利用电子健康记录进行的研究：平衡保密性与公共利益。

Research using electronic health records: Balancing confidentiality and public good.

作者信息

Wallis Katharine A, Eggleton Kyle S, Dovey Susan M, Leitch Sharon, Cunningham Wayne K, Williamson Martyn I

机构信息

University of Auckland, Department of General Practice and Primary Health Care, Auckland, New Zealand.

University of Otago, Dunedin School of Medicine, Dunedin, New Zealand.

出版信息

J Prim Health Care. 2018 Dec;10(4):288-291. doi: 10.1071/HC18040.

DOI:10.1071/HC18040

PMID:31039957

Abstract

General practitioners are increasingly approached to participate in research and share de-identified patient information. Research using electronic health records has considerable potential for improving the quality and safety of patient care. Obtaining individual patient consent for the use of the information is usually not feasible. In this article we explore the ethical issues in using personal health information in research without patient consent including the threat to confidentially and the doctor-patient relationship, and we discuss how the risks can be minimised and managed drawing on our experience as general practitioners and researchers.

摘要

越来越多的全科医生被要求参与研究并分享去识别化的患者信息。利用电子健康记录进行研究在改善患者护理质量和安全性方面具有巨大潜力。通常情况下，获取患者对使用这些信息的个人同意是不可行的。在本文中，我们探讨了在未经患者同意的情况下在研究中使用个人健康信息所涉及的伦理问题，包括对保密性和医患关系的威胁，并且我们借鉴作为全科医生和研究人员的经验，讨论如何将风险降至最低并进行管理。