Speech (committee meeting)

{
    "time": "2006-11-22 17:00:00",
    "attribution": {
        "en": "Mr. Richard Rosenberg",
        "fr": ""
    },
    "content": {
        "en": "<p data-HoCid=\"357229\" data-originallang=\"en\"> Of course, there's a federal institution, which I think is the Canada Health Infoway, which has been providing money and advice, and they've taken the benefits of work in different parts of the country. </p>\n<p data-HoCid=\"357230\" data-originallang=\"en\"> It's clearly an area that should have a uniform system so they can talk to each other. Obviously, one of the benefits of an electronic health record is that it could be accessible anywhere. If your record is sitting in B.C., but you're injured in Ontario or something happens and you need the record, it's really important that it's accessible. That would be one of the major benefits. </p>\n<p data-HoCid=\"357231\" data-originallang=\"en\">If you're trying to understand how well certain kinds of medications are working, what the costs really are, and where there are areas of higher cost, there are an enormous number of questions you can answer with an electronic medical record.</p>\n<p data-HoCid=\"357232\" data-originallang=\"en\">The questions that are still of concern have to do with rules of access. In a lot of cases, the simple rules of access will be straightforward. If you're a doctor and you are of a certain category, you can access things at a certain level.</p>\n<p data-HoCid=\"357233\" data-originallang=\"en\">It means information will have to be structured in terms of different levels of sensitivity. It will therefore require different levels of access by physicians, government bureaucrats, ministers, associate ministers, and deputy ministers of health on the kind of information they can get and the permission level they will be at. </p>\n<p data-HoCid=\"357234\" data-originallang=\"en\">As I said, these things are currently being discussed. </p>\n<p data-HoCid=\"357235\" data-originallang=\"en\">I think this is really important. It will obviously affect PIPEDA, because it will regulate these things for the provinces without any other privacy legislation. </p>\n<p data-HoCid=\"357236\" data-originallang=\"en\">I think it goes back to the question on whether we should wait. I don't think we're going to wait. There is such urgency with medical records that we're not going to wait. </p>\n<p data-HoCid=\"357237\" data-originallang=\"en\">For whatever measures are taken in the provinces, I assume provinces that don't have their own legislation will look very carefully at what's going on elsewhere in Canada as they formulate policies of use. </p>",
        "fr": "<p data-HoCid=\"357229\" data-originallang=\"en\">Bien s\u00fbr,il y a une initiative f\u00e9d\u00e9rale \u2014 l'Inforoute Sant\u00e9 du Canada, je crois \u2014, qui offre des fonds et des conseils, et qui tire profit du travail accompli dans diff\u00e9rentes r\u00e9gions du pays. </p>\n<p data-HoCid=\"357230\" data-originallang=\"en\">C'est clairement un domaine o\u00f9 il faudrait adopter un syst\u00e8me uniforme afin que tous puissent communiquer entre eux. De toute \u00e9vidence, le dossier m\u00e9dical \u00e9lectronique offre notamment l'avantage de pouvoir \u00eatre consult\u00e9 n'importe o\u00f9. Si votre dossier se trouve en Colombie-Britannique, que vous vous \u00eates bless\u00e9 en Ontario ou qu'il vous est arriv\u00e9 quelque chose et que vous avez besoin de votre dossier, il est vraiment important que ce dernier soit accessible. Ce serait l'un des principaux avantages.</p>\n<p data-HoCid=\"357231\" data-originallang=\"en\">Que vous essayiez de d\u00e9terminer l'efficacit\u00e9 de certains m\u00e9dicaments, leurs co\u00fbts et les endroits o\u00f9 les prix sont les plus \u00e9lev\u00e9s, le dossier \u00e9lectronique de sant\u00e9 peut r\u00e9pondre \u00e0 de nombreuses questions.</p>\n<p data-HoCid=\"357232\" data-originallang=\"en\">Les r\u00e8gles r\u00e9gissant l'acc\u00e8s posent encore probl\u00e8me. Souvent, elles seront simples. Si vous \u00eates m\u00e9decin et si vous appartenez \u00e0 une certaine cat\u00e9gorie, vous pouvez consulter certains aspects des dossiers.</p>\n<p data-HoCid=\"357233\" data-originallang=\"en\">Ainsi, les renseignements devront \u00eatre cat\u00e9goris\u00e9s en fonction de leur sensibilit\u00e9. Donc, le niveau d'acc\u00e8s variera selon qu'on sera m\u00e9decin, fonctionnaire, ministre, ministre associ\u00e9 ou sous-ministre \u00e0 la Sant\u00e9.</p>\n<p data-HoCid=\"357234\" data-originallang=\"en\">Comme je l'ai dit plus t\u00f4t, toutes ces questions sont actuellement examin\u00e9es.</p>\n<p data-HoCid=\"357235\" data-originallang=\"en\">Je crois que c'est vraiment important et que, de toute \u00e9vidence, \u00e7a influera sur la LPRPDE, parce qu'on r\u00e9gira ces questions pour le compte des provinces d\u00e9pourvues de loi sur la protection des renseignements personnels.</p>\n<p data-HoCid=\"357236\" data-originallang=\"en\">Je crois que cela nous ram\u00e8ne \u00e0 la question de l'attente. En fait, je ne crois pas que nous attendrons \u00e9tant donn\u00e9 l'urgence que posent les dossiers m\u00e9dicaux.</p>\n<p data-HoCid=\"357237\" data-originallang=\"en\">Quelles que soient les mesures prises par les provinces, je suppose que celles qui n'ont pas adopt\u00e9 de loi examineront de pr\u00e8s ce qui se passe ailleurs au Canada lorsqu'elles \u00e9laboreront leurs politiques r\u00e9gissant l'utilisation de l'information.</p>"
    },
    "url": "/committees/ethics/39-1/18/richard-rosenberg-13/",
    "politician_url": null,
    "politician_membership_url": null,
    "procedural": false,
    "source_id": "1790055",
    "document_url": "/committees/ethics/39-1/18/",
    "related": {
        "document_speeches_url": "/speeches/?document=%2Fcommittees%2Fethics%2F39-1%2F18%2F"
    }
}