patient consent for case report patient not in country

by Kristofer Kilback 6 min read

Informed Consent for Case Reports - PMC

16 hours ago A new international standard of editorial policy calls for written informed consent by the subject of every case report. Although this appears to be ethically appealing, the authors posit that in some situations, requesting informed consent may be unethical, can harm patients, and may erode the use of case reports as a valuable teaching method in psychiatry and psychotherapy. >> Go To The Portal


Consent for reports of treatments or complications of treatments that are illegal in the patient’s home/treatment country: Publication of such reports could lead to harm or legal action against patients (and their families). It is important for the author to be certain that the patient had consented to publication and not just treatment.

Full Answer

Do patients read consent forms?

They often do not read consent forms carefully because they assume that someone else has scrutinised the risks and benefits on their behalf. Interviews with 103 patients showed that many factors influence a decision to take part in medical research (Hastings Center Report 1996;26 (5):25-9).

Is your medical consent properly informed?

Informed consent to medical treatment is fundamental in both ethics and law. Patients have the right to receive information and ask questions about recommended treatments so that they can make well-considered decisions about care. Successful communication in the patient-physician relationship fosters trust and supports shared decision making.

What is a patient consent?

The physician provided his patient with a dense seven-page consent form, in which specific surgical risks, like tissue necrosis, were mentioned; she signed the consent form. However, the physician did not engage in any detailed discussions with his patient ...

Is informed consent possible?

Informed consent is not only required for clinical trials but is an essential prerequisite before enrolling each and every participant in any type of research involving human subjects including; diagnostic, therapeutic, interventional, bioequivalence, social and behavioral studies and for all research conducted domestically or abroad.

image

Do you need patient permission for case report?

Don't publish a case report without the patient's consent As explained above, informed patient consent is mandatory for the publication of your case reports. Ignoring this requirement can result in a rejection for your work and worse, ruin your relationship and reputation with patients.

How do you consent a patient to a case report?

For a patient's consent to publication of information about them in a journal or thesisThe Information will be published without my name/child's name/relatives name attached and every attempt will be made to ensure anonymity. ... The Information may be published in a journal which is read worldwide or an online journal.More items...

What are the valid conditions for patient consent?

Valid informed consent for research must include three major elements: (1) disclosure of information, (2) competency of the patient (or surrogate) to make a decision, and (3) voluntary nature of the decision. US federal regulations require a full, detailed explanation of the study and its potential risks.

What are the 3 types of consent we can gather from a patient?

There are three common ways to collect informed consent from your patient before a medical procedure. You can request written consent, use an online form or ask for oral consent.

Is informed consent required?

Informed consent is required for any investigation or treatment proposed to a patient. Understanding of the nature of procedure, benefits and risks are the cornerstones of informed consent. While autonomy is one of the four main ethical principles, I argue that there is no absolute right to autonomy or consent.

What are the 4 types of consent?

Implied Consent. Participation in a certain situation is sometimes considered proof of consent. ... Explicit Consent. ... Active Consent. ... Passive Consent. ... Opt-Out Consent. ... Key Takeaway.

What type of situation would not meet the informed consent requirements?

What type of situation would NOT meet the informed consent requirements? The patient signs a treatment consent form. If a licensed healthcare professional oversteps his or her scope of practice.

What are the 4 principles of informed consent?

There are 4 components of informed consent including decision capacity, documentation of consent, disclosure, and competency.

What are the 2 types of consent?

The essential difference between expressed and implied consent is that expressed consent is typically given with words, either on paper or verbally, while implied consent is usually understood through actions.

What are the main types of consent?

There are three different types of consent an organization may obtain:Explicit Consent.Implicit Consent.Opt-out Consent.

What is written consent?

The form of written consent complies with each requirement of all applicable Data Protection and Privacy Laws. Particular care should be taken with obtaining consent where children are concerned (in particular where a child has special needs or learning disabilities), where an individual's head or face appears, or where reference is made to an individual's name or other personal details.

Where do authors need to obtain appropriate consents, permissions and releases?

Appropriate consents, permissions and releases must be obtained where authors wish to include case details or other personal information or images of patients and any other individuals in an Elsevier publication

Does Elsevier publish personal information?

Appropriate consents, permissions and releases must be obtained where authors wish to include case details or other personal information or images of patients and any other individuals in an Elsevier publication in order to comply with all applicable laws and regulations concerning the privacy and/or security of personal information, including, but not limited to, the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and other U.S. federal and state laws relating to privacy and security of personally identifiable information, the General Data Protection Regulation (GDPR) (EU) 2016/679 and member state implementing legislation, Canada's Personal Information Protection and Electronic Documents Act, India's Information Technology Act and related Privacy Rules, (together "Data Protection and Privacy Laws").

Do you need consent for an image?

Formal consents are not required for the use of entirely anonymised images from which the individual cannot be identified- for example, xrays, ultrasound images, pathology slides or laparoscopic images, provided that these do not contain any identifying marks and are not accompanied by text that might identify the individual concerned.

Who must give written consent to Elsevier?

That individual, legal guardian or person with legal authority must give his/her explicit written consent. If such consent is made subject to any conditions (for example, adopting measures to prevent personal identification of the person concerned), Elsevier must be made aware in writing of all such conditions.

Should identifying details be omitted?

Even where consent has been given, identifying details should be omitted if they are not essential . If identifying characteristics are altered to protect anonymity, authors should provide assurances that such alterations do not distort scientific meaning.

Can you anonymize a photo if you have not been contacted?

If consent has not been obtained, it is generally not sufficient to anonymise a photograph simply by using eye bars or blurring the face of the individual concerned.

What is the importance of confidentiality in healthcare?

Such trust allows open and honest reporting of symptoms and medical history, which is crucial to developing the correct diagnosis and initiating appropriate treatment. As clinicians, we have an ethical and professional responsibility to safeguard confidential information shared by patients, supplemented in almost all jurisdictions by legal obligations.

Can a case report be published without consent?

In situations where patient consent to publish has not been obtained, approval of a local ethics committee may be a factor in favour of publication. However, approval of a local ethics committee does not necessarily guarantee that European Heart Journal—Case Reports will allow publication of a case report without consent. In particular, approval from an ethics committee should not overcome a patient’s refusal to provide consent.

What is PHI in healthcare?

This is known as safe harbor de-identification.

What is a case report?

A case report is an unsystematic clinical observation that states the outcome or response of a single patient to a diagnostic strategy or treatment . Case reports serve to document and share novel cases amongst the medical community for educational purposes.

When safe harbor de-identification is not possible or the opportunity to identify the patient exists, even after de-ident?

When safe harbor de-identification is not possible or the opportunity to identify the patient exists, even after de-identification, the expert determination method for de-identification can be considered. For purposes of de-identification, an expert is defined as: A person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable:

When case reports describe or discuss unique or rare circumstances, as they often do, it may be difficult or impossible to answer?

When case reports describe or discuss unique or rare circumstances, as they often do, it may be difficult or impossible to de-identify those cases such that there is no reasonable expectation that the individuals included can be identified, so patient authorization generally would be required.

Is PHI de-identified under HIPAA?

It is important to understand that determining whether data are de-identified under HIPAA is a more restrictive determination than determining whether private information is individually identifiable under the Common Rule. The HIPAA rule considers PHI as any information that may identify an individual; was created or received by a member of a HIPAA covered entity; and relates to the individual's past, present, or future physical/mental health or condition, health care, or payment for health care. HIPAA recognizes two methods for de-identification of data.

image