Rock B, Congress E
Graduate School of Social Service, Fordham University, New York City 10023, USA.
Soc Work. 1999 May;44(3):253-62. doi: 10.1093/sw/44.3.253.
As society becomes more dependent on technology to store and obtain information quickly and effectively, there has been increasing concern in the social work community about protecting privacy and maintaining confidentiality, especially in a managed care environment. The concept of confidentiality is very different in a technologically advanced environment. This article reviews relevant social work, legal, and other professional literature on confidentiality, technology, and managed care. A three-level topology of client problems and behaviors is delineated and illustrated through practice examples, which demonstrate the different types of information that can be computer stored and retrieved and electronically transmitted. The articles discussed the levels of security, including log-on procedures, firewalls, and encryption, which can be used at each level to protect sensitive information, and presents guidelines to help professionals protect and promote confidentiality within the constraints of technology and managed care.
随着社会越来越依赖技术来快速有效地存储和获取信息，社会工作界对保护隐私和维护保密性的关注日益增加，尤其是在管理式医疗环境中。在技术先进的环境中，保密的概念有很大不同。本文回顾了关于保密、技术和管理式医疗的相关社会工作、法律及其他专业文献。通过实例描绘并阐释了客户问题和行为的三级拓扑结构，这些实例展示了可通过计算机存储、检索及电子传输的不同类型信息。文章讨论了安全级别，包括登录程序、防火墙和加密，可在每个级别使用这些安全措施来保护敏感信息，并提出了指导方针，以帮助专业人员在技术和管理式医疗的限制范围内保护和促进保密性。
