伦理与电子健康信息技术：循证医学及医患关系面临的挑战
Ethics and electronic health information technology: challenges for evidence-based medicine and the physician-patient relationship.
作者信息
Norman I D, Aikins M K, Binka F N
机构信息
Department of Biological, Environmental & Occupational Health Science, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG 13, Legon, Accra, Ghana.
出版信息
Ghana Med J. 2011 Sep;45(3):115-24.
OBJECTIVES
The National Health Insurance Scheme (NHIS), and the National Identification Authority (NIA), pose ethical challenges to the physician-patient relationship due to interoperability. This paper explores (1) the national legislation on Electronic Health Information Technology (EHIT), (2) the ethics of information technology and public health and (3) the effect on the Physician-patient relationship.
METHOD
This study consisted of systematic literature and internet review of the legislation, information technology, the national health insurance program, and the physician-patient relationship.
RESULT
The result shows that (1) EHIT have eroded a big part of the confidentiality between the physician and patient; (2) The encroachment on privacy is an inevitable outcome of EHIT; (3) Legislation on privacy, the collection, storage and uses of electronic health information is needed and; (4) the nexus between EHIT, NHIS, NHA, Ethics, the physician-patient relationship and privacy.
CONCLUSION
The study highlights the lack of protection for physician-patient relationship as medical practice transitions from the conventional to the modern, information technology driven domain.
目标
由于可互操作性，国家医疗保险计划（NHIS）和国家身份管理局（NIA）给医患关系带来了伦理挑战。本文探讨了（1）关于电子健康信息技术（EHIT）的国家立法，（2）信息技术与公共卫生的伦理问题，以及（3）对医患关系的影响。
方法
本研究包括对立法、信息技术、国家医疗保险计划和医患关系的系统文献及网络综述。
结果
结果表明，（1）电子健康信息技术侵蚀了医患之间很大一部分保密性；（2）对隐私的侵犯是电子健康信息技术不可避免的结果；（3）需要有关隐私、电子健康信息的收集、存储和使用的立法；（4）电子健康信息技术、国家医疗保险计划、国家健康管理局、伦理、医患关系和隐私之间的联系。
结论
该研究凸显了随着医疗实践从传统领域向由信息技术驱动的现代领域转变，医患关系缺乏保护。
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