Blechner B, Mack D
Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington 06030, USA.
Conn Med. 2000 Sep;64(9):547-54.
An ongoing concern for physicians and their patients is protecting the confidentiality of medical records. The proliferation of electronic methods for collecting and storing medical information, along with the growing complexity of the health-care system, has created the need for new means to protect confidentiality. Currently, a patchwork of protections requires that physicians keep patients' medical information confidential. This article reviews the three major sources of medical confidentiality protections: Connecticut law, federal law, and professional standards, all of which provide an array of protections. A brief summary of proposed federal and state legislation is also included. The challenge of effectively maintaining confidentiality in today's electronic age has prompted the Connecticut General Assembly, Congress, and other federal agencies to consider additional safeguards. The article summarizes the relevant legal framework in order to orient medical professionals to the complexities, practice challenges, and legal aspects of maintaining confidentiality.
医生及其患者一直关心的问题是保护病历的保密性。用于收集和存储医疗信息的电子方法的激增，以及医疗保健系统日益复杂的情况，产生了对保护保密性新方法的需求。目前，一系列拼凑的保护措施要求医生对患者的医疗信息保密。本文回顾了医疗保密保护的三大来源：康涅狄格州法律、联邦法律和专业标准，所有这些都提供了一系列保护措施。还包括对联邦和州立法提案的简要总结。在当今电子时代有效维护保密性的挑战促使康涅狄格州议会、国会和其他联邦机构考虑额外的保障措施。本文总结了相关法律框架，以便让医疗专业人员了解维护保密性的复杂性、实践挑战和法律方面。
