by crbutler on Thu Dec 11, 2014 1:08 am
To be honest, in my medical practice, I don't have the time to waste with asking a lot of the BS social history questions.
Most docs don't put it in the med record because its really not pertinent to what you came to see us for and we don't have the time to play clerk/typist. My keyboarding skills are in the better half of docs, and they suck.
Most folks haven't spent the money to get a scanning program in, either for those check off sheets.
Having said that, I did have a partner in the old days who ate this garbage up, brought in to the whole social sciences public health nonsense. I did answer her questions honestly one time I had to get something renewed. She started in on me, and I said I know the research as well as you. Sorry, but my bedside gun is loaded and will stay that way, not in a safe. I will take the chance that my Lab might shoot me with it... She then said that if someone else was in my house they might get shot...I said that is the general idea.... End of discussion.
Now days with EMR's, I would just look at her and say "no gun" She would know better, but as long as my answers are all they can report, its better.
There are laws on the books that are supposed to protect this information, but as others have noted, the HIPPA releases are incredibly broad and if you don't sign them, they won't pay the claim. Honestly, while the docs have better things to do than play with all this stuff, all EMR is is a giant data mine for big business and .gov, and since they have both the docs and the patients by the short ones with this stuff, the less you offer the better off you will be from a privacy standpoint, but it may reduce the effectiveness of your preventative care some miniscule amount.