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电子病历屏幕的显示方法:患者隐私问题。

Display methods of electronic patient record screens: patient privacy concerns.

作者信息

Niimi Yukari, Ota Katsumasa

机构信息

School of Health Sciences, Fujita Health University, Japan.

出版信息

Stud Health Technol Inform. 2013;192:1029.

Abstract

To provide adequate care, medical professionals have to collect not only medical information but also information that may be related to private aspects of the patient's life. With patients' increasing awareness of information privacy, healthcare providers have to pay attention to the patients' right of privacy. This study aimed to clarify the requirements of the display method of electronic patient record (EPR) screens in consideration of both patients' information privacy concerns and health professionals' information needs. For this purpose, semi-structured group interviews were conducted of 78 medical professionals. They pointed out that partial concealment of information to meet patients' requests for privacy could result in challenges in (1) safety in healthcare, (2) information sharing, (3) collaboration, (4) hospital management, and (5) communication. They believed that EPRs should (1) meet the requirements of the therapeutic process, (2) have restricted access, (3) provide convenient access to necessary information, and (4) facilitate interprofessional collaboration. This study provides direction for the development of display methods that balance the sharing of vital information and protection of patient privacy.

摘要

为了提供充分的护理,医疗专业人员不仅要收集医疗信息,还要收集可能与患者生活隐私方面相关的信息。随着患者对信息隐私意识的提高,医疗服务提供者必须关注患者的隐私权。本研究旨在考虑患者对信息隐私的关注以及医疗专业人员的信息需求,阐明电子病历(EPR)屏幕显示方法的要求。为此,对78名医疗专业人员进行了半结构化小组访谈。他们指出,为满足患者隐私要求而对信息进行部分隐藏可能会在以下方面带来挑战:(1)医疗安全;(2)信息共享;(3)协作;(4)医院管理;(5)沟通。他们认为电子病历应:(1)满足治疗过程的要求;(2)限制访问;(3)方便获取必要信息;(4)促进跨专业协作。本研究为开发平衡重要信息共享和保护患者隐私的显示方法提供了方向。

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