頁籤選單縮合
題 名 | 電子簽章導入醫療資訊系統之初探=A Preliminary Study of Building the Hospital Electronic Health Record Authentication System |
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作 者 | 周美儀; 溫信財; 簡文山; 黃國哲; | 書刊名 | 病歷管理期刊 |
卷 期 | 6:2 2007.04[民96.04] |
頁 次 | 頁75-84 |
分類號 | 419.21 |
關鍵詞 | 電子簽章; 電子病歷; 公開金鑰基礎建設; Electronic authentication; Public key infrastructure; PKI; Electronic health record; |
語 文 | 中文(Chinese) |
中文摘要 | 醫療機構在面臨健保收入日益縮減的情況下,充分運用有限資源成為醫院管理者首要的課題。由於醫院現行紙本病歷的借閱、運送時效、儲存空間、遺失管理,及所費不貲的人事及維護費用,將因電子病歷的出現而獲得改善,因此,電子簽章有效導入醫療資訊系統,會是發展無紙化病歷的入門金鑰。 近年來電腦處理個人資料保護法及電子簽章法陸續通過,醫療法亦於民國93年予以修正,並於民國94年發布醫療機構電子病歷製作及管理辦法,使電子病歷的法源依據逐漸完備。本研究分別針對電子簽章法、電子簽章的定義、醫療機構電子病歷製作、管理及電子簽章技術做重點性的介紹,並就衛生署要求電子病歷應以數位簽章之適當性、以公開金籲基礎建設(PKI)達成電子簽章之技術要求,及實務上電子簽章導入資訊系統之可行性等議題逐一進行討論。 目前醫療院所電子簽章系統的建置還在起步階段,還有相當多的困難與障礙需要去克服,而電子簽章導入醫療資訊系統產生之安全及隱私問題,不只是政府與醫療院所要去面對,也須要全民一起去關心與學習。 |
英文摘要 | Under the shrinking reimbursement of National Health Insurance, how to operate limited resources efficiently has been considered the most important task for health care organization administrators. However, the timely management of retrieving, accessing, storing and withholding of hospital medical record timely is pretty expensive and labor intensive. Building the electronic authentication of electronic health record (HER) in hospital information system may solve these problems, and is has also become the key initiative for paperless medical record. Personal Computerized Data Protect Act, electronic Authentication Act, revised Medical Act and HER documentation and Audit Regulations were consecutive passed from 1995 to 2005. Thus, the legislation for hospital HER is more complete and clearer in Taiwan. This study aims to introduce Electronic Authentication Act, HER Documentation and Audit Regulations, and Electronic Authentication techniques briefly. Many important issues will be also discussed respectively as follows: the appropriateness of hospital digital authentication system mandated by Ministry of Health, the benefits and constrains of Public key Infrastructure (PKI) technique, and the feasibility for hospitals adopting HER authentication system. In this starting stage, man obstacles and difficulties of hospital electronic authentication systems are needed to be overcome. At the same time, the security and privacy of HER are crucial and required all of us no learn mindfully includes the government, hospitals and the public. |
本系統中英文摘要資訊取自各篇刊載內容。