Managing Medical and Insurance Information Through a Smart-Card-Based Information System

Managing Medical and Insurance Information Through a Smart-Card-Based Information System
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DOI:
10.1023/a:1005549330655
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发表时间:
2000-08
影响因子:
5.3
通讯作者:
Costas Lambrinoudakis;S. Gritzalis
Costas Lambrinoudakis;S. Gritzalis
中科院分区:
医学3区
文献类型:
--
作者:
Costas Lambrinoudakis;S. Gritzalis

文献摘要

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患者和医生的流动性不断增加,加上由私人医生、全科医生、医院、医疗中心和保险公司组成的医疗集团的存在,给患者医疗数据的管理带来了巨大的困难。这不可避免地影响所提供的医疗保健服务的质量。不断发展的智能卡技术可用于实现由患者本人携带的安全便携式电子病历。除了医疗数据之外,保险信息也可以存储在智能卡中,从而有利于创建支持患者数据有效管理的“智能系统”。在本文中,我们介绍了此类系统的主要架构和功能特征。我们还重点介绍了如何利用智能卡提供的安全功能来确保患者卡中存储的医疗数据的机密性和完整性。
The continuously increased mobility of patients and doctors, in conjunction with the existence of medical groups consisting of private doctors, general practitioners, hospitals, medical centers, and insurance companies, pose significant difficulties on the management of patients' medical data. Inevitably this affects the quality of the health care services provided. The evolving smart card technology can be utilized for the implementation of a secure portable electronic medical record, carried by the patient herself/himself. In addition to the medical data, insurance information can be stored in the smart card thus facilitating the creation of an “intelligent system” supporting the efficient management of patient's data. In this paper we present the main architectural and functional characteristics of such a system. We also highlight how the security features offered by smart cards can be exploited in order to ensure confidentiality and integrity of the medical data stored in the patient cards.