Sharing information between medical institutions : Considerations of patient privacy

本研究考察了目前通过护士出院摘要向其他医院提供的患者信息水平，并调查了护士在撰写出院摘要时的隐私意识。此外，为了调查医疗机构之间应该如何提供患者信息，我们对接收护理出院摘要的机构如何处理信息以及对处理信息的态度进行了调查。从关于护理出院摘要的意见和愿望的检查中，我们澄清了当护理和护理人员收到患者信息时给予患者隐私的各种关注。对53名护士长和995名护士进行问卷调查。提供个人信息处理通知的医院比例为88.5%。研究对象以4分制回答了以下问题：向患者展示摘要中包含的18个项目……更多，摘要中记录的信息的详细程度，以及关注隐私的必要性。在记录的信息细节水平和对隐私的关注的所有项目之间发现了弱显著的正相关。在发送出院摘要时向患者出示出院摘要的应答者占8.1%，而回答“获得同意”的应答者占17.6%。调查问卷由99名护士和74名护理人员（护理员、护理管理人员等）填写。其中97.9%的受访者表示信息以护理出院总结的形式由医院提供，70.8%的受访者表示信息以医生出院总结和转诊的形式提供。71.5%的受访者选择出院总结作为最有用的信息来源。在被问及是否需要对护理出院摘要信息共享对象或可共享内容进行限制时，76.4%的人认为没有必要进行限制。65.3%的人给出的理由是“医疗团队需要共享信息”，34.7%的人给出的理由是“因为信息是供不同专业的人共同使用的”。将来有必要调查摘要中的信息，并考虑接收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