Barrows R C, Clayton P D
Department of Medical Informatics, Columbia University, New York City, USA.
Behav Healthc Tomorrow. 1996 Feb;5(1):38, 41, 43-4.
In summary, security concerns surrounding health data are justified, but solutions are surmountable with currently available technologies. Whether systems are paper or electronic, human factors such as errors, negligence and unethical activities can result in breaches of confidentiality, despite optimal implementations. Neither automated teller machines (ATMs) nor EMRs are free from instances of abuse, but policies and protocols for electronic systems can be implemented that may provide better security than analogous paper record systems.
总之，围绕健康数据的安全担忧是合理的，但利用现有技术可以克服这些问题。无论系统是纸质的还是电子的，尽管实施得很完善，但诸如错误、疏忽和不道德行为等人为因素都可能导致保密性被破坏。自动取款机（ATM）和电子病历系统都存在被滥用的情况，但可以实施电子系统的政策和协议，其安全性可能比类似的纸质记录系统更好。
