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Health Information Privacy and Public Health

Published online by Cambridge University Press:  01 January 2021

Extract

Protecting the privacy of individually-identifiable health data and promoting the public’s health often seem at odds. Privacy advocates consistently seek to limit the acquisition, use, and disclosure of identifiable health information in governmental and private sector settings. Their concerns relate to misuses or wrongful disclosures of sensitive health data that can lead to discrimination and stigmatization against individuals. Public health practitioners, on the other hand, seek regular, ongoing access to and use of identifiable health information to accomplish important public health objectives. The collection and use of identifiable health data by federal, tribal, state, and local health authorities support nearly all public health functions and goals.

Identifiable health data are the lifeblood of public health practice. When aggregated, these data help authorities monitor the incidence, patterns, and trends of injury and disease in populations. Health data are acquired by public health authorities through testing, screening, and treatment programs.

Type
Article
Copyright
Copyright © American Society of Law, Medicine and Ethics 2003

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References

Gostin, L.O., Public Health Law: Power, Duty, Restraint (Berkeley, CA: Univ. of Cal. Press, 2000): At 113.Google Scholar
Gostin, L. Hodge, J. Jr., “Personal Privacy and Common Goods: A Framework for Balancing Under the National Health Information Privacy Rule,” Minnesota Law Review, 86 (2002): 14391480.Google Scholar
Pub. L. No. 104–191, 110 Stat. 1936 (1996).Google Scholar
Hodge, J. Jr. Gostin, L. Jacobson, P., “Legal Issues Concerning Electronic Health Information,” JAMA 282 (1999): 14661471.10.1001/jama.282.15.1466CrossRefGoogle Scholar
See Gostin, , supra note 2.Google Scholar
Centers for Disease Control and Prevention, “HIPAA Privacy Rule and Public Health: Guidance from the Centers for Disease Control and the Department of Health and Human Services,” Morbidity and Mortality Weekly Reporter 52 (Supp.) (2003): 120.Google Scholar
Gostin, L., “Health Information Privacy,” Cornell Law Review 80 (1995): 451528.Google Scholar
See Gostin, , supra note 7.Google Scholar
5 U.S.C. § 552 (1988).Google Scholar
5 U.S.C. § 552(a) (1988).Google Scholar
Pub. L. No. 107–347 (2002).Google Scholar
42 U.S.C. § 290dd-2 (Supp. V 1993).Google Scholar
45 CFR §§ 46.111(a)(7) and 46.116(a)(5) (1999).Google Scholar
42 U.S.C.A. § 242m(d) (1997).Google Scholar
42 U.S.C.A. § 241(d) (1997).Google Scholar
COLO. REV. STAT. ANN. § 25-1-122.Google Scholar
TEXAS HEALTH & SAFETY CODE § 81.046.Google Scholar
3 COLO. CODE REGS. 702–6.Google Scholar
COLO. REV. STAT. ANN. § 10-16-423.Google Scholar
TEXAS HEALTH & SAFETY CODE §241.152.Google Scholar
COLO. REV. STAT. ANN. §§ 25-4-1402-1404.Google Scholar
COLO. REV. STAT. ANN. § 25-4-1405.5.Google Scholar
Gostin, L. Hodge, J. Jr. Valdiserri, R., “Informational Privacy and the Public's Health: The Model State Public Health Privacy Act,” American Journal of Public Health 91 (2001): 13881392.CrossRefGoogle Scholar
Press Release, Secretary Tommy G. Thompson, Statement by DHHS Secretary Tommy G. Thompson Regarding the Patient Privacy Rule (April 12, 2001), available at <http://www.hhs.gov/news/press/2001pres/20010412.html> (last visited November 18, 2003).+(last+visited+November+18,+2003).>Google Scholar
45 C.F.R. § 160.103.Google Scholar
See Thompson, , supra note 24.Google Scholar
45 C.F.R. § 160.103.Google Scholar
See Centers for Disease Control and Prevention, supra note 6.Google Scholar
45 C.F.R. § 164.501.Google Scholar
45 C.F.R. § 164.514(a)(b).Google Scholar
See Centers for Disease Control and Prevention, supra note 6.Google Scholar
45 C.F.R. § 164.520.Google Scholar
45 C.F.R. § 164.530.Google Scholar
45 C.F.R. § 164.530(b)(1).Google Scholar
45 C.F.R. § 164.530(a)(1).Google Scholar
45 C.F.R. § 164.530(c)(1).Google Scholar
45 C.F.R. §§ 164.524, 164.526.Google Scholar
45 C.F.R. § 164.508(a)(1).Google Scholar
45 C.F.R. § 164.502(a)(2).Google Scholar
45 C.F.R. § 164.506.Google Scholar
45 C.F.R. § 164.512(f).Google Scholar
45 C.F.R. § 164.512(e).Google Scholar
45 C.F.R. § 164.508(a)(3).Google Scholar
45 C.F.R. § 164.502(g)(3).Google Scholar
45 C.F.R. § 164.510.Google Scholar
45 C.F.R. § 164.512(i).Google Scholar
45 C.F.R. § 164.512(a) and (b).Google Scholar
45 C.F.R. § 160.203.Google Scholar
See Gostin, , supra note 2.Google Scholar
45 C.F.R. § 160.203(c).Google Scholar
45 C.F.R. § 164.512(a) and (b).Google Scholar
See Centers for Disease Control and Prevention, supra note 6.Google Scholar
45 C.F.R. § 164.501.Google Scholar
64—FED REG. 59929, Nov. 3, 1999.Google Scholar
64 FED REG. 59929, Nov. 3, 1999.Google Scholar
45 C.F.R. § 164.528.Google Scholar
45 C.F.R. § 164.514(d)(1).Google Scholar
45 C.F.R. § 164.514(d)(3)(iii).Google Scholar
45 C.F.R. § 160.203.Google Scholar
45 C.F.R. § 164.504.Google Scholar