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Gaining Access While Preserving Anonymity in Medical Settings

2024/8/13
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Rob Rosenthal
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Selena Simmons-Duffin
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Rob Rosenthal:在医疗报道中,需要展现真实的医疗场景,而非仅仅进行描述。这需要记者获得医疗机构和病人的许可,才能进行录音,以展现真实的医疗过程。 Selena Simmons-Duffin:在进行医疗报道时,首先要找到那些公开提供相关服务的医疗机构,例如公开提供堕胎服务的诊所。在与医生建立良好关系后,向医生说明报道目的和录音需求,并强调尊重病人隐私。HIPAA 法案并非录音报道的绝对障碍,关键在于获得病人的同意。病人并非 HIPAA 法案中的“受保护实体”,因此在获得病人同意的情况下进行录音是允许的。医生可以联系病人,提供记者的联系方式,由病人决定是否接受采访。 在获得医疗机构许可后,诊所会提前联系病人征求同意,记者在病人再次同意后才能进入诊室录音。即使在检查过程中录音,也应注意保持与病人的距离,尊重病人隐私。如果病人不同意录音,则不进行录音。积极主动地寻求访问和录音许可,成功率会更高。不要假设病人不想谈论或希望匿名,病人可能愿意分享他们的故事。在医疗报道中,录音能更真实地展现医疗场景,但需要积极争取,并做好可能被拒绝的准备。 Selena Simmons-Duffin: 在医疗报道中,使用真实的图片比使用库存图片更能引起读者的共鸣。

Deep Dive

Key Insights

Why did Selena Simmons-Duffin focus on primary care clinics offering abortion services?

She wanted to highlight a growing trend where primary care doctors are integrating abortion services into their practices, especially after the overturning of Roe v. Wade in 2022.

How did Selena gain access to record inside Seven Hills Family Medicine?

She contacted the clinic, spoke to Dr. Arnold, and after building rapport, asked for permission to record on location. The clinic then reached out to patients scheduled for the day to ask if they were comfortable with being recorded.

What role does HIPAA play in reporting inside medical facilities?

HIPAA primarily protects patient privacy, but it allows reporters to be present in waiting rooms and other public areas with permission. Patients have the final say on whether they want to be recorded or not.

How did Selena ensure patient anonymity during her recordings?

She and her colleague waited in the clinic, and only entered exam rooms after patients had consented a second time. They also recorded from a distance during sensitive moments to maintain privacy.

What was the significance of recording everyday medical appointments alongside abortion services?

It demonstrated that abortion services are integrated into standard primary care, showing that the clinic handles a variety of medical issues in a single day, not just abortions.

How did Selena handle patients who did not want to be recorded?

She respected their wishes and did not record those appointments. The clinic informed her about the procedures happening, but she did not interact with patients who declined to be recorded.

Why did Selena bring a photographer along for the reporting?

She believes strong visuals are essential for the online version of the story, as stock images of doctors and patients are often inadequate and misleading.

What lessons did Selena learn about patient consent while reporting on abortion?

She learned that patients often have stories they want to share and that assuming they want anonymity can be a mistake. It's important to ask and respect their wishes.

Chapters
This chapter explores the challenges of illustrating healthcare stories without compromising patient privacy. It uses the example of a health reporter aiming to show, not just tell, the reality of a clinic offering various services including abortions. The reporter's goal is to capture the atmosphere and daily activities to convey the essence of the clinic's work.
  • The "show, don't tell" principle in journalism.
  • Challenges of illustrating healthcare realities while maintaining patient privacy.
  • The importance of showing the diversity of services within a single medical facility (e.g., abortion alongside routine care).

Shownotes Transcript

Patient privacy in medical settings is essential. So, how does a reporter convince a facility to let them in with a microphone and assure anonymity of the patient? Selena Simmons-Duffin has answers. She is a health policy reporter at NPR who recently reported inside a primary care facility that provides standard medical care as well as abortions.