Emily Cocco
In his article, “Give Up Your Data
to Cure Disease,” David Agus argues why patients and physicians alike should be
more on board with sharing medical records through Electronic Health Records
(EHR). Although there are obvious privacy issues involved with sharing medical
records, sharing them could help physicians and researchers all over the world
notice trends that could lead to medical breakthroughs.
The most
important point that Agus makes in favor of releasing medical data is that it
can be used to help find cures and treatments to various diseases. Already
existing medicines could be effective in treating all sorts of ailments that we
don’t know of yet because the data is not out there yet to make the
connections. For example, after reviewing 1,400 patient medical records,
researchers at the MD Anderson Cancer Center were able to find a correlation
between beta-blockers and survival rates of patients with ovarian cancer
(Agus). These findings have increased the likelihood of survival for countless
women, and it would not have been possible if the data in those medical records
had not been available for research.
Obviously
many people are nervous about making their medical information available
online. With all of the data hacking scandals that have been occurring
recently, people are becoming much more careful about whom they release their
information to. It’s understandable why people wouldn’t want their medical data
to be available to the public. Medical information could affect employment
decisions, insurance applications, and even social interactions. However, in
this case the benefits outweigh the costs.
Recently
the government has gotten involved in promoting the use of EHR. The 2009 American
Recovery and Reinvestment Act created incentive programs for hospitals and
clinics to use EHR (cms.gov). I think it’s important to understand that the
U.S. government supports the modernization of the American Medical System.
Making all patient data digital will not only help research, but it will also
make it easier for physicians to find needed information, for patients to send
medical records to other physicians, and to update information.
Although I
agree with Agus that the benefits of making medical data digital outweigh the
risks, I wish he had gone further into discussing out to minimize those risks.
For example, could the data be kept anonymous to a degree so that researchers
wouldn’t have access to patient names? Also, he makes the point that people are
willing to give out other types of information, such as financial data, but not
medical records. I understand the point he is making, but obviously the release
of medical records could have much different (in some cases much more serious)
repercussions than the release of financial information. Lastly, Agus brings up
the fact that many medical professionals do not like EHS because they are often
unreliable and difficult to use. I would have liked to read more about how the
systems could be updated so that medical professionals with all different computer
skill levels would be able to use them.
Works Cited:
Agus, David B. “Give Up Your Data to Cure Disease.” The New York Times. 6 Feb. 2016. Web.
URL: http://www.nytimes.com/2016/02/07/opinion/sunday/give-up-your-data-to-cure-disease.html?_r=2
Cms.gov. “Electronic Health Records (EHS) Incentive
Programs.” Cms.gov. 26 Jan. 2016.
Web.
URL: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html
Many patients feel uneasy about shared medical data, worried that their medical information may get in to the wrong hands. To this I say: let it go. The benefits of shared medical data far outweigh the costs. My personal hospital is a huge advocate of both shared medical data between hospitals and between patient and doctor. They argue that the open accessibility not only makes it easier for doctors and patients at the hospital, but also for other hospitals across the country: should something happen to a patient while he or she is far from their home hospital, the nearest hospital can quickly access the patients records from a shared database. In addition, analysts studying the correlations between patients can find causes, treatments, and cures to diseases.
ReplyDeleteThis shared medical data can also come in another form not mentioned in the article: OpenNotes. OpenNotes is a database that allows patients full access to their medical records from home, including doctors' notes. This is incredibly helpful for people who are constantly visiting doctors, or are forgetful.
In these ways, both shared data between hospitals and between doctor and patient is extremely convenient.