Evaluation of Unpreparedness When Issuing Copies of Medical Records in Tertiary Referral Hospitals

강명근; 문명모; 서순원; 박우성; 김윤; M.D.; 김성수; 최은미; 박종; 박일순

추천

검색

자료유형: 학술저널

저자정보: 강명근 문명모 서순원 박우성 김윤 M.D. 김성수 최은미 박종 박일순

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제16권 제2호

발행연도: 2010.1

수록면: 120 - 132 (13page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives: As a baseline study to aid in the development of proper policy, we investigated the current condition of unpreparedness of documents required when issuing copies of medical records and related factors. Methods: The study was comprised of 7,203 cases in which copies of medical records were issued from July 1st, 2007 through June 30th, 2008 to 5 tertiary referral hospitals. Data from these hospitals was collected using their established electronic databases and included study variables such as unpreparedness of the required documents as a dependent variable and putative covariates. Results: The rate of unpreparedness of required documents was 14.9%. Multiple logistic regression analysis revealed the following factors as being related to the high rate of unpreparedness: patient age (older patients had a higher rate), issuance channels (on admission > via out-patient clinic), type of applicant (others such as family members > for oneself > insurers), type of original medical record (utilization records on admission > other records), issuance purpose (for providing insurer > medical use), residential area of applicant (Seoul > Honam province and Jeju), and number of copied documents (more documents gave a lower rate). The rate of unpreparedness differed significantly among the hospitals; suggesting that they may have followed their own conventional protocols rather than legal procedures in some cases. Conclusions: The study results showed that the level of compliance to the required legal procedure was high, but that problems occurred in assuring the safety of the medical information. A proper legislative approach is therefore required to balance the security of and access to medical information.

#Medical Information #Unpreparedness Required Documents #Medical Records #Referral Hospitals

참고문헌 (12)

참고문헌 신청

American Medical Association / / HIPAA: Health Insurance Portability and Accountability Act

Berkowitz L / 2007 / Brostoff G. Balancing access and security / Behav Healthc 27 : 30 ~ 32

Jeon CB / 2005 / Study on rational use of personal information and protection method: centered in theological inquiry and foreign example

Kim H / 1997 / Study on secret protection of medical information: centered in medical information / Hanyang Univ

Kim HE / 1999 / A survey on the attitude of social groups toward security, privacy, and confidentiality of health information: an original paper authors and affiliations / J

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!