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健康记录披露的强制授权:规模及影响

Compelled authorizations for disclosure of health records: magnitude and implications.

作者信息

Rothstein Mark A, Talbott Meghan K

机构信息

Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, 501 East Broadway, Suite 310, Louisville, KY 40202, USA.

出版信息

Am J Bioeth. 2007 Mar;7(3):38-45. doi: 10.1080/15265160601171887.

Abstract

Each year individuals are required to execute millions of authorizations for the release of their health records as a condition of employment, applying for various types of insurance, and submitting claims for benefits. Generally, there are no restrictions on the scope of information released pursuant to these compelled authorizations, and the development of a nationwide system of interoperable electronic health records will increase the amount of health information released. After quantifying the extent of these disclosures, this article discusses why it is important to limit disclosures of health information for nonmedical purposes as well as how it may be possible to do so.

摘要

每年,作为就业条件、申请各类保险以及提交福利申请的一项要求,个人都需要签署数百万份授权书,以允许其健康记录被披露。通常,对于依据这些强制授权所披露的信息范围没有限制,而且全国性可互操作电子健康记录系统的发展将会增加被披露的健康信息数量。在量化了这些披露的程度之后,本文将讨论为何限制出于非医疗目的的健康信息披露很重要,以及如何做到这一点。

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