Patients' Release of Medical Records: Involuntary, Uninformed Consent?
J. David Kinzie M.D.1,
John L. Holmes B.S., and
Judith Arent R.R.A.2
1 Clinical Services
2 The Medical Records Service at Oregon Health Sciences University, Portland, Oregon 97201
The authors reviewed 200 requests for records of psychiatric patients submitted to a university-affiliated hospital in May and June 1983. They looked at the sources of and reasons for the requests and subsequent uses and handling of released information. A survey of 32 patients who released all or part of their records indicated that most felt strongly about limiting access to their records, yet 81 percent felt that release was mandatory to get medical, financial, or other help. Those and other survey findings led the authors to question whether patients' release of information was truly informed and to draw up guidelines that health care providers can use to protect patients' confidentiality.
Note:
The authors appreciate the helpful criticisms of Dr. Joseph Bloom and Dr. William Clark and the technical assistance of Rexine Hayes.
