriate' and 'sensitive' - OVER TO ??
Most of us know what is suitable for who - but it is the implementation
of such knowledge that is the problem.
I would maintain that there is little need for a physio or dietician to
access the GP records if a good referral letter is sent (oh, but how
many of have physios that insist referrals go on their own forms which
do not provide for the inclusion of relevant info? )
If I need to see the dietician I do not see why this gives them rights
to scrutinise my complete records - and I do not give my consent for
this. Moreover - if I know my notes contain 'sensitive' information why
should my seeking help from the dietician be hindered by the knowledge
that they will get to read that info?
Mary (I think it was) made the point that the NID diabetic needs to
follow healthy eating irrespective of the hba1c/glucose, the person who
needs chol lowering needs a low chol diet whatever their chol etc etc
I really do not see a fundamental need for them even to access this
information (although I would have not great ethical problem with it)
What my pt tells me in my room is between him/her and me - and should
only be shared on a need to know basis. This principle therefore
precludes blanket access to records by dieticians, physios, chiropodists
and *consultants*.
Cheers :-)
--
Dr Jel Coward
'There's no such thing as a bad dog - just not enough bones"
Anon German Shepherd
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|