Lister Hill National Center for Biomedical Communications in Bethesda, Maryland, USA.
Health Aff (Millwood). 2009 Mar-Apr;28(2):447-9. doi: 10.1377/hlthaff.28.2.447.
Regional health information organizations (RHIOs) rapidly integrate and deliver patient information to clinicians from multiple independent care organizations. By providing such information, they can reduce health care costs and improve safety. Special concerns about privacy arise as these regional systems connect nationally. We should add special barriers beyond the protections of the Health Insurance Portability and Accountability Act (HIPAA) to protect against surprises at the national level. At the local level, we should remain within the HIPAA rules because the application of additional barriers to RHIO access would interfere with efficient and safe care.
区域卫生信息组织（RHIO）迅速整合并向来自多个独立医疗机构的临床医生提供患者信息。通过提供这些信息，它们可以降低医疗成本并提高安全性。随着这些区域系统在全国范围内连接，出现了对隐私的特殊关注。我们应该在 HIPAA 的保护之外增加特殊的障碍，以防止在国家层面出现意外。在本地层面，我们应该遵守 HIPAA 规则，因为对 RHIO 访问增加额外障碍会干扰高效和安全的护理。
