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題 名 | 災難大量傷患事件中個人隱私與公眾資訊的權衡=Balance between Privacy and Public Information in Multiple Casualty Incidences |
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作 者 | 林進坤; 黃英傑; | 書刊名 | 臺灣急診醫學會醫誌 |
卷 期 | 7:4 民94.12 |
頁 次 | 頁233-240 |
分類號 | 419.53 |
關鍵詞 | 隱私; 公眾資訊; 大量傷患; 災難; Privacy; Public information; Multiple casualty incidences; Disaster; |
語 文 | 中文(Chinese) |
中文摘要 | 簡介:每當災難事件造成大量傷患湧入急診時,傳媒記者、焦慮的家屬與朋友常蜂擁而至,詢問患者相關資料的聲浪此起彼落。醫院常面臨著一方面被要求提供傷患資料,另一方面卻被責成必須保障患者隱私。因此我們執行此研究,嘗試探求如何在患者隱私與公眾資訊中取得權衡。材料與方法:針對現行醫院大量傷患事件中常公布患者資訊的項目,設計成問卷,來調查大家對於各個項目認爲是否應該公布。對於受訪者的個人性質,包括性別、年齡、職業、教育程度、社經狀況、居住地區以及急診就診經驗,均予以收集、分析、比較。對予兩組變數的比較,採用t檢定;多組變數的比較則採用單因子變異數檢定,再執行Bonferroni修正。當P值小於0.05時,就認定其差別有統計學上的意義。結果:調查後總共獲得524份有效問卷,並進行分析比較。整體結果顯示出受訪者不願意自己的名(3.34±1.08)、街路住址(3.43±1.08)、詳細住址(3.96±0.93)、中等動向(3.44±1.02)、詳細動向(3.86±1.02)、住家電話號碼、(4.35土0.82)手機號碼(4.24±0.78)、及離開時間(3.14±1.04)被公告。就受訪者各種特質進行分析與比較,可以見到不同族群的受訪者,對於各項個人資料是否可以公告的認定,有相當的不一致性,其中不乏有達到顯著差異者,至於受訪者是否曾有急診就診的經驗,對於各項個人資料是否可以公布的認定,並無顯著的差異。討論:個人隱私在已開發國家中,無不受到各種相關法規的保障。然而我國現行法規中亦有規定,大量傷患事件中傷病患的資料必須公告。藉由本研究所呈現的結果,我們或許可以知道如何在這兩個極端間取得平衡點。進一步應該廣集民意,並會同傳媒、專家學者、相關主管機關,共同研商如何落實保護個人隱私,同時也能保障大眾知的權益。 |
英文摘要 | Introduction: When victims from multi-casualty incidence (MCI) rush in to the Emergency Department (ED), they are always followed by reporters who request patients' information, same as the later coming, worry families and friends. Hospitals are asked to provide the information to the public in the same time to protect patients' privacy. In this study, we tried to know where the balance between patients' privacy and the public information is. Material and Method: A questionnaire was made for the agreement to various personal information usually requested to broadcast during MCI responses at hospitals. Personal variables, including sex, age, occupation, education, socioeconomics, residency and personal experience were also collected to be analyzed and compared. Student t-test was used for two variables, and one-way ANOVA followed by Bonferroni correction for multiple variables. P<0.05 was considered to be statistically significant. Result: There were 524 valid questionnaires analyzed. Accumulative results showed negative to broadcasting in given name (3.34±1.08), address to street (3.43±1.08), detailed address (3.96±0.93), moderate disposition (3.44±1.02), detailed disposition (3.86±1.02), home telephone number (4.35±0.82), mobile phone number (4.24±0.78), and leaving time (3.14±1.04). During subgroup analyses, there were differences of the agreement to open various personal informations to the public. Some of the differences were significantly different. No significant difference was observed between peoples having ED visiting experience or not. Discussion: The privacy is respected and protected in developed countries by law and regulations. However, there are regulations asking to open some information of MCI patients to the public. From this study, we may understand the balance point between these two extremes. More communication between individual representatives, media, officials, and experts is helpful to protect not only the individual but also the public. |
本系統中英文摘要資訊取自各篇刊載內容。