LET521S - LEGISLATION AND ETHICS IN HEALTH INFORMATION MANAGEMENT - 1ST OPP - NOVEMBER 2023


LET521S - LEGISLATION AND ETHICS IN HEALTH INFORMATION MANAGEMENT - 1ST OPP - NOVEMBER 2023



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nAm I BIA UnIVERSITY
OF SCIEnCEAnOTECHnOLOGY
FacultyofHealthN, atural
ResourceasndApplied
Sciences
Schoolof HealthSciences
Departmentof Preventative
HealthSciences
13Jackson Kaujeua Street
Private Bag 13388
Windhoek
NAMIBIA
T: +26461207 2970
F: +264 61207 9970
E: dphs@nust.na
W: www.nust.na
QUALIFICATION: BACHELOR OF SCIENCE IN HEALTH INFORMATION SYSTEMS
MANAGEMENT
QUALIFICATION CODE: 07BSHM
COURSE: LEGISLATION AND ETHICS IN HEALTH
INFORMATION MANAGEMENT
LEVEL: 5
COURSECODE: LET521S
DATE: NOVEMBER 2023
DURATION: 3 HOURS
SESSION: 1
MARKS: 100
EXAMINER:
MODERATOR:
FIRST OPPORTUNITY: QUESTION PAPER
MS ELIZABETH NDAKUKAMO
DR ROSWITHA MAHALIE
INSTRUCTIONS
1. Answer all questions on the separate answer sheet.
2. Please write neatly and legibly.
3. Do not use the left side margin of the exam paper. This must be allowed for the
examiner.
4. No books, notes, and other additional aids are allowed.
5. Mark all answers clearly with their respective question numbers.
PERMISSIBLE MATERIALS
1. None
ATTACHMENTS
1. None
This question paper consists of 3 pages including this front page.

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QUESTION 1
SECTION A {35 MARKS)
1. Define the following terms as used in Health Information Systems Management:
1.1 Customary law
1.2 Tort law
1.3 Interoperability
1.4 Health policy
(35)
(4)
(4)
(4)
(3)
1.5 Your Health Our Concern is a statement of commitment by the Ministry of Health and
Social Services in describing what you can expect when and wherever you use public health
services in Namibia, and what you can do to help the MoHSS to deliver more effective and
safe services. Describe the (10) principles guiding the above statement as outlined in the
Namibian patient charter.
(20)
SECTION B {30 MARKS)
QUESTION 2
{20)
Mr. Thando was diagnosed with Prostate cancer two years ago. After chemotherapy, he
experienced a brief remission but recently learned the cancer had recurred. Mr. Thando's
doctor advised him and his family that treatment will likely be unsuccessful and, although it
may offer a few more months of life, his quality of life will rapidly deteriorate. The doctor
recommends hospice at home with comfort measures only, including oxygen and opioid pain
relievers. Despite symptoms of pain, such as grimacing and crying, Mr. Thando refuses pain
medication, stating he does not want to experience the effects of feeling sleepy and missing
precious time with his family. His wife is distraught and asks the nurse if there is a way to
administer pain medication without her husband knowing.
2.1 Define an ethical paradox.
(4)
2.2 Describe any two (2) ethical principles demonstrated in the scenario above.
(10)
2.3 Elucidate the approaches you would follow when solving an ethical dilemma.
(6)
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QUESTION 3
{10)
3. Euthanasia usually happens when there is visible deterioration in the quality of life of a
patient and no end to unbearable pain. Differentiate between the following terms of
euthanasia:
3.1 Active Euthanasia
(4)
3.2 Passive Euthanasia
(4)
3.3 Living will
(2)
SECTION C {35 MARKS)
QUESTION 4
{35)
4.1 The World Health Organisation calls for resilient health systems to respond to emerging
health needs across all member states. Moreover, the COVID-19 pandemic challenged
countries to prioritize health system strengthening initiatives. Use the WHO health system to
answer the following questions.
4.1.1 Discussthe overall goals/outcomes of a health system.
(8)
4.1.2 Elaborate on any two key challenges of each building block of the Namibian health
system.
(18)
4.2. Clarify the measures to protect and secure Census data that was collected with tablets as
a data collection tool to a group offirst years in the programme of Health Information Systems
Management at NUST.
(9)
END OF QUESTION PAPER
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