Question

A document or electronic file used to record a client's history, assessment, treatment and results of therapy is a(n) __________.

a. medical record
b. informal record
c. nutrition care plan
d. diagnosis

Answer 1

A document tracking a client's medical journey is a medical record. Privacy concerns arise with digital medical records sharing, prompting key questions on data protection, patient control, and efficiency versus privacy risk assessment.

Step-by-step explanation:

A document or electronic file used to record a client's history, assessment, treatment, and results of therapy is a medical record. In the context of modern healthcare, especially in the United States, the sharing of digital medical records is seen as a means to enhance the quality of care while reducing costs. However, the privacy of these electronic health records is a significant concern. When developing policies that balance treatment costs, patient quality of life, and privacy risks, three critical questions must be addressed:

1. How can data in health records be adequately protected against unauthorized access or breaches, while still allowing for necessary medical collaborations and referrals?
2. What measures can be implemented to ensure that patients have full transparency and control over who accesses their health records?
3. In what ways might the efficiency gains from digital record sharing be quantified against the potential risks to individual privacy?