Information sharing between medical institutions through nursing discharge summaries with consideration of patient privacy

本研究的目的在于阐明养老院护理出院摘要的处理方式，以及共享信息的病人和家属的意愿，并由此找出疗养院之间信息共享的相关问题。结果：在许多设施中，摘要保存在未上锁的架子上。22.9%的受访者表示，对于摘要中所写的信息，需要对设施内的信息共享进行限制。原因是(1)患者和家属隐私保护（66.7%）和(2)不同工作类型对信息的需求不同（45.5%）。摘要中所写的信息由患者、家属和机构中所有工作类型的人员共享。在一项对在一家综合公司工作的成年人进行的调查中，4.2%的人回答说他们知道他们的摘要，12.5%的人说他们在医院收到了关于这些摘要的解释。对于通过摘要向其他设施提供信息，58.3%的人希望信息能够被积极共享。关于他们日常生活的信息，许多人回答说，他们希望“只分享大纲”，而许多人回答说，他们希望与医疗和护理有关的信息“尽可能详细”地分享。在采访中，一些人表示，当他们自己被检查时，他们对通过摘要分享信息的看法与家庭成员被检查时不同。

The aim of this study was to elucidate the handling of nursing discharge summaries in facilities for the elderly and the wishes of patients and families whose information is shared, and from this to identify issues related to information sharing between facilities. Results: In many facilities the summaries are kept on unlocked shelves. The percentage of respondents who said that limits on information sharing within a facility were needed for the information written in the summaries was 22.9%. The reasons were (1) protection of patient and family privacy (66.7%) and (2) that information needs differ depending on job type (45.5%). The information written in the summaries is shared by patients, families and people of all job types in a facility. In a survey of adults working in a general company, 4.2% responded that they knew their summaries and 12.5% said that they had received an explanation about these summaries at a hospital. With regard to providing information to other facilities through the summaries, 58.3% of people wanted information to be actively shared. With regard to information on their daily lives, many people responded that they wanted it to be shared "in outline only," while many responded that they wanted information related to medical and nursing care to be shared "in as much detail as possible." In the interview some people expressed the opinion that they viewed information sharing through summaries differently when they themselves were examined and when family members were examined.