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題名:使用電子病歷保障病人隱私之探討--以中山醫學大學附設醫院病歷電子化為例
書刊名:電腦稽核
作者:曾志仁邱政元蔡亭儀梁竣傑許瑋庭
出版日期:2012
卷期:25
頁次:頁112-119
主題關鍵詞:電子病歷病人隱私Electronic medical recordEMRPatient privacy
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:5
  • 點閱點閱:55
隨著科技的進步,病歷也從傳統的紙本病歷漸漸發展成電子病歷。電子化病歷的發展可以解決傳統紙本病歷的缺失,例如:佔地空間不足、資料傳送費時、長期保存不易、無法多人同時使用等諸多缺失,同時也促進了醫療院所的作業效率、提升醫療品質。但電子病歷也有許多問題需要克服,如病歷遭受竄改、駭客入侵竊取資料、病患隱私安全等問題,本文探討如何使用電子病歷來保障病人的隱私。雖然近年來政府制定與修訂了許多電子病歷相關的法規,但是法令無法鉅細靡遺地規範到作業層面,因此,值此全國各醫療院所進行病歷電子化之際,實有必要探討實務的應用層面,討論如何去管控電子病歷作業,以保護病患隱私。本文以中山醫學大學附設醫院為例闡述如何管控電子病歷系統以保障病患隱私。
It's the technological era now; and it's the timing for the traditional paper medical record to be changed into electronic version in Taiwan. Electronic medical record (EMR) has eliminated many paper medical record's drawbacks; such as occupying too much room, taking time to deliver around, hard to preserve for a long time, and hard to share by different professionals at the same time. EMR also offers opportunity for health care providers to improve their operation and elevate health service quality. Although EMR sounds so perfect, there are still many problems need to be solved, e.g. arbitrary re-writing, possible invading by hackers, and how to protect patient privacy. This article discusses how to apply EMR to protect patient privacy. For implementing EMR, many regulations have already enacted to protect patient from possible invasion. However, regulations cannot provide guidelines to health care providers of how to apply EMR. Hence, a genuine example of implementing EMR is needed. In this article, examples from Chung Shan Medical University Hospital demonstrate how to control and monitor an EMR system to protect patient privacy.
期刊論文
1.黃衍文、李炯三、陳榮駿、吳佳真、王雅慧、梁雅菁、陳皓瑋(20110700)。醫院實施電子病歷與醫療資訊安全之近況探討。資訊安全通訊,17(3),74-84。  延伸查詢new window
2.徐嫦娥、簡郁沛(20100600)。電子病歷之發展及法規政策。病歷資訊管理期刊,9(2),1-18。  延伸查詢new window
3.戴志展(2011)。病人權利常在我心。中國醫訊,90,27-29。  延伸查詢new window
4.蔡昆原、劉見祥、劉建財(20091100)。我國電子病歷發展現況與展望。醫療品質雜誌,3(6),4-14。new window  延伸查詢new window
圖書
1.黃興進、佘明玲、劉忠峰(2008)。醫療資訊管理。臺灣健康資訊管理學會。  延伸查詢new window
2.范碧玉(2008)。病歷資訊管理學。合記書局。  延伸查詢new window
3.行政院衛生署(2003)。確立及推廣醫療資訊安全與隱私保護之政策計畫第二期工作計畫書。  延伸查詢new window
 
 
 
 
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