Morgan J D
3M Health Information Systems, Murray, UT.
Top Health Inf Manage. 1994 May;14(4):36-43.
Public and patient access to medical records has been severely limited through policies limiting physical and timely access and intellectual understanding of content. New expectations of patient/public access and control have arisen accompanying the new paradigms of health care delivery and health information (computer-based patient records). Examples from these new paradigms are personalized and presented in information system contexts from bedside to community settings. Patient and family involvement in care delivery, education, assessment, and control of privacy are explored. A personalized confidentiality/security/privacy module of the computer-based patient record is suggested.
通过限制实际获取和及时获取以及对内容的理解等政策，公众和患者对医疗记录的访问受到了严重限制。随着医疗服务和健康信息（基于计算机的患者记录）的新范式出现，对患者/公众访问和控制产生了新的期望。这些新范式的示例在从床边到社区环境的信息系统背景下进行了个性化呈现。探讨了患者和家庭在护理提供、教育、评估以及隐私控制方面的参与情况。提出了基于计算机的患者记录的个性化保密/安全/隐私模块。
