Williams R C
Ala Med. 1995;65(5-7):29-37.
There are strong incentives to computerize medical records in the present health care environment, yet medical information is frequently personal and is protected by privacy law and by centuries of a tradition of confidentiality. It is not possible to eliminate all risk of inappropriate disclosure and use of medical information, either in a paper or an electronic system. Computerization of records increases the potential for abuse, but with appropriate attention to security measures, medical data can be made reasonably secure while preserving accessibility for those who truly need the information. Both for technical and legal reasons, paper records are still necessary in 1995, to back up electronic medical databases.
在当前的医疗环境中,实现医疗记录计算机化有很强的动机,然而医疗信息往往涉及个人隐私,受到隐私法以及数百年保密传统的保护。无论是纸质系统还是电子系统,都不可能消除医疗信息被不当披露和使用的所有风险。记录的计算机化增加了被滥用的可能性,但通过适当关注安全措施,在确保真正需要这些信息的人能够获取的同时,可以使医疗数据得到合理的安全保护。出于技术和法律原因,在1995年纸质记录仍然是必要的,用于备份电子医疗数据库。