FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 346:201-204 January 17, 2002 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Annas, G. J. PubMed Citation

Medical information differs in important ways from other personal data: it is more private, intimate, and sensitive and therefore merits greater protection. Misuse of medical information may cause serious harm: discrimination, stigmatization, or loss of insurance or employment. The new regulations promulgated under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) will impose substantial restraints on the use and disclosure of medical information, even for legitimate research purposes, by April 2003, which in most cases is the deadline for compliance.¹ Stronger protection of privacy is warranted, but we question the wisdom of encumbering uses and disclosures of medical . . . [Full Text of this Article]

Background

Why Does the Privacy Rule Affect Research?

How Does the Privacy Rule Affect Research?

Waivers and Exemptions

The "Minimum Necessary" Standard for Disclosure

Enforcement

The Effect of New Liability

Protecting Privacy without Compromising Research

References

This article has been cited by other articles:

• El Emam, K., Dankar, F. K., Issa, R., Jonker, E., Amyot, D., Cogo, E., Corriveau, J.-P., Walker, M., Chowdhury, S., Vaillancourt, R., Roffey, T., Bottomley, J. (2009). A Globally Optimal k-Anonymity Method for the De-Identification of Health Data. J. Am. Med. Inform. Assoc. 16: 670-682 [Abstract] [Full Text]  
• Kavanagh, P L, Adams, W G, Wang, C J (2009). Quality indicators and quality assessment in child health. Arch. Dis. Child. 94: 458-463 [Abstract] [Full Text]  
• Willison, D J, Emerson, C, Szala-Meneok, K V, Gibson, E, Schwartz, L, Weisbaum, K M, Fournier, F, Brazil, K, Coughlin, M D (2008). Access to medical records for research purposes: varying perceptions across research ethics boards. J. Med. Ethics 34: 308-314 [Abstract] [Full Text]  
• Beskow, L. M., Sandler, R. S., Weinberger, M. (2006). Research Recruitment Through US Central Cancer Registries: Balancing Privacy and Scientific Issues. AJPH 96: 1920-1926 [Abstract] [Full Text]  
• Trevena, L, Irwig, L, Barratt, A (2006). Impact of privacy legislation on the number and characteristics of people who are recruited for research: a randomised controlled trial.. J. Med. Ethics 32: 473-477 [Abstract] [Full Text]  
• Albert, S. M., Levine, C. (2005). Family Caregiver Research and the HIPAA Factor. Gerontologist 45: 432-437 [Abstract] [Full Text]  
• Pace, W. D., Staton, E. W., Holcomb, S. (2005). Practice-Based Research Network Studies in the Age of HIPAA. Ann Fam Med 3: S38-S45 [Abstract] [Full Text]  
• Hamvas, A., Madden, K. K., Nogee, L. M., Trusgnich, M. A., Wegner, D. J., Heins, H. B., Cole, F. S. (2004). Informed Consent for Genetic Research. Arch Pediatr Adolesc Med 158: 551-555 [Abstract] [Full Text]  
• Tu, J. V., Willison, D. J., Silver, F. L., Fang, J., Richards, J. A., Laupacis, A., Kapral, M. K., the Investigators in the Registry of the Canadian, (2004). Impracticability of Informed Consent in the Registry of the Canadian Stroke Network. NEJM 350: 1414-1421 [Abstract] [Full Text]  
• Kulynych, J., Korn, D. (2003). The New HIPAA (Health Insurance Portability and Accountability Act of 1996) Medical Privacy Rule: Help or Hindrance for Clinical Research?. Circulation 108: 912-914 [Full Text]  
• Murray, M. D., Smith, F. E., Fox, J., Teal, E. Y., Kesterson, J. G., Stiffler, T. A., Ambuehl, R. J., Wang, J., Dibble, M., Benge, D. O., Betley, L. J., Tierney, W. M., McDonald, C. J. (2003). Structure, Functions, and Activities of a Research Support Informatics Section. J. Am. Med. Inform. Assoc. 10: 389-398 [Abstract] [Full Text]  
• Annas, G. J. (2003). HIPAA Regulations -- A New Era of Medical-Record Privacy?. NEJM 348: 1486-1490 [Full Text]  
• Moses, H. III, Braunwald, E., Martin, J. B., Thier, S. O. (2002). Collaborating with Industry -- Choices for the Academic Medical Center. NEJM 347: 1371-1375 [Full Text]  
• Oakes, J. M. (2002). Risks and Wrongs in Social Science Research: An Evaluator's Guide to the IRB. Eval Rev 26: 443-479 [Abstract]  
• Annas, G. J. (2002). Medical Privacy and Medical Research -- Judging the New Federal Regulations. NEJM 346: 216-220 [Full Text]