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The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies

Recent health system initiatives and government legislation have enhanced electronic health information (EHI) sharing in the healthcare technology environment. These measures are favorably viewed by most patients and clinicians. The 21st Century Cures Act, whose final rules went into effect in the U...

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Detalles Bibliográficos
Autores principales: Winder, Gerald Scott, Clifton, Erin G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087815/
https://www.ncbi.nlm.nih.gov/pubmed/35841261
http://dx.doi.org/10.1111/ajt.17153
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author Winder, Gerald Scott
Clifton, Erin G.
author_facet Winder, Gerald Scott
Clifton, Erin G.
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description Recent health system initiatives and government legislation have enhanced electronic health information (EHI) sharing in the healthcare technology environment. These measures are favorably viewed by most patients and clinicians. The 21st Century Cures Act, whose final rules went into effect in the United States in 2021, prohibits information blocking practices except in the case of potential harm. The definition of such harm, particularly regarding psychosocial EHI, is unclear and little guidance has been published. No articles address the matter in solid organ transplantation (SOT) despite the crucial role of psychosocial data in organ allocation. This article describes the implications of patient and family access to psychosocial EHI in SOT, discusses potential mechanisms of harm, and suggests practical communication strategies relevant to clinicians of all disciplines to promote high quality care and favorable interactions with patients and families.[Image: see text]
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spelling pubmed-100878152023-04-12 The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies Winder, Gerald Scott Clifton, Erin G. Am J Transplant Personal Viewpoints Recent health system initiatives and government legislation have enhanced electronic health information (EHI) sharing in the healthcare technology environment. These measures are favorably viewed by most patients and clinicians. The 21st Century Cures Act, whose final rules went into effect in the United States in 2021, prohibits information blocking practices except in the case of potential harm. The definition of such harm, particularly regarding psychosocial EHI, is unclear and little guidance has been published. No articles address the matter in solid organ transplantation (SOT) despite the crucial role of psychosocial data in organ allocation. This article describes the implications of patient and family access to psychosocial EHI in SOT, discusses potential mechanisms of harm, and suggests practical communication strategies relevant to clinicians of all disciplines to promote high quality care and favorable interactions with patients and families.[Image: see text] John Wiley and Sons Inc. 2022-07-25 2022-12 /pmc/articles/PMC10087815/ /pubmed/35841261 http://dx.doi.org/10.1111/ajt.17153 Text en © 2022 The Authors. American Journal of Transplantation published by Wiley Periodicals LLC on behalf of The American Society of Transplantation and the American Society of Transplant Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Personal Viewpoints
Winder, Gerald Scott
Clifton, Erin G.
The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies
title The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies
title_full The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies
title_fullStr The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies
title_full_unstemmed The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies
title_short The 21st Century Cures Act and psychosocial electronic documentation in solid organ transplantation: Potential harms and practical strategies
title_sort 21st century cures act and psychosocial electronic documentation in solid organ transplantation: potential harms and practical strategies
topic Personal Viewpoints
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087815/
https://www.ncbi.nlm.nih.gov/pubmed/35841261
http://dx.doi.org/10.1111/ajt.17153
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