Sharing information between medical institutions : Considerations of patient privacy

本研究探讨目前透过护士的出院摘要提供给其他医院的病人资讯的程度，并调查护士在撰写这些摘要时的隐私意识。此外，为了调查医疗机构之间的患者信息提供方式，我们对接收护理出院小结的机构进行了信息处理方式和对信息处理态度的调查。从检查的意见和愿望方面的护理出院小结，我们澄清了各种关注病人的隐私时，护理和护理人员收到病人的信息。提供有关个人信息处理通知的医院比例为88.5%。受试者回答一个四点量表的问题，显示18个项目，包括在总结病人 关于我们 摘要中记录的信息的详细程度，以及关注隐私的必要性。弱显着的正相关关系被发现在所有项目的详细程度的信息记录和隐私的关注。8.1%的受访者在发送出院摘要时向患者展示了出院摘要，而17.6%的受访者回答他们“获得了同意”。调查问卷由99名护士和74名护理人员（护理工作者，护理经理等）返回。其中，97.9%的人回答说，信息是由医院提供的形式护理出院摘要，70.8%的人回答说，信息是在医生出院摘要和转诊的形式。在受访者中，71.5%选择护理出院摘要作为最有用的信息来源。当被问及是否有必要限制与护理出院摘要中的信息共享的人或可以共享的内容时，76.4%的人回答说没有必要限制。65.3%的受访者认为“医疗团队需要共享信息”，34.7%的受访者认为“因为信息是不同专业的人共同使用的”。今后有必要调查摘要中的信息，同时考虑到收到摘要的机构如何处理信息。少

This study examined the level of patient information currently provided to other hospitals through nurses' patient discharge summaries, and surveyed nurses' awareness of privacy when writing these summaries. In addition, with the aim of investigating how patient information should be provided between medical institutions, we conducted a survey of how information is handled, and attitudes toward the handling of information, at facilities that receive nursing discharge summaries. From an examination of opinions and desires with respect to nursing discharge summaries, we clarified the kinds of concern given to patient privacy when nursing and care personnel receive patient information.Responses to a questionnaire were received from 53 nurse administrators and 995nurses. The percentage of hospitals that provide notices with regard to the handling of personal information was 88.5%. Subjects responded on a four-point scale to questions about showing 18 items included in summaries to patients … More , the level of detail of information recorded in the summaries, and the need for concern about privacy. Weakly significant positive correlations were found between all items in the level of detail of information recorded and concern for privacy. The percentage of respondents who showed discharge summaries to patients when sending them was 8.1%, while 17.6% responded that they "obtained consent."Survey questionnaires were returned by 99 nurses and 74 care personnel (nursing care workers, care managers, others). Of them, 97.9% responded that information is provided from hospitals in the form of nursing discharge summaries, and 70.8% responded that information was in the form of physician discharge summaries and referrals. Of the respondents, 71.5% selected nursing discharge summaries as the most useful information source. In response to a question on whether it was necessary to restrict the persons with whom the information in nursing discharge summary is shared, or the content that could be shared, 76.4% responded that restrictions were unnecessary. The reasons given were that "information needs to be shared for the medical team" by 65.3%, and "because the information is for common use by people of different specialties" by 34.7%. In the future it will be necessary to investigate the information in summaries with consideration of how information is handled in institutions that receive the summaries. Less