Comment from Anonymous
AnonymousOpposeIndividual
Summary: An individual patient expresses concern that an AI-generated risk score (Narx score) could unfairly bias medical treatment for patients on controlled medications. They also raise concerns regarding HIPAA privacy violations and the lack of nuance in how the algorithm accounts for specific medical histories.
I am writing about Narx score. I feel that an AI genenerated score as to whether we are at a high risk of whatever it is they think we are, should be looked at closely. Pain patients and those taking other controlled medications are already looked down upon the minute we walk in to get care. Medications that are effective and have been around for years. For a computer algorithm to take that and "assist" possibly a doctor as to whether we get these medications is just plain wrong. Also, I have an issue with this being a HIPAA violtion. When I go into the doctor I thought I got to choose who has access to my medical information. Under Narx Score a lot of people are granted access but no, not us, the patients. I thought under HIPAA rules I am supposed to be able to access my own records. Also, if they have somehow jumped through the HIPAA hoops and it has been deemed compliant, do they put in information as to for example why we picked up a prescription for a controlled substance from another provider? Example: I receive medications from one provider and I go out of town and suffer from an accident. I am then prescribed medication from that provider and told to follow up with my PCP. He, in turn writes me another prescription for the same accident. Is that explained when this algorithm is calculated or just given a number? I urge you to look at this and for this program to have more oversight.