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Abstract

In this paper, the author looks at the arguments for and against placing modern medical records in public archival facilities. She considers the various ethical, legal and practical issues involved in archiving patients' records with the intention of making them available for public access after seventy-five years from the date of last contact of the patient with the hospital or sooner under certain specified circumstances. The range of sampling and selection techniques available for reducing the volume of patient records to be retained is also discussed. Citing the experience of the Public Record Office Victoria, the author concludes that it is justifiable to breach confidentiality by placing modern medical records in public archives but that it will be many years before an assessment can be made of the appropriateness or otherwise of placing modern hospital records in public archives and whether it proves to be worth the effort. (AMRJ, 1989,19(4), 155–161).

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References

Anderson

R.J.

(1980). Public welfare case records: A study of archival practices. American Archivist, 43(2), 169–179.

Aronsson

(1984). Appraisal of twentieth-century Congressional collections. In Peace Nancy

(Ed.). Archival choices: Managing the historical record in an age of abundance. Toronto: Lexington Books, 81–104.

British Medical Association (1984). The handbook of medical ethics. London.

Burton

A.W.

(1979). Medical ethics and the law. Sydney: Australasian Medical Publishing Company Ltd, 3rd ed., 30–33.

Cook

(1977). Archives administration: A manual for intermediate and smaller organizations and for local government. Folkestone Kent: Dawson. 74,88.

Cooke

(1987). A code of ethics for archivists: Some points for discussion. Archives and Manuscripts, 15(2), 95–104.

Craig

B.L.

(1985). The Canadian hospital in history and archives. Archivaria, 21 (Winter 1985–86), 52–67.

Gandevia

(1988a). pers. comm. 23 June. — (1988b). pers. comm. 12 July.

General Medical Council (1983). Professional conduct and discipline: Fitness to practice. London.

10.

Gordon

(1967). How to use historical sources in Australian medical history. The Lancet, 18 Nov, 933–937.

11.

Gordon

(1976). Health, sickness and society: Theoretical concepts in social and preventive medicine. St Lucia: University of Queensland, 605,657.

12.

Green

(1982). Confidentially speaking. Journal of Medical Ethics, 8, 21–24.

13.

Havard

(1985). Medical confidence. Journal of Medical Ethics, 11,8–11.

14.

Hayes

(1982). Medical data and privacy in common law systems (paper presented at Sixth World Congress on Medical Law, 22–26 Aug). Sydney, Australian Law Reform Commission (undated).

15.

Health Department Victoria (1985). Medical records and confidentiality: Hospital and private patients. Circular 9/1985.

16.

Health Department Victoria (1987a). Confidentiality in the health care facility. Seaford Victoria: Rolls Printing.

17.

Health Department Victoria and Public Record Office Victoria (1987b). General Disposal Schedule for Public Hospital Patient Information Records. PROS 85/09.

18.

Kearsey

(1988). To keep or not to keep, that is the question addressed by the General Disposal Schedule. Australian Medical Record Journal, 18(3), 107–110.

19.

Kenny

D.J.

(1982). Confidentiality: The confusion continues. Journal of Medical Ethics, 8, 9–11.

20.

King Edward's Hospital Fund for London (1985). Hospital clinical records: Symposium at the King's Fund Centre, Wednesday 8 May 1985) in collaboration with The Wellcome Institute for the History of Medicine Contemporary Medical Archives Centre, August.

21.

Kottow

M.H.

(1986). Medical confidentiality: An intransigent and absolute obligation. Journal of Medical Ethics, 12, 117–122.

22.

Lock

(1984). A question of confidence: An editor's view. British Medical Journal. 288 (14 Jan), 123–124.

23.

Loudon

(1984). How it strikes a historian. British Medical Journal, 288 (14 Jan), 124–126.

24.

Lynn

Jay

(1982). The compassionate society. Yes Minister, London: British Broadcasting Corporation, 11–40.

25.

McKeown

(1970). A sociological approach to the history of medicine. Medical History, 14, 342–351.

26.

Mitchell

J.H.

(1967). Summaries and selective destruction as a solution to the hospital storage problem. The Lancet, 28 Oct, 932–934.

27.

Newman

(1959). Medical records. Archives, 4, 1–8

28.

quoted in Nichol Alexandra Sheppard Julia . Why keep hospital clinical records? British Medical Journal, 290, 263–264.

29.

Public Record Office (Great Britain) (1975). The sampling of records for statistical use. RAD Occasional Paper No. 5, October.

30.

Reed

(1987). Retention of medical records at Sydney Hospital. Australian Medical Record Journal, 17(4), 6–10.

31.

Sydenham

(1981). Patients and practitioners: Sources for a social history of medicine. Promoting the better use of archives in Australia Sydney: Australian Society of Archivists, 156–160.

Placing Modern Medical Records in Public Archives: Is it Worth the Effort?

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