title: Confidentiality challenges and good clinical practices in human subjects research: striking a balance.
abstract: The Health Insurance Portability and Accountability Act (HIPPA) has been fully implemented in clinical practice and research settings. Although subject confidentiality has always been a concern, clinical researchers must now take extra care to attend to the mandates of privacy while also minding good clinical practice guidelines. Unanticipated conflicts may arise as a result of these dual priorities. This article presents two examples of potential challenges to confidentiality with comment from the bioethical perspective.
authors.affiliation: Department of Veterans Affairs and Veterans Affairs Medical Center, Baltimore Geriatric Research, Education and Clinical CenterUniversity of Maryland Baltimore, School of Nursing, Baltimore, Maryland, USA.
authors.forename: Marianne
authors.initials: M
authors.lastname: Shaughnessy
authors.forename: Susan M
authors.initials: SM
authors.lastname: Beidler
authors.forename: Karen
authors.initials: K
authors.lastname: Gibbs
authors.forename: Kathleen
authors.initials: K
authors.lastname: Michael
mesh_terms: D003219:Confidentiality / Q000941:ethics* / Q000331:legislation & jurisprudence*; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards; D000071939:Stroke Rehabilitation; D036302:Therapeutic Human Experimentation / Q000941:ethics* / Q000331:legislation & jurisprudence*; D014481:United States