Stanberry B
Seafarers International Research Centre, Department of Maritime Studies and International Transport, University of Wales, Cardiff, UK.
J Telemed Telecare. 1997;3(4):179-87. doi: 10.1258/1357633971931101.
This paper reviews the principle of confidentiality and the rights of access by patients to their medical records. Confidentiality has been germane to the ethics of medical practice since the time of Hippocrates but the nature of the legal obligation of confidence does not have such a clear pedigree. The introduction of cross-border telemedical consultations presents a very real danger to maintaining the confidentiality of medical data. While both the common law and statute law can be used to prevent the unauthorized interception and disclosure of medical data and protect the patient's rights of access and ownership in the UK, it is the harmonization regime of the European Union that will bring comprehensive regulation and legal clarity to the protection of patients' rights within an increasingly international medical 'super-specialty'.
本文回顾了保密原则以及患者查阅其病历的权利。自希波克拉底时代以来，保密一直与医疗实践伦理密切相关，但保密的法律义务性质却没有如此清晰的渊源。跨境远程医疗咨询的引入对维护医疗数据的保密性构成了非常现实的危险。在英国，普通法和成文法都可用于防止医疗数据被未经授权拦截和披露，并保护患者的查阅权和所有权，然而，在日益国际化的医学“超级专业领域”，欧盟的协调制度将为患者权利保护带来全面监管和法律明晰性。
