A Survey on Hospitals' Present Status and Attitudes Toward Medical Information Privacy Protection
Date Issued
2007
Date
2007
Author(s)
Chuang, Chiou-Hwa
DOI
zh-TW
Abstract
The purposes of this study were to explore the knowledge, attitude, and related factors of medical information privacy protection which would affect hospital medical information administrators, and to understand the related management rules and methods to effectively implement those rules. This study was a cross sectional survey, using a self-administered structured questionnaires as the research tool. Survey objectives were medical information management officers of all regional or above hospitals. Totally, 276 (55.65%) of 496 questionnaires were received. Important findings are as follow:
1.Most respondents’hospitals had standard guidelines of medical information privacy management for applying, copying, and keeping medical information.However,only 40% of hospitals had tracing control on computer printing, inquiring, and internet transferring.
2.The overall average score was 1.94 (the highest being 3) on knowledge of medical information privacy related regulations and standards. The result indicated respondents have to increase their knowledge on related regulations and standards. Respondents got the highest average score (2.4) on “ the Medical Care Act”article 72 and“the Physician Act”article 23; the lowest score (1.74) on“the Computerized Personal Information Protective Act”article 34 and“Infectious Disease Prevention Act” article 63.In addition, respondents working in medical centers had a higher score than that of regional hospitals.Public hospitals’respondents had higher score than privates’. Respondents of hospitals with more than 1,000 beds had significant higher score than those with 201 to 500 beds, and much higher than those with less 100 beds. Respondents who were high position level on medical information management officers had significantly higher score than those at lower position levels’. And respondents have masters and above degree or have taken related regulations and standards training courses had the highest score on related laws. So if the government wants to launch a trial on medical information privacy protection, it could choose medical centers for demonstration.
3.Regarding establishing related standards of medical information privacy protecting perspective, most respondents agreed with that the central government should set up unified standards. But they had different opinions on whether to set up privacy board and full time officers for management. Respondents of medical centers and regional hospitals had significantly higher degree of agreement on establishing related standards of medical information privacy protection than district hospitals’. Public hospitals’ were significantly higher than private hospitals’. Hospitals with more 1,000 beds were far higher than those with 500 to 1000 beds, 201 to 500 beds, and 101 to 200 beds on this issue.
4.Regarding the opinion on current implemented methods of hospitals, most hospitals pay attention to the implementation of medical information privacy which included transporting process of information, using medical information process of research people, etc. But the majority thought their efforts still not enough, and there is some weakness on current standards or rules that need to be improved. Respondents with master and above degree had more positive opinion than others on current implemented methods.
5.Most respondents thought that (1)The main incentive to implement privacy protection is to improve hospital management quality and increase trust between doctors and patients. (2)Possible benefits are protecting patients’ rights and improving hospital service quality. (3)The key factor of success is the “concern” degree by top management. (4)The main responsible department is medical information management department. (5)The best manpower arrangement is a part time job by existing staffs. (6)The most needed assistance from outside are experienced directing by other hospitals, related data of implementation by other hospitals, and promotion methods used by other hospitals. Furthermore,no matter different background of accreditation level,ownership type, and sizes of the hospitals,the respondents had consistent attitude on implemented methods. However,large hospitals responded that they use part time staffs on manpower arrangement, while regional hospitals’respondents selected the answer that “ they don’t have full-time staff in charge of this matter.
6.There were positive correlation among the score of knowledge in medical information privacy related regulations and standards, attitudes toward the establishment of medical information privacy protecting related standards and the opinion of current implemented methods.
As the results of this study, we hope to provide hospital management and health authorities the reference when designing more feasible regulations and standards of medical information privacy protection. This may increase the effectiveness and decrease the obstruction of implementation.
Subjects
病人隱私
病歷管理
Patient Privacy
Medical Records Management
Medical Records Privacy
Medical Information Privacy and Security
Health Insurance Portability and Accountability Act (HIPAA)
SDGs
Type
thesis
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