电子健康记录 青少年的保密性在安全网中的设置
Jacqueline Guan-Ting You1,2, Julia Esther Potter3, Rebecca Grochow Mishuris2,4
1Department of Pathology, Massachusetts General Hospital/Brigham and Women's Hospital, Boston, Massachusetts, United States.
Applied clinical informatics
|August 28, 2023
概括
"21世纪治疗法"影响了青少年健康记录的保密性. 许多监护人访问的患者门户账户被禁用,以保护青少年的隐私.
科学领域:
- 医疗信息学 医疗信息学
- 青少年医学 青少年医学
- 患者的隐私 患者的隐私
背景情况:
- "21世纪治疗法"提高了患者对医疗记录的访问权限.
- 这一法案对青少年在医疗保健信息技术中的保密性提出了挑战.
- 青少年有法律保护的保密护理权,受到潜在的监护人访问其健康信息的威胁.
研究的目的:
- 量化监护人对青少年患者门户账户的访问.
- 实施电子健康记录 (EHR) 患者门户网站注册流程的纠正措施.
- 保护青少年的保密性,同时促进适当的监护人获得健康信息.
主要方法:
- 通过电子邮件地址手动审查青少年患者门户账户.
- 实施EHR"护规则"以防止监护人使用自己的电子邮件用于青少年帐户.
- 在患者提醒后,对那些疑似错误的监护人访问的人进行帐户禁用.
主要成果:
- 60%的青少年患者门户账户显示潜在的直接监护人访问.
- 在干预后,18.8%的账户有青少年患者更新的电子邮件.
- 由于对监护人访问的担忧,相当于81.2%的账户被禁用.
结论:
- 医疗保健系统需要改善EHR功能,以便青少年和监护人访问门户.
- 为了平衡青少年的保密性与监护人访问,需要细微的解决方案.
- 对于青少年和监护人通过患者门户网站获得健康信息,需要达成全国共识.
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