title: Clinical research and future improvement in clinical care: the Health Insurance Portability and Accountability Act (HIPAA) and future difficulties but optimism for the way forward.
authors.affiliation: St Luke's Episcopal Hospital/Texas Heart Institute, Houston 77030, USA.
authors.forename: James T
authors.initials: JT
authors.lastname: Willerson
authors.forename: Dean J
authors.initials: DJ
authors.lastname: Kereiakes
mesh_terms: D035843:Biomedical Research / Q000191:economics / Q000331:legislation & jurisprudence*; D003219:Confidentiality / Q000331:legislation & jurisprudence*; D005104:Expert Testimony; D020408:Health Insurance Portability and Accountability Act / Q000331:legislation & jurisprudence*; D006801:Humans; D008499:Medical Records / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards; D005791:Patient Care / Q000639:trends*; D014481:United States