Describe at least two ways that health information technology has affected the clinician-patient relationship, for better or for worse.

Describe at least two ways that health information technology has affected the clinician-patient relationship, for better or for worse.

Describe at least two ways that health information technology has affected the clinician-patient relationship, for better or for worse. What are the ethical implications?

Order Description
1.You must answer one of the case study questions and one discovery question from the list.

2. Your answer needs to be a minimum of 250-words for each answer. Your answer must be substantive and bring in some kind of analysis that relates to the material. You also must engage others

3. While you are encouraged to use examples from personal experience, you should be looking for and including outside sources that you find addressing the topic at hand.

Case Studies and Discovery Questions, please pick one of each to answer

Case 1
A family practice clinic in a rural area is associated with a major academic medical center in an urban area 100 miles away. The clinic director plans to switch to electronic health records (EHRs). The community using the clinic opposes this move because people are concerned about their privacy. Do you implement the system over the objections of the community? What ethical principles and/or theories support your position?

Case 2
Harry is a 16 year old in need of a kidney transplant. His parents (Lydia and Ken), aunts, uncles and adult cousins all get tested for histocompatibility of the human leukocyte antigen (HLA). The transplant nephrologist learns two things as a result of the tests: (1) no one from the family is a suitable donor, and (2) Harry is not biologically related to Ken. The nephrologist was not checking for paternity; however, all biologically related parents share at least one HLA match with their children, and Ken has less than that. The hospital has an informal policy stating that unintended discovery of misattributed paternity will not be disclosed or entered in the patient record. Upon learning that there were no matches, Ken tells the nephrologist that he wants a copy of the records so that he can get a second opinion. Later, Lydia approaches the nephrologist and asks that the records not be given to Ken. What should the nephrologist do? What ethical principles and/or theories justify your answer?

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