Kluge E H
University of Victoria, B.C., Canada.
Methods Inf Med. 1994 Oct;33(4):336-45.
If advanced electronic patient records are construed as epistemic patient analogues in information space, then the traditional property-model of patient records is longer appropriate. A new paradigm is required. This paper suggests a new paradigm, examines its ethical implications and explores ways in which these could be reflected in legal and regulatory mechanisms. Special attention is paid to privacy, security and access relative to the so-called "fair information principles".
如果将先进的电子病历视为信息空间中患者的认知类似物，那么传统的病历属性模型就不再适用。需要一种新的范式。本文提出了一种新范式，审视了其伦理意义，并探讨了如何将这些意义体现在法律和监管机制中。特别关注了与所谓“公平信息原则”相关的隐私、安全和访问问题。
