Vuori H
J Med Ethics. 1977 Dec;3(4):174-8. doi: 10.1136/jme.3.4.174.
Professor Vuori's paper, first presented at the fourth Medico-legal Conference in Prague in the spring of this year, deals with the problem of the maintenance of confidentiality in computerized health records. Although more and more information is required, the hardware of the computer systems is so sophisticated that it would be very expensive indeed to 'break in' and steal from a modern data bank. Those concerned with programming computers are becoming more aware of their responsibilities concerning confidentiality and privacy, to the extent that a legal code of ethics for programmers is being formulated. They are also aware that the most sensitive of all relationships--the doctor-patient relationship--could be in danger if they failed to maintain high standards of integrity. An area of danger is where administrative boundaries between systems must be crossed--say between those of health and employment. Protection of privacy must be ensured by releasing full information about the type of data being stored, and by maintaining democratic control over the establishment of information systems.
武奥里教授的论文于今年春天在布拉格举行的第四届法医学会议上首次发表，探讨了计算机化健康记录中的保密问题。尽管需要的信息越来越多，但计算机系统的硬件非常复杂，要“闯入”并从现代数据库中窃取信息确实会非常昂贵。参与计算机编程的人员越来越意识到他们在保密和隐私方面的责任，以至于正在制定程序员的道德法典。他们也意识到，如果未能保持高标准的诚信，所有关系中最敏感的医患关系可能会受到威胁。一个危险领域是必须跨越系统之间的行政界限——比如健康系统和就业系统之间的界限。必须通过公布所存储数据类型的全部信息，并对信息系统的建立保持民主控制，来确保隐私得到保护。
