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Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic

BACKGROUND: Denmark has implemented a comprehensive, nationwide pharmaceutical information system, and this system has been evaluated by the Danish Council of Ethics. The system can be seen as an exemplar of a comprehensive health information system for clinical use. ANALYSIS: The paper analyses 1)...

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Detalles Bibliográficos
Autores principales: Ploug, Thomas, Holm, Søren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507876/
https://www.ncbi.nlm.nih.gov/pubmed/23157854
http://dx.doi.org/10.1186/1472-6939-13-30
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author Ploug, Thomas
Holm, Søren
author_facet Ploug, Thomas
Holm, Søren
author_sort Ploug, Thomas
collection PubMed
description BACKGROUND: Denmark has implemented a comprehensive, nationwide pharmaceutical information system, and this system has been evaluated by the Danish Council of Ethics. The system can be seen as an exemplar of a comprehensive health information system for clinical use. ANALYSIS: The paper analyses 1) how informed consent can be implemented in the system and how different implementations create different impacts on autonomy and control of information, and 2) arguments directed towards justifying not seeking informed consent in this context. RESULTS AND CONCLUSION: Based on the analysis a heuristic is provided which enables a ranking and estimation of the impact on autonomy and control of information of different options for consent to entry of data into the system and use of data from the system. The danger of routinisation of consent is identified. The Danish pharmaceutical information system raises issues in relation to autonomy and control of information, issues that will also occur in relation to other similar comprehensive health information systems. Some of these issues are well understood and their impact can be judged using the heuristic which is provided. More research is, however needed in relation to routinisation of consent.
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spelling pubmed-35078762012-11-29 Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic Ploug, Thomas Holm, Søren BMC Med Ethics Research Article BACKGROUND: Denmark has implemented a comprehensive, nationwide pharmaceutical information system, and this system has been evaluated by the Danish Council of Ethics. The system can be seen as an exemplar of a comprehensive health information system for clinical use. ANALYSIS: The paper analyses 1) how informed consent can be implemented in the system and how different implementations create different impacts on autonomy and control of information, and 2) arguments directed towards justifying not seeking informed consent in this context. RESULTS AND CONCLUSION: Based on the analysis a heuristic is provided which enables a ranking and estimation of the impact on autonomy and control of information of different options for consent to entry of data into the system and use of data from the system. The danger of routinisation of consent is identified. The Danish pharmaceutical information system raises issues in relation to autonomy and control of information, issues that will also occur in relation to other similar comprehensive health information systems. Some of these issues are well understood and their impact can be judged using the heuristic which is provided. More research is, however needed in relation to routinisation of consent. BioMed Central 2012-11-16 /pmc/articles/PMC3507876/ /pubmed/23157854 http://dx.doi.org/10.1186/1472-6939-13-30 Text en Copyright ©2012 Ploug and Holm; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Ploug, Thomas
Holm, Søren
Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic
title Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic
title_full Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic
title_fullStr Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic
title_full_unstemmed Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic
title_short Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic
title_sort pharmaceutical information systems and possible implementations of informed consent - developing an heuristic
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507876/
https://www.ncbi.nlm.nih.gov/pubmed/23157854
http://dx.doi.org/10.1186/1472-6939-13-30
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