Search Results - Canadian Medical Association

Principles concerning physician information

https://policybase.cma.ca/en/permalink/policy208

Last Reviewed: 2019-03-03

Date: 2002-06-02

Topics: Health information and e-health; Ethics and medical professionalism

1 document

Policy Type: Policy document

Last Reviewed: 2019-03-03

Date: 2002-06-02

Topics: Health information and e-health; Ethics and medical professionalism

Text: Principles concerning physician information (CMA policy – approved June 2002) In an environment in which the capacity to capture, link and transmit information is growing and the need for fuller accountability is being created, the demand for physician information, and the number of people and organizations seeking to collect it, is increasing. Physician information, that is, information that includes personal health information about and information that relates or may relate to the professional activity of an identifiable physician or group of physicians, is valuable for a variety of purposes. The legitimacy and importance of these purposes varies a great deal, and therefore the rationale and rules related to the collection, use, access and disclosure of physician information also varies. The Canadian Medical Association (CMA) developed this policy to provide guiding principles to those who collect, use, have access to or disclose physician information. Such people are termed “custodians,” and they should be held publicly accountable. These principles complement and act in concert with the CMA Health Information Privacy Code (1), which holds patient health information sacrosanct. Physicians have legitimate interests in what information about them is collected, on what authority, by whom and for what purposes it is collected, and what safeguards and controls are in place. These interests include privacy and the right to exercise some control over the information; protection from the possibility that information will cause unwarranted harm, either at the individual or the group level; and assurance that interpretation of the information is accurate and unbiased. These legitimate interests extend to information about physicians that has been rendered in non-identifiable or aggregate format (e.g., to protect against the possibility of individual physicians being identified or of physician groups being unjustly stigmatized). Information in these formats, however, may be less sensitive than information from which an individual physician can be readily identified and, therefore, may warrant less protection. The purposes for the use of physician information may be more or less compelling. One compelling use is related to the fact that physicians, as members of a self-regulating profession, are professionally accountable to their patients, their profession and society. Physicians support this professional accountability purpose through the legislated mandate of their regulatory colleges. Physicians also recognize the importance of peer review in the context of professional development and maintenance of competence. The CMA supports the collection, use, access and disclosure of physician information subject to the conditions outlined below. Purpose(s): The purpose(s) for the collection of physician information, and any other purpose(s) for which physician information may be subsequently used, accessed or disclosed, should be precisely specified at or before the collection. There should be a reasonable expectation that the information will achieve the stated purpose(s). The policy does not prevent the use of information for purposes that were not intended and not reasonably anticipated if principles 3 and 4 of this policy are met. Consent: As a rule, information should be collected directly from the physician. Subject to principle 4, consent should be sought from the physician for the collection, use, access or disclosure of physician information. The physician should be informed about all intended and anticipated uses, accesses or disclosures of the information. Conditions for collection, use, access and disclosure: The information should: be limited to the minimum necessary to carry out the stated purpose(s), be in the least intrusive format required for the stated purpose(s), and its collection, use, access and disclosure should not infringe on the physician’s duty of confidentiality with respect to that information. Use of information without consent: There may be justification for the collection, use, access or disclosure of physician information without the physician’s consent if, in addition to the conditions in principle 3 being met, the custodian publicly demonstrates with respect to the purpose(s), generically construed, that: the stated purpose(s) could not be met or would be seriously compromised if consent were required, the stated purpose(s) is(are) of sufficient importance that the public interest outweighs to a substantial degree the physician’s right to privacy and right of consent in a free and democratic society, and that the collection, use, access or disclosure of physician information with respect to the stated purpose(s) always ensures justice and fairness to the physician by being consistent with principle 6 of this policy. Physician’s access to his or her own information: Physicians have a right to view and ensure, in a timely manner, the accuracy of the information collected about them. This principle does not apply if there is reason to believe that the disclosure to the physician will cause substantial adverse effect to others. The onus is on the custodian to justify a denial of access. 6. Information quality and interpretation: Custodians must take reasonable steps to ensure that the information they collect, use, gain access to or disclose is accurate, complete and correct. Custodians must use valid and reliable collection methods and, as appropriate, involve physicians to interpret the information; these physicians must have practice characteristics and credentials similar to those of the physician whose information is being interpreted. 7. Security: Physical and human safeguards must exist to ensure the integrity and reliability of physician information and to protect against unauthorized collection, use, access or disclosure of physician information. 8. Retention and destruction: Physician information should be retained only for the length of time necessary to fulfill the specified purpose(s), after which time it should be destroyed. 9. Inquiries and complaints: Custodians must have in place a process whereby inquiries and complaints can be received, processed and adjudicated in a fair and timely way. The complaint process, including how to initiate a complaint, must be made known to physicians. 10. Openness and transparency: Custodians must have transparent and explicit record-keeping or database management policies, practices and systems that are open to public scrutiny, including the purpose(s) for the collection, use, access and disclosure of physician information. The existence of any physician information record-keeping systems or database systems must be made known and available upon request to physicians. 11. Accountability: Custodians of physician information must ensure that they have proper authority and mandate to collect, use, gain access to or disclose physician information. Custodians must have policies and procedures in place that give effect to the principles in this document. Custodians must have a designated person who is responsible for monitoring practices and ensuring compliance with the policies and procedures. (1) Canadian Medical Association. Health Information Privacy Code. CMAJ 1998;159(8):997-1016.

Documents

PD02-09.pdf

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Collaborative development of patient-focused funding initiatives

https://policybase.cma.ca/en/permalink/policy9844

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health systems, system funding and performance

Resolution: GC10-12; The Canadian Medical Association will work with provincial/territorial medical associations to ensure meaningful consultations by governments with physicians who are accountable to the medical profession in the collaborative development of patient-focused funding initiatives.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health systems, system funding and performance

Resolution: GC10-12; The Canadian Medical Association will work with provincial/territorial medical associations to ensure meaningful consultations by governments with physicians who are accountable to the medical profession in the collaborative development of patient-focused funding initiatives.

Charter for Patient-centred Care

https://policybase.cma.ca/en/permalink/policy9847

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Population health/ health equity/ public health

Resolution: GC10-15; The Canadian Medical Association will work with provincial/territorial medical associations, patient advocacy groups and other medical and health organizations to further develop the elements of the Charter for Patient-centred Care.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Population health/ health equity/ public health

Resolution: GC10-15; The Canadian Medical Association will work with provincial/territorial medical associations, patient advocacy groups and other medical and health organizations to further develop the elements of the Charter for Patient-centred Care.

Family physicians

https://policybase.cma.ca/en/permalink/policy9849

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health human resources

Resolution: GC10-17; The Canadian Medical Association will promote the significant role that family physicians play in securing the sustainability of the health care system through patient attachment.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health human resources

Resolution: GC10-17; The Canadian Medical Association will promote the significant role that family physicians play in securing the sustainability of the health care system through patient attachment.

Multidisciplinary care initiatives

https://policybase.cma.ca/en/permalink/policy9863

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Health systems, system funding and performance; Ethics and medical professionalism; Health human resources

Resolution: GC10-33; The Canadian Medical Association supports the development of multidisciplinary care initiatives that incorporate long-term, sustainable funding and resources that remove financial barriers to incorporating diverse allied health professionals within medical practices.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Health systems, system funding and performance; Ethics and medical professionalism; Health human resources

Resolution: GC10-33; The Canadian Medical Association supports the development of multidisciplinary care initiatives that incorporate long-term, sustainable funding and resources that remove financial barriers to incorporating diverse allied health professionals within medical practices.

Compensation models

https://policybase.cma.ca/en/permalink/policy9867

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health human resources

Resolution: GC10-38; The Canadian Medical Association calls on governments to develop compensation models in partnership with provincial/territorial medical associations that address non-physician clinicians working under the supervision of a physician.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health human resources

Resolution: GC10-38; The Canadian Medical Association calls on governments to develop compensation models in partnership with provincial/territorial medical associations that address non-physician clinicians working under the supervision of a physician.

Social determinants of health

https://policybase.cma.ca/en/permalink/policy9878

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Population health/ health equity/ public health; Ethics and medical professionalism

Resolution: GC10-61; The Canadian Medical Association recognizes the importance of the social determinants of health and will incorporate them into its continued work to support a healthy population.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Population health/ health equity/ public health; Ethics and medical professionalism

Resolution: GC10-61; The Canadian Medical Association recognizes the importance of the social determinants of health and will incorporate them into its continued work to support a healthy population.

Online continuing medical education

https://policybase.cma.ca/en/permalink/policy9892

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Population health/ health equity/ public health; Ethics and medical professionalism; Health information and e-health

Resolution: GC10-69; The Canadian Medical Association, in collaboration with provincial/territorial medical associations, calls on governments to ensure that the necessary technology is in place to guarantee that physicians in rural and remote locations have access to accredited online continuing medical education/continuing professional development.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Population health/ health equity/ public health; Ethics and medical professionalism; Health information and e-health

Resolution: GC10-69; The Canadian Medical Association, in collaboration with provincial/territorial medical associations, calls on governments to ensure that the necessary technology is in place to guarantee that physicians in rural and remote locations have access to accredited online continuing medical education/continuing professional development.

Application of evidence-based medicine

https://policybase.cma.ca/en/permalink/policy9893

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Health human resources; Ethics and medical professionalism; Health systems, system funding and performance

Resolution: GC10-70; The Canadian Medical Association calls on the Association of Faculties of Medicine of Canada, faculties of medicine, College of Family Physicians of Canada and Royal College of Physicians and Surgeons of Canada to greatly expand efforts to familiarize medical students and residents with the application of evidence-based medicine, including systematic reviews, clinical practice guidelines, care pathways and related techniques to improve quality, safety and efficiency in medicine.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Health human resources; Ethics and medical professionalism; Health systems, system funding and performance

Resolution: GC10-70; The Canadian Medical Association calls on the Association of Faculties of Medicine of Canada, faculties of medicine, College of Family Physicians of Canada and Royal College of Physicians and Surgeons of Canada to greatly expand efforts to familiarize medical students and residents with the application of evidence-based medicine, including systematic reviews, clinical practice guidelines, care pathways and related techniques to improve quality, safety and efficiency in medicine.

Distributed medical education (DME)

https://policybase.cma.ca/en/permalink/policy9894

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health human resources

Resolution: GC10-71; The Canadian Medical Association will work with the Canadian Association of Internes and Residents, Canadian Federation of Medical Students, all other relevant stakeholder organizations and governments to address challenges faced by students and residents engaged in distributed medical education (DME), particularly in rural and remote locations.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health human resources

Resolution: GC10-71; The Canadian Medical Association will work with the Canadian Association of Internes and Residents, Canadian Federation of Medical Students, all other relevant stakeholder organizations and governments to address challenges faced by students and residents engaged in distributed medical education (DME), particularly in rural and remote locations.

Antibiotic resistant organisms in humans

https://policybase.cma.ca/en/permalink/policy9902

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Population health/ health equity/ public health; Ethics and medical professionalism; Health care and patient safety

Resolution: GC10-79; The Canadian Medical Association, in collaboration with provincial/territorial medical associations, will work with Health Canada and the Public Health Agency of Canada to investigate the agriculture-related release of antibiotic resistant organisms and residual antibiotics into earth and water ecosystems, as well as the role they play in the emergence of antibiotic resistant organisms in humans.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Population health/ health equity/ public health; Ethics and medical professionalism; Health care and patient safety

Resolution: GC10-79; The Canadian Medical Association, in collaboration with provincial/territorial medical associations, will work with Health Canada and the Public Health Agency of Canada to investigate the agriculture-related release of antibiotic resistant organisms and residual antibiotics into earth and water ecosystems, as well as the role they play in the emergence of antibiotic resistant organisms in humans.

Antibiotics in animals

https://policybase.cma.ca/en/permalink/policy9904

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health care and patient safety

Resolution: GC10-81; The Canadian Medical Association calls on the federal government to investigate animal husbandry techniques that decrease the need for antibiotics in animals and to support techniques proven to be effective.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health care and patient safety

Resolution: GC10-81; The Canadian Medical Association calls on the federal government to investigate animal husbandry techniques that decrease the need for antibiotics in animals and to support techniques proven to be effective.

Mixed Martial Arts

https://policybase.cma.ca/en/permalink/policy9906

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health care and patient safety

Resolution: GC10-88; The Canadian Medical Association advocates for a ban on Mixed Martial Arts prize fighting matches in Canada.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health care and patient safety

Resolution: GC10-88; The Canadian Medical Association advocates for a ban on Mixed Martial Arts prize fighting matches in Canada.

Maternal and child health in developing countries

https://policybase.cma.ca/en/permalink/policy9910

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Physician practice/ compensation/ forms

Resolution: GC10-92; The Canadian Medical Association calls on the federal government to reconsider its decision not to fund medical termination of pregnancy services as part of its funding contributions for maternal and child health in developing countries.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Physician practice/ compensation/ forms

Resolution: GC10-92; The Canadian Medical Association calls on the federal government to reconsider its decision not to fund medical termination of pregnancy services as part of its funding contributions for maternal and child health in developing countries.

Physician advocates

https://policybase.cma.ca/en/permalink/policy9915

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Physician practice/ compensation/ forms

Resolution: GC10-98; The Canadian Medical Association opposes any bylaws, codes of conduct or policies that have the potential to limit physicians’ ability to speak out or advocate on behalf of their patients or to comment on issues that affect their ability to provide high quality clinical care.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Physician practice/ compensation/ forms

Resolution: GC10-98; The Canadian Medical Association opposes any bylaws, codes of conduct or policies that have the potential to limit physicians’ ability to speak out or advocate on behalf of their patients or to comment on issues that affect their ability to provide high quality clinical care.

Medical records

https://policybase.cma.ca/en/permalink/policy9923

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health care and patient safety; Health information and e-health

Resolution: GC10-106; The Canadian Medical Association will work with provincial/territorial medical associations and other stakeholders including patients to develop a national strategy for the long-term retention, retrieval and disposal of medical records.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-08-25

Topics: Ethics and medical professionalism; Health care and patient safety; Health information and e-health

Resolution: GC10-106; The Canadian Medical Association will work with provincial/territorial medical associations and other stakeholders including patients to develop a national strategy for the long-term retention, retrieval and disposal of medical records.

Random breath tests

https://policybase.cma.ca/en/permalink/policy9976

Last Reviewed: 2017-03-04

Date: 2010-06-01

Topics: Ethics and medical professionalism; Health care and patient safety

Resolution: BD10-05-194; The Canadian Medical Association (CMA) supports the use of random breath tests in existing police spot check programs as part of a comprehensive plan to reduce drunk-driving related mortality and morbidity in Canada. Any such programs should be consistent with the protections established in the Canadian Charter of Rights and Freedoms.

Policy Type: Policy resolution

Last Reviewed: 2017-03-04

Date: 2010-06-01

Topics: Ethics and medical professionalism; Health care and patient safety

Resolution: BD10-05-194; The Canadian Medical Association (CMA) supports the use of random breath tests in existing police spot check programs as part of a comprehensive plan to reduce drunk-driving related mortality and morbidity in Canada. Any such programs should be consistent with the protections established in the Canadian Charter of Rights and Freedoms.

Physicians' professional autonomy and self-regulation

https://policybase.cma.ca/en/permalink/policy73

Last Reviewed: 2016-05-20

Date: 2002-08-21

Topics: Ethics and medical professionalism

Resolution: GC02-88; That Canadian Medical Association support the divisions in their efforts to maintain professional autonomy and self-regulation for physicians.

1 document

Policy Type: Policy resolution

Last Reviewed: 2016-05-20

Date: 2002-08-21

Topics: Ethics and medical professionalism

Resolution: GC02-88; That Canadian Medical Association support the divisions in their efforts to maintain professional autonomy and self-regulation for physicians.

Documents

GC02-88.pdf

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Bill 114, An Act to Ensure the Continued Provision of Emergency Medical Services in Québec

https://policybase.cma.ca/en/permalink/policy1611

Last Reviewed: 2016-05-20

Date: 2002-08-17

Topics: Ethics and medical professionalism

Resolution: BD02-07-176; That the Canadian Medical Association and its divisions would strongly oppose any government legislation that would undermine the provision of quality patient care and enforce restrictions on the freedom of choice for physicians and patients.

Policy Type: Policy resolution

Last Reviewed: 2016-05-20

Date: 2002-08-17

Topics: Ethics and medical professionalism

Resolution: BD02-07-176; That the Canadian Medical Association and its divisions would strongly oppose any government legislation that would undermine the provision of quality patient care and enforce restrictions on the freedom of choice for physicians and patients.

Patient bill of health information rights

https://policybase.cma.ca/en/permalink/policy9498

Last Reviewed: 2016-05-20

Date: 2009-08-19

Topics: Health care and patient safety; Health information and e-health; Ethics and medical professionalism

Resolution: GC09-17; The Canadian Medical Association and provincial/territorial medical associations call on governments to engage patients and the public in the development of a patient bill of health information rights that sets out a vision for the governance of patient health information.

Policy Type: Policy resolution

Last Reviewed: 2016-05-20

Date: 2009-08-19

Topics: Health care and patient safety; Health information and e-health; Ethics and medical professionalism

Resolution: GC09-17; The Canadian Medical Association and provincial/territorial medical associations call on governments to engage patients and the public in the development of a patient bill of health information rights that sets out a vision for the governance of patient health information.

Results

Revise Search

Principles concerning physician information

Documents

Collaborative development of patient-focused funding initiatives

Charter for Patient-centred Care

Family physicians

Multidisciplinary care initiatives

Compensation models

Social determinants of health

Online continuing medical education

Application of evidence-based medicine

Distributed medical education (DME)

Antibiotic resistant organisms in humans

Antibiotics in animals

Mixed Martial Arts

Maternal and child health in developing countries

Physician advocates

Medical records

Random breath tests

Physicians' professional autonomy and self-regulation

Documents

Bill 114, An Act to Ensure the Continued Provision of Emergency Medical Services in Québec

Patient bill of health information rights