電子病歷之隱私權保護的回顧與探討

Review and Discussion on Privacy Protection of Computer-Based Patient Records

網路資源使用及傳遞的快速性和便利性，讓真實世界的各項工作「效率」 提高，但在「資源共享」的潮流趨勢中，當我們欣悅於高科技成效所給予的 快成時，令人困惑、值得深思的是，個人隱私權」的定義及其存攻，與「資源共享」孰重孰輕？尤其在衛生署大力推展電子病歷下，病患醫療資訊的 隱私權因涉及個人權益與疾病資訊，更是被要求需加以保護。國內因健保費 用控制機制實施，已全面使用IC卡，但許多攸關病患就醫隱私的問題正方興 未艾，單靠「醫療資訊隱私保護」綱領草案與未來通過的正式法案，能否避 免全面資訊化後，隱私權無法被保護的後遺症？更是值得注意的議題。本篇 透過國內外有關文獻與相關機構的執行經驗，進行回顧性分析，以作為未來 執行醫療資訊作業管理時的參考。

Use of the Internet resources and promptness and convenience in its transmission have improved the 'efficiency' of each task in the real world. However, when we are enjoying the results brought by high technology in the current trend of 'resource sharing', what puzzles and makes us ponder is: what the definition of 'individual privacy' is and what is more important, the existence of 'individual privacy' or 'resource sharing'? Under the effort of Department of Health to promote computer-based patient record, since medical information of patients is related to individual privacy and disease information, the importance of having them protected is furthered. Due to the implementation of National Health Insurance expense control mechanism, IC Cards are universally used, but there are still many problems concerning medical privacy of patients. There will be the sequela of privacy being intruded, and will it be avoided simply by guideline draft of Privacy Protection of Medical Information or the official act that will be passed in the future? This is an issue worth more attention. With a review on domestic and international documentation and execution experiences of related agencies, this article makes a retrospective analysis, for the use as reference for future medical information management.