Quantin Catherine, Coatrieux Gouenou, Fassa Maniane, Breton Vincent, Jaquet-Chiffelle David-Olivier, de Vlieger Paul, Lypszyc Norbert, Boire Jean-Yves, Roux Christian, Allaert François-André
Inserm, U866, Universite de Bourgogne, Dijon, France.
Stud Health Technol Inform. 2009;150:700-4.
For more than 20 years, many countries have been trying to set up a standardised medical record at the regional or at the national level. Most of them have not reached this goal, essentially due to two main difficulties related to patient identification and medical records standardisation. Moreover, the issues raised by the centralisation of all gathered medical data have to be tackled particularly in terms of security and privacy. We discuss here the interest of a non-centralised management of medical records which would require a specific procedure that gives to the patient access to his/her distributed medical data, wherever he/she is located.
20多年来，许多国家一直试图在地区或国家层面建立标准化的病历。其中大多数国家尚未实现这一目标，主要是由于与患者识别和病历标准化相关的两个主要困难。此外，所有收集到的医疗数据集中化所引发的问题，尤其在安全性和隐私方面必须加以解决。我们在此讨论病历非集中化管理的益处，这将需要一个特定程序，使患者无论身处何地都能访问其分散的医疗数据。
