Knapp T R, Walter J, Renaudin C P
J Healthc Inf Manag. 2000 Winter;14(4):83-93.
Healthcare consumers own their medical information. As paper medical folders become digital, protection of this private and confidential information falls to information specialists rather than the traditional care givers. On the basis of a nationwide market assessment study, the authors identify the key issues regarding protecting this personal digital property and outline the federal requirements stemming from the Health Insurance Portability and Accountability Act (HIPAA). Consumer informed consent over the use of specific medical data is a basic requirement, and is a concept supported by physicians and care givers who rely on consent to approve surgeries and treatment. The article concludes with a solution outline that places the patient in control of his or her personal information, meets security and privacy concerns, and facilitates the critical exchange of patient information among care givers.
医疗保健消费者拥有自己的医疗信息。随着纸质医疗档案数字化,保护这些私密且机密的信息的责任落到了信息专家而非传统护理人员身上。基于一项全国性市场评估研究,作者们确定了保护这种个人数字财产的关键问题,并概述了源自《健康保险流通与责任法案》(HIPAA)的联邦要求。消费者对特定医疗数据使用的知情同意是一项基本要求,并且这一概念得到了依赖同意来批准手术和治疗的医生及护理人员的支持。文章最后给出了一个解决方案概述,该方案让患者能够掌控自己的个人信息,满足安全和隐私方面的担忧,并促进护理人员之间关键的患者信息交换。