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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
Medicine --- Data protection. --- Medical ethics. --- Medical records --- Médecine --- Protection de l'information (Informatique) --- Ethique médicale --- Dossiers médicaux --- Data processing. --- Access control. --- Informatique --- Accès --- Contrôle --- Medical Informatics --- Ethics, Medical --- Computer Security --- Medical Records --- Confidentiality
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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.
Confidential communications --- Confidential communications --- Confidential communications --- Confidential communications --- Confidential communications --- Physicians --- History --- Physicians --- History --- Physicians --- History. --- Physicians --- History. --- Physicians --- History. --- Britain. --- Germany. --- United States. --- abortion. --- medical confidentiality. --- medical privilege. --- medical secrecy. --- patient information. --- privacy. --- venereal diseases.
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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.
Confidential communications --- Physicians --- Privacy, Right of --- History --- History. --- Professional ethics. --- Médecine --- Médecins --- Droit à la vie privée --- Professional ethics --- Secret professionnel --- Histoire --- Déontologie --- Médecine --- Médecins --- Droit à la vie privée --- Déontologie --- Britain. --- Germany. --- United States. --- abortion. --- medical confidentiality. --- medical privilege. --- medical secrecy. --- patient information. --- privacy. --- venereal diseases.
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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.
Best Practices --- Business --- Capacity Building --- Confidentiality --- E-Business --- Economic Development --- Electricity --- Fair Competition --- Financial and Private Sector Development --- Human Resources --- Ict Policy and Strategies --- Industry --- Information and Communication Technologies --- Information Technology --- Innovation --- Joint Ventures --- Marketing --- Multimedia --- Private Sector --- Private Sector Development --- Protocols --- Purchasing Power --- Regulation and Competition Policy --- Technical Assistance --- Technology Diffusion --- Technology Industry --- Telecommunications --- Telecommunications Industry
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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.
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
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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.
Best Practices --- Capacity Building --- Communications Technology --- Confidentiality --- Data analysis --- Data Collection --- Fund Management --- Grants --- Hardware --- Health --- Health Economics & Finance --- Health Monitoring & Evaluation --- Health Outcomes --- Health Policy --- Health Systems Development & Reform --- Health, Nutrition and Population --- Hospitals --- Human Resources --- Infrastructure --- Internet --- Interviews --- Knowledge --- Knowledge Sharing --- Measurement --- Methodology --- Morbidity --- Mortality --- Nurses --- Nutrition --- Physicians --- Prevention --- Public Health --- Qualitative Data --- Quantitative Data --- Research Methods --- Statistical analysis --- Surveys --- Validity --- Waste --- Weight --- Workers
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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.
Accountability --- Best Practices --- Business --- Capacity Building --- Civil Society Organizations --- Communication Strategies --- Confidentiality --- Consultants --- Corruption --- Corruption & anticorruption Law --- Data analysis --- Databases --- Ethics --- Good Governance --- Human Resources --- Human Rights --- Law and Development --- Leadership --- Legal Framework --- Nepotism --- Other Accountability/anti-Corruption --- Participation and Civic Engagement --- Participations and Civic Engagement --- Privacy --- Private Investment --- Private Sector --- Protocols --- Public Sector Development --- Public Sector Governance --- Regulations --- Senior Management --- Social Accountability --- Social Dev/Gender/Inclusion --- Social Development --- Software --- Technical Assistance --- Transparency --- Violence
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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.
Accounting --- Audits --- Best Practices --- Business --- Capacity Building --- Confidentiality --- Cooperatives --- Corporate Governance --- Corporate Governance and Corruption --- Corruption & anticorruption Law --- Debt --- Experts --- Finance and Financial Sector Development --- Financial and Private Sector Development --- Financial Institutions --- Financial Management --- Financial Regulation & Supervision --- Financial Sector --- Financial Services --- Fiscal Policy --- Governance --- Insurance --- International Financial Standards and Systems --- Investment Climate --- Job Creation --- Law and Development --- Legal Framework --- Other Accountability/anti-Corruption --- Partnerships --- Private Sector Development --- Productivity --- Public Sector Governance --- Quality Assurance --- Quality Control --- Regulators --- Regulatory Agencies --- Securities --- Technical Assistance --- Transparency
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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.
Social sciences. --- Big data. --- Sociology. --- Human body --- Sex (Psychology). --- Gender expression. --- Gender identity. --- Social Sciences. --- Gender Studies. --- Big Data/Analytics. --- Knowledge - Discourse. --- Sociology of the Body. --- Social aspects. --- Data mining. --- Algorithmic knowledge discovery --- Factual data analysis --- KDD (Information retrieval) --- Knowledge discovery in data --- Knowledge discovery in databases --- Mining, Data --- Sex identity (Gender identity) --- Sexual identity (Gender identity) --- Identity (Psychology) --- Sex (Psychology) --- Queer theory --- Expression, Gender --- Sex role --- Psychology, Sexual --- Sex --- Sexual behavior, Psychology of --- Sexual psychology --- Sensuality --- Social theory --- Social sciences --- Data sets, Large --- Large data sets --- Behavioral sciences --- Human sciences --- Sciences, Social --- Social science --- Social studies --- Civilization --- Psychological aspects --- Confidentiality. --- Data Mining --- Electronic Health Records. --- Marketing of Health Services --- Medicine --- Ethics. --- Data processing. --- Database searching --- Human body-Social aspects. --- Data sets --- Human body—Social aspects.
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