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在急救中使用紧急医疗信息时的隐私保护。

Privacy with emergency medical information used in first response.

作者信息

Croll Peter R, Ambrosoli Kimberly M

机构信息

Southern Cross University, Gold Coast, Australia.

出版信息

Stud Health Technol Inform. 2012;178:7-13.

Abstract

In an emergency there are many stages of Medical response. This paper focuses on the first response stage of an emergency medical incident, for example, a sporting accident. Today's Information Technology together with mobile devices now permits vital medical information regarding an individual to be available at the scene. Those first in attendance are often not medically trained. The literature shows the importance of appropriate first response in minimising harm and the significant investments being made to educate the public in this regard. It also highlights the privacy concerns that arise from the provision of sensitive health information in electronic form. The method utilised is a Privacy Impact Assessment to ascertain the suitability and compliance of the proposed technology. This approach follows the privacy guidelines specified by the Australian government to include information flow mapping, evaluation, compliance analysis, risk analysis and recommendations to management. The resultant output is a list of specific questions and a set of commendations and recommendations that are matched against the National Privacy Principles. The paper concludes that: the approach is both technical and pragmatically viable; it can meet all the reasonableness tests for privacy concerns; it can adopt standard security measures, and; it discusses its potential to be integrated into Personally Controlled Electronic Health Records.

摘要

在紧急情况下,医疗响应有多个阶段。本文重点关注紧急医疗事件的第一响应阶段,例如体育事故。当今的信息技术与移动设备使得有关个人的重要医疗信息能够在现场获取。首先到达现场的人员通常没有接受过医学培训。文献表明,适当的第一响应对于将伤害降至最低非常重要,并且在这方面正在进行大量投资以对公众进行教育。它还强调了以电子形式提供敏感健康信息所引发的隐私问题。所采用的方法是隐私影响评估,以确定所提议技术的适用性和合规性。这种方法遵循澳大利亚政府规定的隐私准则,包括信息流映射、评估、合规分析、风险分析以及向管理层提出的建议。最终结果是一系列具体问题以及一组与《国家隐私原则》相匹配的赞扬和建议。本文的结论是:该方法在技术上和实际操作上都是可行的;它可以满足所有关于隐私问题的合理性测试;它可以采用标准的安全措施,并且;它讨论了将其整合到个人控制的电子健康记录中的潜力。

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