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題名 Use and disclosure of health information and protection of patient privacy in Taiwan 作者 Liu, H.-H.
劉汗曦貢獻者 法律系 關鍵詞 article; computer security; confidentiality; economics; electronic medical record; human; information dissemination; interpersonal communication; legal aspect; organization and management; public health; Taiwan; Computer Security; Confidentiality; Disclosure; Humans; Information Dissemination; Medical Records Systems, Computerized; National Health Programs; Taiwan 日期 2010 上傳時間 21-五月-2015 15:10:48 (UTC+8) 摘要 This paper examines Taiwan`s current regulatory system for the use of healthcare information from the viewpoint of patient privacy protection. The author proposes a patient-centered, cooperative system centered on the "traffic light theory," as a solution to the potential conflict between the use of healthcare information and the protection of patient privacy. Taiwan, a country with a national healthcare insurance program and state-of-the-art electronic technology, takes a distinctive approach to the protection of patient privacy. On January 1st, 2004, the Bureau of National Health Insurance (BNHI) implemented a comprehensive embedded integrated circuit (IC) card, which puts the wide-ranging health information of its 22 million beneficiaries online to facilitate review of use and disclosure. It is well understood that healthcare information is of a personal and sensitive nature, demanding stringent privacy protection. Nevertheless, there is no denying the potential benefit of using personal health information (PHI) to achieve public good, especially in the area of cost containment. The comprehensive e-health system in Taiwan greatly facilitates copying, transmission, and use of PHI, but does the regulatory system provide enough safeguards for patient privacy? Because the law in Taiwan does not provide clear standards for the use and disclosure of healthcare information, healthcare providers are either too conservative or too aggressive. While most healthcare providers keep their oath of confidentiality, some rogue members severely abuse patient privacy. This paper proposes a "traffic-light system" to remedy this situation. Flashing yellow lights allow aggressive drivers to ignore others, while causing overly cautious drivers to be too hesitant. The author contends that clear standards should have been established for healthcare providers. Like car drivers, healthcare providers need red and green traffic signals. The law should indicate, through workable privacy regulations and guidelines, when the light is red or green-when to stop or to advance. © PROBOOK 2010. 關聯 Medicine and Law, Volume 29, Issue 1, Pages 87-101 資料類型 article dc.contributor 法律系 dc.creator (作者) Liu, H.-H. dc.creator (作者) 劉汗曦 zh_TW dc.date (日期) 2010 dc.date.accessioned 21-五月-2015 15:10:48 (UTC+8) - dc.date.available 21-五月-2015 15:10:48 (UTC+8) - dc.date.issued (上傳時間) 21-五月-2015 15:10:48 (UTC+8) - dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/75209 - dc.description.abstract (摘要) This paper examines Taiwan`s current regulatory system for the use of healthcare information from the viewpoint of patient privacy protection. The author proposes a patient-centered, cooperative system centered on the "traffic light theory," as a solution to the potential conflict between the use of healthcare information and the protection of patient privacy. Taiwan, a country with a national healthcare insurance program and state-of-the-art electronic technology, takes a distinctive approach to the protection of patient privacy. On January 1st, 2004, the Bureau of National Health Insurance (BNHI) implemented a comprehensive embedded integrated circuit (IC) card, which puts the wide-ranging health information of its 22 million beneficiaries online to facilitate review of use and disclosure. It is well understood that healthcare information is of a personal and sensitive nature, demanding stringent privacy protection. Nevertheless, there is no denying the potential benefit of using personal health information (PHI) to achieve public good, especially in the area of cost containment. The comprehensive e-health system in Taiwan greatly facilitates copying, transmission, and use of PHI, but does the regulatory system provide enough safeguards for patient privacy? Because the law in Taiwan does not provide clear standards for the use and disclosure of healthcare information, healthcare providers are either too conservative or too aggressive. While most healthcare providers keep their oath of confidentiality, some rogue members severely abuse patient privacy. This paper proposes a "traffic-light system" to remedy this situation. Flashing yellow lights allow aggressive drivers to ignore others, while causing overly cautious drivers to be too hesitant. The author contends that clear standards should have been established for healthcare providers. Like car drivers, healthcare providers need red and green traffic signals. The law should indicate, through workable privacy regulations and guidelines, when the light is red or green-when to stop or to advance. © PROBOOK 2010. dc.format.extent 176 bytes - dc.format.mimetype text/html - dc.relation (關聯) Medicine and Law, Volume 29, Issue 1, Pages 87-101 dc.subject (關鍵詞) article; computer security; confidentiality; economics; electronic medical record; human; information dissemination; interpersonal communication; legal aspect; organization and management; public health; Taiwan; Computer Security; Confidentiality; Disclosure; Humans; Information Dissemination; Medical Records Systems, Computerized; National Health Programs; Taiwan dc.title (題名) Use and disclosure of health information and protection of patient privacy in Taiwan dc.type (資料類型) article en
