Health Information Technology and the Idea of Informed Consent

During this early stage of HIT adoption, it is critical that we engage in discussions regarding informed consent's proper role in a health care environment in which electronic information sharing holds primary importance. This article discusses current implementation of the doctrine within health information exchange networks; the relationship between informed consent and privacy; the variety of ways that the concept is referenced in discussions of information sharing; and challenges that surround incorporation of the doctrine into the evolving HIT environment. The article concludes by reviewing the purpose behind the traditional obligation to obtain informed consent and the possibility of maintaining its relevance in the new environment.     

Benefits and burdens: Does it really matterWhat we allocate?

There is growing, evidence that allocation decisions concerning burdens and benefits are not processed equivalently. This paper suggests three dimensions on which information processing for resource allocations differs: status quo effects (individuals react more strongly to losses in status quo than to gains), resource valence effects (individuals react more strongly to resource allocations involving burdens than those involving benefits), and blame effects (individuals react more strongly to resource allocation decisions in which they exercise choice). Results of an empirical study confirm significant differences in the information processing of burdens and benefits, and also confirm the importance of psychological distance in the reactions of individuals to burdens and benefits allocations.For there is nothing either good or bad but thinking makes it so.-Hamlet (William Shakespeare)     

Exchanging energy technology information on the internet

This paper describes the U.S. experience in using the Internet to disseminate international information about the technical and economic performance of newly demonstrated, energy efficiency technologies. It draws specifically on Oak Ridge National Laboratory's use of the Internet to promote the goals of the International Energy Agency's Center for the Analysis and Dissemination of Demonstrated Technologies (CADDET). Statistics from the U.S. CADDET home page system illustrates the potential of the Internet for contributing significantly to the goals of international information exchange. However, to reach a wider range of international and domestic audiences (beyond primarily upscale and educated professionals located in industrialized countries), Internet systems need to include other dissemination efforts that reach individuals in countries and organizations not currently using Internet services. In addition, more personal and customized information sources may be needed for providing users with the types of assistance and guidance required to translate knowledge of a technology's technical and financial performance into a decision to purchase, install, and use the technology.     

Opinions of attorneys and law enforcement personnel on the accuracy of eyewitnes identifications

A survey was conducted to obtain the opinions of attorneys and law enforcement personnel regarding several important aspects of eyewitness evidence: (1) legal procedures concerning eyewitness evidence; (2) estimated frequency of mistaken eyewitness identification; (3) the effects of certain witness/ suspect characteristics on identification accuracy; (4) the amount of emphasis placed on eyewitness evidence by judges and juries; (5) the relationship between a witness' identification accuracy and certainty; and (6) the effect of stress and arousal on identification accuracy. The questionnaire was sent to a sample of defense and prosecuting attorneys in each of Florida's 20 Judicial Circuits, to each of the 67 county Sheriff's Departments in Florida, and to 100 randomly sampled Police Departments in Florida. Prosecuting attorneys and law enforcement officers indicated that they regard eyewitness identification as relatively accurate and that judges and juries appropriately emphasize its importance. Defense attorneys, on the other hand, felt that eyewitness identifications are often inaccurate and are overemphasized by triers of fact. The implications of these findings for the criminal justice system and their possible applications within the legal system are discussed.     

Long economic cycles and the criminal justice system in the U.S.

Long cycles in capitalist development have been utilized as an analytical tool for political economic theory¹ and to explain major shifts in the social structure within capitalist political economies.² However, the potential impact that these massive changes in the political economy have on the historical development of criminal justice institutions and policies is an area not addressed within the literature. This article explores the relationship between long cycles of capitalist development and the historical formation of criminal justice policy in the United States.Earlier versions of this paper were presented at meetings of the American Society of Criminology (1984, 1986) and the Academy of Criminal Justice Sciences (1986).