under President Bill Clinton, the privacy of medical records was supposedly ensured by the Department of Health and Human Services (HHS, 2007). However, this current administration announced an initiative called MyHealthEData that allows patients virtually open access to their medical records which can then be sent electronically to providers or other medical practitioners at will (Cohen & Mello, 2018). Does the question arise that with the ability of computer hackers to forge their way into high-security electronic databases, how secure are anyone’s records? What is the impact on medical research under the MyHealthEData provisions (Cohen & Mello, 2018)? It is imperative for researchers to guard their research data by ensuring they preserve the anonymity of subjects willing to participate in medical studies (Mariampillai et al., 2017; Masic, Hodzic, & Mulic, 2014; Nisselle,2018). Subjects willing to participate in research into the efficacy of diet and exercise as principal controllers of HTN over that of ACE inhibitors as the first line of defense have the guaranteed right to privacy that requires protection by researchers (HHS, 2007; Mariampillai et al., 2017; Masic et al., 2014).Evidence-Based PracticeSeveral models in assessing HTN and blood pressure (BP) are undertaken to maintain thecost-effectiveness for routine diagnoses of HTN. Guidelines established by the National Institute
4for Health and Care Excellence (NICE) show that ambulatory blood pressure monitoring (ABPM) and self-blood pressure monitoring (SBPM) have decreased costs for office visits for routine BP assessments, with initial results showing these measures help in establishing early diagnosis of HTN (Schwartz & McManus, 2015, p. 258). However, Schwartz and McManus (2015) also found that very few studies performed to reveal the efficacy of older adults and SBPM and the reduction or early detection of cardiovascular diseases. According to Lee et al. (2018), limited studies on the benefits of diet and exercise over ACE inhibitors. Therefore, to determine the significance and efficacy of diet and exercise as a first line defense against HTN further studies are needed to fully appreciate the importance of non-sedentary lives by the aging population. By creating research initiatives into HTN, food, and diet versus ACE inhibitors, the older population will have more options by which to avoid HTN and the repercussions of limiting physical activity and healthy living (Lee, Kim, Shim, Hong, Lee, Jeon, & Park, 2018). Risks/Informed Consent ComponentsRegardless of the type of medical research undertaken, study populations inform various risks involved in any research in which they partake the Electronic Code of Federal Regulations (e-CFR, 2019). In virtually all developed countries where medical research conducted, specific
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English, Clinical trial, Health Insurance Portability and Accountability Act, Privacy law