Patient Confidentiality and Healthcare Data: Legal Framework

Typical Behavior: Disclosing Secrets

This involves revealing the secrets of another person, such as a patient, their relatives, or friends, even after the professional relationship has ended, or the person is deceased.

Privacy Law and Constitutional Rights

Constitution

The right to honor, personal and family privacy, and image.

General Health Law

The confidentiality of all information related to health.

Basic Law Regulating Patient Autonomy

Right to privacy: Everyone has the right to respect the confidential health data. No one can access information without proper authorization.

Information Requirements and Patient Care

Verbal care incorporates the risks and consequences of each intervention. Information must be truthful, understandable, and suitable to the patient's needs to help them make decisions.

Responsible for Informing

The physician is responsible for explaining the medical condition, its risks, and benefits to the patient, who must understand and provide informed consent without coercion.

Informed Consent

Must be in writing for interventions and procedures with risks. It can be revoked by the patient at any time.

Autonomy Law

This regulates the advance directive, where a person of legal age, able, and free, states their wishes in advance. They may also designate a representative to act on their behalf. Prior instructions that are a crime will not be implemented. It can be freely revoked at any time by recording it in writing.

Audit: Monitoring and Evaluation

The method for monitoring and evaluating quality, with pre-set objectives and a minimum standard.

Internal Audit

To assess the quality.

External Audit

Requirements for accreditation programs.

Audit Criteria

• Validity: Ability to measure what it was elected for.
• Reliability: Reproduces the same results every time.
• Sensitivity: Capability of measuring a single phenomenon and not be influenced by others.
• Accessibility: Data availability and quality.

Commission

Data availability and quality can be defined on the planning advisory bodies for control and quality improvement in hospitals: Teaching, Pharmacy, transplant research, tumors.

Functions

• Management
• Admission
• Specialized ambulatory care demand
• Management of hospital demand
• Surgical Demand Management
• Emergency
• Coordination of movements
• Creating and authorizing the FIP ensuring consistency and integrity
• Collaboration with the economic-administrative area of collecting billing information

Public Financing Agencies

Responsible for payment (MUFACE) - Mutual-occupational accidents insurance entities - Road accident - Secured by a third party (school) - International conventions.

New Start-Correctional Institutions

This is for a defendant for the first time in that specialty or caused by a new process in a specialty that already took place prior.

Process C. Ext.

Demand CE-Admission - the subpoena calls for the HC-file - passes consultation - Consultation-managed discharge - the history file is returned.