Health Affairs

Health Affairs, 28, no. 2 (2009): 416-427 doi: 10.1377/hlthaff.28.2.416 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Privacy

Privacy As An Enabler, Not An Impediment: Building Trust Into Health Information Exchange

Deven McGraw, James X. Dempsey, Leslie Harris and Janlori Goldman

Building privacy and security protections into health information technology systems will bolster trust in such systems and promote their adoption. The privacy issue, too long seen as a barrier to electronic health information exchange, can be resolved through a comprehensive framework that implements core privacy principles, adopts trusted network design characteristics, and establishes oversight and accountability mechanisms. The public policy challenges of implementing this framework in a complex and evolving environment will require improvements to existing law, new rules for entities outside the traditional health care sector, a more nuanced approach to the role of consent, and stronger enforcement mechanisms.

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