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Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data
OBJECTIVE: Healthcare providers have key roles in the prevention of, detection of, and interventions for human trafficking. Yet caring for trafficked persons is particularly challenging: patients whose identities are unknown, unreliable, or false could receive subpar care from providers delivering c...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417704/ https://www.ncbi.nlm.nih.gov/pubmed/30870468 http://dx.doi.org/10.1371/journal.pone.0213766 |
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author | Katsanis, Sara H. Huang, Elaine Young, Amanda Grant, Victoria Warner, Elizabeth Larson, Sharon Wagner, Jennifer K. |
author_facet | Katsanis, Sara H. Huang, Elaine Young, Amanda Grant, Victoria Warner, Elizabeth Larson, Sharon Wagner, Jennifer K. |
author_sort | Katsanis, Sara H. |
collection | PubMed |
description | OBJECTIVE: Healthcare providers have key roles in the prevention of, detection of, and interventions for human trafficking. Yet caring for trafficked persons is particularly challenging: patients whose identities are unknown, unreliable, or false could receive subpar care from providers delivering care in a vacuum of relevant information. The application of precision medicine principles and integration of biometric data (including genetic information) could facilitate patient identification, enable longitudinal medical records, and improve continuity and quality of care for this vulnerable patient population. Scant empirical data exist regarding healthcare system preparedness and care for the needs of this vulnerable population nor data on perspectives on the use and risks of biometrics or genetic information for trafficked patients. METHODS: To address this gap, we conducted mixed-methods research involving semi-structured interviews with key informants, which informed a subsequent broad survey of physicians and registered nurses. RESULTS: Our findings support the perception that trafficked persons obtain care yet remain unnoticed or undocumented in the electronic health record. Our survey findings further reveal that healthcare providers remain largely unaware of human trafficking issues and are inadequately prepared to provide patient-centered care for trafficked and unidentified patients. CONCLUSION: Meaningful efforts to design and implement precision medicine initiatives in an inclusive way that optimizes impacts are unlikely to succeed without concurrent efforts to increase general awareness of and preparedness to care for trafficked persons. Additional research is needed to examine properly the potential utility for biometrics to improve the delivery of care for trafficked patients. |
format | Online Article Text |
id | pubmed-6417704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-64177042019-04-01 Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data Katsanis, Sara H. Huang, Elaine Young, Amanda Grant, Victoria Warner, Elizabeth Larson, Sharon Wagner, Jennifer K. PLoS One Research Article OBJECTIVE: Healthcare providers have key roles in the prevention of, detection of, and interventions for human trafficking. Yet caring for trafficked persons is particularly challenging: patients whose identities are unknown, unreliable, or false could receive subpar care from providers delivering care in a vacuum of relevant information. The application of precision medicine principles and integration of biometric data (including genetic information) could facilitate patient identification, enable longitudinal medical records, and improve continuity and quality of care for this vulnerable patient population. Scant empirical data exist regarding healthcare system preparedness and care for the needs of this vulnerable population nor data on perspectives on the use and risks of biometrics or genetic information for trafficked patients. METHODS: To address this gap, we conducted mixed-methods research involving semi-structured interviews with key informants, which informed a subsequent broad survey of physicians and registered nurses. RESULTS: Our findings support the perception that trafficked persons obtain care yet remain unnoticed or undocumented in the electronic health record. Our survey findings further reveal that healthcare providers remain largely unaware of human trafficking issues and are inadequately prepared to provide patient-centered care for trafficked and unidentified patients. CONCLUSION: Meaningful efforts to design and implement precision medicine initiatives in an inclusive way that optimizes impacts are unlikely to succeed without concurrent efforts to increase general awareness of and preparedness to care for trafficked persons. Additional research is needed to examine properly the potential utility for biometrics to improve the delivery of care for trafficked patients. Public Library of Science 2019-03-14 /pmc/articles/PMC6417704/ /pubmed/30870468 http://dx.doi.org/10.1371/journal.pone.0213766 Text en © 2019 Katsanis et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Katsanis, Sara H. Huang, Elaine Young, Amanda Grant, Victoria Warner, Elizabeth Larson, Sharon Wagner, Jennifer K. Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data |
title | Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data |
title_full | Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data |
title_fullStr | Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data |
title_full_unstemmed | Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data |
title_short | Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data |
title_sort | caring for trafficked and unidentified patients in the ehr shadows: shining a light by sharing the data |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417704/ https://www.ncbi.nlm.nih.gov/pubmed/30870468 http://dx.doi.org/10.1371/journal.pone.0213766 |
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