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La confidentialité des données : état des lieux du niveau de connaissance des infirmiers en milieu hospitalier en Belgique et en Suisse
Authors: --- ---
Year: 2016 Publisher: Bruxelles: UCL. Faculté de santé publique,

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Les big data et l'éthique : le cas de la datasphère médicale
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ISBN: 9781784051297 1784051292 Year: 2016 Volume: 2 Publisher: Londres : Iste éditions,

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Après avoir expliqué les finalités propres, les visées et les raisons d'être des big data en matière médicale, l'auteur, économiste et gestionnaire de santé, en décrit les enjeux et risques éthiques fondamentaux : intérêt d'une médecine connectée, mesurée et personnalisée ; évaluation éthique des big data médicales ; gouvernance des données personnelles de santé. ©Electre 2016


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Contesting Medical Confidentiality : Origins of the Debate in the United States, Britain, and Germany
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ISBN: 022640496X Year: 2016 Publisher: Chicago : University of Chicago Press,

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Medical confidentiality is an essential cornerstone of effective public health systems, and for centuries societies have struggled to maintain the illusion of absolute privacy. In this age of health databases and increasing connectedness, however, the confidentiality of patient information is rapidly becoming a concern at the forefront of worldwide ethical and political debate. In Contesting Medical Confidentiality, Andreas-Holger Maehle travels back to the origins of this increasingly relevant issue. He offers the first comparative analysis of professional and public debates on medical confidentiality in the United States, Britain, and Germany during the late nineteenth and early twentieth centuries, when traditional medical secrecy first came under pressure from demands of disclosure in the name of public health. Maehle structures his study around three representative questions of the time that remain salient today: Do physicians have a privilege to refuse court orders to reveal confidential patient details? Is there a medical duty to report illegal procedures to the authorities? Should doctors breach confidentiality in order to prevent the spread of disease? Considering these debates through a unique historical perspective, Contesting Medical Confidentiality illuminates the ethical issues and potentially grave consequences that continue to stir up public debate.


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Contesting Medical Confidentiality : Origins of the Debate in the United States, Britain, and Germany
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ISBN: 9780226404820 9780226404967 022640496X 022640482X Year: 2016 Publisher: Chicago : University of Chicago Press,

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Medical confidentiality is an essential cornerstone of effective public health systems, and for centuries societies have struggled to maintain the illusion of absolute privacy. In this age of health databases and increasing connectedness, however, the confidentiality of patient information is rapidly becoming a concern at the forefront of worldwide ethical and political debate. In Contesting Medical Confidentiality, Andreas-Holger Maehle travels back to the origins of this increasingly relevant issue. He offers the first comparative analysis of professional and public debates on medical confidentiality in the United States, Britain, and Germany during the late nineteenth and early twentieth centuries, when traditional medical secrecy first came under pressure from demands of disclosure in the name of public health. Maehle structures his study around three representative questions of the time that remain salient today: Do physicians have a privilege to refuse court orders to reveal confidential patient details? Is there a medical duty to report illegal procedures to the authorities? Should doctors breach confidentiality in order to prevent the spread of disease? Considering these debates through a unique historical perspective, Contesting Medical Confidentiality illuminates the ethical issues and potentially grave consequences that continue to stir up public debate.


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The Telecommunication Sector in the Palestinian Territories : A Missed Opportunity for Economic Development.
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Year: 2016 Publisher: Washington, D.C. : The World Bank,

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The Telecommunications Sector Assessment Note in the Palestinian territories is a knowledge product prepared by the World Bank in response to a specific request from the Palestinian Ministry of Telecommunications and Information Technology (MTIT) to assess the performance of the telecommunications sector, identify specific issues and make recommendations for further development and reform.


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Quantified : biosensing technologies in everyday life
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ISBN: 9780262034173 0262034174 9780262528757 0262528754 9780262334549 0262334542 9780262334532 0262334534 0262334550 9780262334556 Year: 2016 Publisher: Cambridge, Massachusetts ; London, England : The MIT Press,

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Today anyone can purchase technology that can track, quantify, and measure the body and its environment. Wearable or portable sensors detect heart rates, glucose levels, steps taken, water quality, genomes, and microbiomes, and turn them into electronic data. Is this phenomenon empowering, or a new form of social control? Who volunteers to enumerate bodily experiences, and who is forced to do so? Who interprets the resulting data? How does all this affect the relationship between medical practice and self care, between scientific and lay knowledge? Quantified examines these and other issues that arise when biosensing technologies become part of everyday life. The book offers a range of perspectives, with views from the social sciences, cultural studies, journalism, industry, and the nonprofit world. The contributors consider data, personhood, and the urge to self-quantify; legal, commercial, and medical issues, including privacy, the outsourcing of medical advice, and self-tracking as a "paraclinical" practice; and technical concerns, including interoperability, sociotechnical calibration, alternative views of data, and new space for design.

Keywords

Biosensors. --- Medical instruments and apparatus. --- Biosensing Techniques. --- Monitoring, Physiologic --- Confidentiality. --- #SBIB:316.334.3M30 --- #SBIB:316.334.3M50 --- #SBIB:316.334.3M40 --- Confidential Information --- Secrecy --- Patient Data Privacy --- Privacy of Patient Data --- Privileged Communication --- Communication, Privileged --- Communications, Privileged --- Data Privacy, Patient --- Information, Confidential --- Privacy, Patient Data --- Privileged Communications --- Duty to Warn --- Privacy --- Disclosure --- Anonymous Testing --- Parental Notification --- Biosensing Technics --- Bioprobes --- Biosensors --- Electrodes, Enzyme --- Bioprobe --- Biosensing Technic --- Biosensing Technique --- Biosensor --- Electrode, Enzyme --- Enzyme Electrode --- Enzyme Electrodes --- Technic, Biosensing --- Technics, Biosensing --- Technique, Biosensing --- Techniques, Biosensing --- Microchemistry --- Apparatus, Medical --- Instruments, Medical --- Medical apparatus --- Medical devices --- Medical products --- Medicine --- Biomedical engineering --- Medical supplies --- Scientific apparatus and instruments --- Biodetectors --- Biological detectors --- Biological sensors --- Biomedical detectors --- Biomedical sensors --- Detectors --- Medical instruments and apparatus --- Physiological apparatus --- trends. --- Medische sociologie: gezondheidsgedrag --- Organisatie van de gezondheidszorg: algemeen, beleid --- Medische sociologie: zorgenverstrekkers, relatie met hulpvragers --- Apparatus --- Equipment and supplies --- Instruments --- Wearable Electronic Devices --- INFORMATION SCIENCE/Communications & Telecommunications --- INFORMATION SCIENCE/General --- COMPUTER SCIENCE/Human Computer Interaction --- Biosensing Techniques --- Confidentiality --- trends


Book
East Africa Public Health Laboratory Networking Project : Evaluation of Performance-Based Financing for Public Health Laboratories in Rwanda
Authors: --- --- --- --- --- et al.
Year: 2016 Publisher: Washington, D.C. : The World Bank,

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This report summarizes the main findings from the application of performance based incentives linked to progress on a standardized, globally recognized metric - the stepwise laboratory improvement process towards accreditation (SLIPTA) checklist - under the East Africa Public Health Laboratory Networking Project (EAPHLNP) in Rwanda. The lab performance-based financing (PBF) pilot was introduced in the context of a well-established national PBF program dating back to the early 2000s. The flexible nature of the EAPHLNP and the favorable context in Rwanda provided an ideal backdrop to introduce PBF incentive payments to accelerate progress of five project supported labs towards accreditation. The evaluation found improved laboratory performance at all project-supported laboratories in Rwanda as measured by the SLIPTA scores. For the first time, laboratories were bringing in PBF revenues, instilling a culture of continuous quality improvements, and focusing management attention on accreditation. PBF appears to have contributed to an accelerated change, with PBF laboratories experiencing an overall greater increase in SLIPTA scores compared to project-supported laboratories in the other countries. No clear patterns were found in terms of improved test volumes or test accuracy, which were not part of the pilot scheme. While it was difficult to disentangle the effects of different interventions, the evaluation found a system-strengthening value to combining investments in modernizing laboratories, and strengthening human resources with PBF. Relationships between laboratory staff and clinicians improved, with laboratory managers having a greater voice in hospital management and lab staff increasingly valued and respected by clinicians. A spirit of teamwork prevailed at participating sites. Other countries considering PBF mechanisms for public health laboratories need to take into account lessons learned and assess the features which may be relevant to their own contexts. PBF schemes for laboratories need to be viewed as an integral part of a package of interventions that contribute to enhanced performance.


Book
Strengthening the Citizen-State Compact through Feedback : Effective Complaint Management as a Pathway to Articulate Citizen Voice and Improve State Response.
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Year: 2016 Publisher: Washington, D.C. : The World Bank,

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The Palestinian Authority is committed to improving state-citizen relations through various mechanisms including the complaints resolution. The objective of this technical assistance, which has been undertaken at the request of the DGC, is to strengthen the Complaint Handling Mechanisms (CHMs) in five Palestinian ministries/government entities that are supported by World Bank-financed projects, as well as the DGC. This summary report synthesizes key findings that have emerged throughout the technical assistance and formulates Ministry-specific recommendations. It forms the basis of a possible phase II of the project, which would support the implementation of recommendations. The report presents the innovative methodology used to bring together the demand- and supply-side perspectives on CHMs in targeted ministries; the key findings from the survey and the ministry-by-ministry assessments; the key suggestions for improvement; and finally the next steps. The technical assistance has generated high client interest among the concerned Ministries, the DGC and development partners.The technical assistance has generated high client interest among the concerned Ministries, the DGC and development partners. This summary report synthesizes key findings that have emerged throughout the technical assistance and formulates Ministry-specific recommendations. It forms the basis of a possible phase II of the project which would support the implementation of recommendations. The technical assistance also aligns with the focus on strengthening the citizen-state compact specified in the WBG Assistance Strategy FY15-16 for the West Bank and Gaza. The report is structured as follows: Part two presents the context; Part three presents the methodology used to bring together the demand- and supply-side perspectives on CHMs in targeted ministries; Part four presents the key findings from the survey and the ministry-by-ministry assessments; Part five presents the key suggestions for improvement; and finally Part six presents the next steps.


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Strengthening Oversight : Improving the Quality of Statutory Audits in the Philippines.
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Year: 2016 Publisher: Washington, D.C. : The World Bank,

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Since 2003, the Philippines have been striving to implement reforms aimed at improving audit quality. Oversight of the audit profession is a key control over the financial reporting architecture of a country's private sector. A Quality Assurance Review system over audit practitioners is a subset of oversight which serves as a key monitoring control over the integrity of financial reporting. In keeping with the country's strategic priority of boosting private sector development by improving the investment climate for firms of all sizes, including greater access to finance, legislation was enacted to support the objective of increasing the integrity of private sector financial reporting through improved audit quality. Accordingly, the Board of Accountancy was mandated with the power to conduct oversight into the quality of audits of financial statements through a review of the quality control measures instituted by auditors in order to ensure compliance with the accounting and auditing standards and practices. . However, the injunction remains in place and, accordingly, implementation of the mandated Quality Assurance Review Program may not move forward. Several concrete steps should be taken in order to effectively move forward with the rollout of a comprehensive system of public oversight including audit quality assurance in the Philippines. These include (1) reforming the legal framework to establish an effective audit oversight system with sufficient legal power and authority (2) rationalizing the statutory audit threshold to minimize the conditions contributing to low quality audits, (3) building support among key stakeholder groups by properly addressing their concerns to the extent possible, (4) ensuring coordination of efforts among regulators to eliminate gaps and overlaps and foster collaboration among the group, and (5) establishing a dedicated Project Management Office to oversee the rollout of a Quality Assurance Review Program over audit practitioners.


Book
Healthcare and Big Data : Digital Specters and Phantom Objects
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ISBN: 1137502207 1137502215 9781137502209 Year: 2016 Publisher: New York : Palgrave Macmillan US : Imprint: Palgrave Macmillan,

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This highly original book is an ethnographic noir of how Big Data profits from patient private health information. The book follows personal health data as it is collected from inside healthcare and beyond to create patient consumer profiles that are sold to marketers. Primarily told through a first-person noir narrative, Ebeling as a sociologist-hard-boiled-detective, investigates Big Data and the trade in private health information by examining the information networks that patient data traverses. The noir narrative reveals the processes that the data broker industry uses to create data commodities—data phantoms or the marketing profiles of patients that are bought by advertisers to directly market to consumers. Healthcare and Big Data considers the implications these “data phantoms” have for patient privacy as well as the very real harm that they can cause.

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