Department of Psychiatry and Behavioral Sciences, George Washington University Medical School, Washington, DC, USA.
Child Adolesc Psychiatr Clin N Am. 2010 Jan;19(1):107-14; table of contents. doi: 10.1016/j.chc.2009.08.011.
This article addresses the practical and legal issues related to the psychiatric medical record, with an emphasis on the issues related to confidentiality. Implications of HIPAA (Health Insurance Portability and Accountability Act) legislation for the practice of child and adolescent psychiatry are addressed. The advantages and disadvantages of electronic medical records are reviewed, with guidelines for selecting software for solo and group practices.
本文讨论了与精神科病历相关的实际问题和法律问题，重点讨论了与保密性相关的问题。还探讨了《健康保险流通与责任法案》（HIPAA）立法对儿童和青少年精神病学实践的影响。本文还回顾了电子病历的优缺点，并为单人或小组实践选择软件提供了指导方针。
