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[保密责任——私人保险医疗信息——数据保护]

[The responsibility for confidentiality--private insurance medicine information--data protection].

作者信息

Mohr P G

出版信息

Versicherungsmedizin. 1989 Jul 1;41(4):106-10.

PMID:2763406
Abstract
  1. Professional discretion/insurance discretion and data privacy protection are dependent, they overlap and supplement. The insurance discretion has contractual foundations, which originate in the personal insurance's unique confidential relationship. Data privacy protection is conceptually based on the Federal Data Protection Law, signed on Jan. 27, 1977. Insurance discretion and data privacy protection are of the upmost universal personal rights protected under the constitution. 2. Violation of either the "doctor's duty of discretion" or the "personal insurance's duty of discretion" is punishable by law. 3. The regulations regarding the policy holder's violation of his duty to disclose substantial risks and their verification are supplemented by contractual stipulations calling for a release from the duty of professional discretion. 4. The data privacy protection clause, also a contractual stipulation, takes into account the "relativity of the personal domain" in view of the insurance companies' mass business and the particulars of the "community of risks". 5. Professional discretion/insurance discretion and data privacy protection have experienced a legally ensured and practical interpretation. However this does not exonerate the insurance medical doctors, especially in borderline cases, from reflecting with great care and according to standard legal principle on the observance of professional discretion.
摘要
  1. 职业保密权/保险保密权与数据隐私保护相互依存,相互重叠且相互补充。保险保密权有合同依据,源于个人保险独特的保密关系。数据隐私保护在概念上基于1977年1月27日签署的联邦数据保护法。保险保密权和数据隐私保护是宪法保护的最基本的普遍个人权利。2. 违反“医生保密义务”或“个人保险保密义务”均应依法惩处。3. 关于投保人违反披露重大风险义务及其核实的规定,由要求免除职业保密义务的合同条款予以补充。4. 数据隐私保护条款也是一项合同规定,鉴于保险公司的大规模业务和“风险共同体”的特殊性,考虑到“个人领域的相对性”。5. 职业保密权/保险保密权和数据隐私保护已经有了法律保障和实际解释。然而,这并不能免除保险医生的责任,尤其是在边缘情况下,他们仍需非常谨慎地根据标准法律原则思考职业保密权的遵守情况。

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