Garrido Elustondo Sofía, Cabello Ballesteros Luisa, Galende Domínguez Inés, Riesgo Fuertes Rosario, Rodríguez Barrientos Ricardo, Polentinos Castro Elena
Técnico de Salud, Unidad Docente Multiprofesional de Atención Familiar y Comunitaria Sureste de la Gerencia de Atención Primaria de Madrid, Madrid, España.
Aten Primaria. 2012 Mar;44(3):172-7. doi: 10.1016/j.aprim.2011.02.009. Epub 2011 Jul 29.
Research is one of the fundamental functions that have to be carried out in Primary Care. The clinical information stored in different records arising from medical care is a basic tool for this activity. The use of personal data for the purposes of research is legitimate according to our laws; however, this information must be treated confidentially at all times. Two alternatives are available for this. One is to obtain the informed consent of the patient, and the other is to dissociate the handling of the information. But in some situations, the compliance to legal demands when obtaining data for research is not easy, there being a series of obstacles which in many cases makes it impossible to carry out research. In this article, we will give guidance on how to access the information contained in records while respecting the rights of the patient and the current legislation.
研究是基层医疗必须开展的基本职能之一。医疗过程中存储在不同记录里的临床信息是这项活动的基本工具。根据我国法律，为研究目的使用个人数据是合法的；然而，这些信息必须始终得到保密处理。对此有两种选择。一种是获得患者的知情同意，另一种是使信息处理脱钩。但在某些情况下，为研究获取数据时遵守法律要求并非易事，存在一系列障碍，在许多情况下使得无法开展研究。在本文中，我们将就如何在尊重患者权利和现行法律的同时获取记录中包含的信息提供指导。
