摘要
目的介绍电子健康档案如何才能做好医疗服务并在医疗中发挥应有的作用。方法研究和分析电子健康档案在国外使用中为医疗服务带来的有利因素、面临的问题和采取的对策。结果及时查询到高质量、全面和最新的医疗信息是为患者提供科学、有效医疗服务的必要条件。电子健康档案系统是最丰富的医疗档案和健康信息资源,使用这一系统可以为减少对患者的重复检查和诊疗错误、改善医疗资源的管理和为医疗决策提供支持。但是,电子健康档案在为医疗服务提供有利因素的同时也会带来风险和问题,主要涉及信息访问便利性、隐私权的保护、可分享信息的完整性和可靠性以及信息阅读的便捷性等多个方面。解决这些问题所采取的措施包括:应在互联网和云平台上能够查询到这些信息,采取删除身份信息和加密的手段保护患者的隐私权,通过采用公用密钥结构加密的方式验证信息的真实性、完整性和记录者的身份以加强信息的安全性和可靠性,以及采用便于使用者阅读的方式存储和处理信息。结论电子健康档案的使用只有兴利避害、防范出现的问题,才能在医学研究和临床治疗中发挥应有的作用。
ObjectiveTo study how electronic health records （EHRs） can play an important role in medical services. MethodsThe advantages, problems and solutions relating to the use of EHRs for medical research and healthcare in western countries were studied and analyzed.ResultsSuccessful implementation and development of the best practice approach in healthcare depend on easy access to high quality, updated, and comprehensive information. EHRs are the richest source of medical evidence and health information, with such advantages as fewer duplications and errors, improved resource management and better decision making. However, EHRs can sometimes pose an obstacle or risk to healthare, involving the accessibility to information, privacy and integrity of the shared information. There are also some countermeasures.ConclusionsOnly by maximizing the advantages and solving the problems will EHRs play a pivotal role in medical research and healthcare.
出处
《空军医学杂志》
2016年第4期277-279,282,共4页
Medical Journal of Air Force
关键词
电子健康档案
隐私权保护
信息可靠性
访问控制
Electronic health information
Privacy protection
Trustworthiness of information
Access control
