{"id":2841,"date":"2014-09-23T09:10:42","date_gmt":"2014-09-23T08:10:42","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=2841"},"modified":"2014-10-28T16:34:36","modified_gmt":"2014-10-28T15:34:36","slug":"paper-preview-implementation-of-a-consent-for-chart-review-and-contact","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2014\/09\/23\/paper-preview-implementation-of-a-consent-for-chart-review-and-contact\/","title":{"rendered":"Paper Preview: Implementation of a Consent for Chart Review and Contact"},"content":{"rendered":"<p><strong>Guest post by Irena Druce<\/strong><br \/>\n<span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a style=\"color: #0000ff;text-decoration: underline\" href=\"http:\/\/jme.bmj.com\/content\/early\/2014\/09\/19\/medethics-2013-101765.short\">Our article<\/a><\/span><\/span> \u201cImplementation of a Consent for Chart Review and Contact and its Impact in one Clinical Centre\u201d focuses on issues regarding patient health information privacy and recruitment for medical research studies. \u00a0Research studies are an integral part of the advancement of medical therapies; however, recruitment into research studies can be challenging. \u00a0In Canada, the use of health information is governed by Personal Health Information Protection Act and at our institution a policy is in place that allows only those health professionals directly in the circle of care access to patient information to further protect patient\u2019s privacy.\u00a0 This policy could have a potential negative effect on recruitment rates into research studies.\u00a0 Physicians and other clinical personnel often do not have the time to discuss ongoing research projects with patients as time is spent focusing on the patient\u2019s medical issues. \u00a0In addition, there is concern that if \u00a0physicians use the information that they gather in a clinical encounter to recruit for research studies, it is equivalent to that physician sharing medical information \u00a0with someone who does not have a right to it.<\/div>\n<div><\/div>\n<p>In light of these challenges, the Division of Metabolism and Endocrinology at the University of Ottawa implemented a consent for chart review and contact (CCRC).\u00a0 The CCRC is a document presented to a patient on their first meeting a new physician.\u00a0 The CCRC gives permission for the patient\u2019s medical file to be reviewed by research personnel to determine whether a patient is eligible for a research study.\u00a0 If the patient meets the study criteria, the CCRC also grants permission for the patient to be contacted by research personnel to be provided with the details of the research study so they can decide if they wish to participate.<\/p><\/div>\n<p>It has been proposed that patients may feel pressured to agree if a \u00a0CCRC is presented on their first meeting a new health professional.\u00a0 \u00a0Patients may feel that refusing the CCRC would affect the future care they receive.\u00a0 Our \u00a0paper discusses how we have addressed this possible pitfalls with our CCRC document.<\/p><\/div>\n<div><\/div>\n<p>In addition, we performed an analysis to assess the impact the CCRC was having at our institution. \u00a0We compared the basic demographics of the patients who did and did not agree to the CCRC.\u00a0 Furthermore, we analysed our centre\u2019s recruitment rate into a known, ongoing, multi-centre, international trial. \u00a0Of the participating centres, we found that our institution had some of the highest recruitment rates into the trial, and that the majority of our patients were being recruited via our novel approach of the CCRC.\u00a0 It is not certain that the use of a CCRC would consistently translate into higher recruitment, but certainly our experience has been encouraging.\u00a0 Data suggest that participation in research trials has been decreasing in recent years.\u00a0 Any measure to preserve recruitment may be beneficial, especially a measure which allows for the conduction of research, without having to sacrifice any patient rights with regards to privacy and confidentiality.<\/p><\/div>\n<div><\/div>\n<p><em>Read the paper <span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a style=\"color: #0000ff;text-decoration: underline\" href=\"http:\/\/jme.bmj.com\/content\/early\/2014\/09\/19\/medethics-2013-101765.short\">here<\/a><\/span><\/span>.<\/em><\/div>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Guest post by Irena Druce Our article \u201cImplementation of a Consent for Chart Review and Contact and its Impact in one Clinical Centre\u201d focuses on issues regarding patient health information privacy and recruitment for medical research studies. \u00a0Research studies are an integral part of the advancement of medical therapies; however, recruitment into research studies can [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2014\/09\/23\/paper-preview-implementation-of-a-consent-for-chart-review-and-contact\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[968,2153,443],"tags":[],"class_list":["post-2841","post","type-post","status-publish","format-standard","hentry","category-clinical-ethics","category-guest-post","category-jme"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Paper Preview: Implementation of a Consent for Chart Review and Contact - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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