[Question #13237] Privacy with STI record
1 months ago
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Hi Docs. So this might be a unique question regarding privacy. Back in March I went to an urgent care and was tested for STIs out of abundance of caution and small symptoms (at least I thought) everything negative and all good. Fast forward to today, my spouse who is a physician is going to work for the same company (different location, town, and office). My concern is can she easily come across my medical record with this info? How do I avoid this? Just ensure I do not see a provider within that company again so no reason for it be reviewed? Please help.
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H. Hunter Handsfield, MD
1 months ago
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Welcome back. We are not experts on confidentiality of medical/health information, but I can say that in the US, it is against federal law to access or share medical information without the patient's permission. The law is known as the Health Insurance Portability and Accountability Act, universally called HIPAA. The penalties for not following HIPAA requirements are quite severe. Probably the systems in many other countries are similar. It is generally believed that inappropriate sharing of medical information is rare in the US, largely because of HIPAA; and that most breaches of confidentiality occur because the patient provides the information and not because doctors, clinics, hospitals or health insurance companies divulge protected information. Under HIPAA, your health insurance company and any doctors or other providers you see typically are considered to have free access to your health records unless you specifically forbid it.
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For those reasons, your wife is not likely to come across your health records by accident. That said, as a physician she undoubtedly understands how to access your medical records should she choose to do so. If you have concerns that she (or anyone else) might attempt to see your health information, you could contact the company (or whoever is in charge of your medical records) and tell them of your concern. I don't know whether they would be able to prevent your wife or someone else from looking into your private information, but they might be able to inform you who has accessed your records.
These issues are way outside our expertise so I won't have any more detail about these issues, how HIPAA works, etc. But let me know if anything isn't clear.
HHH, MD
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