加纳卫生专业人员保护和保密病人健康记录的做法和系统

IF 3.4 3区 医学 Q1 HEALTH POLICY & SERVICES Health Policy and Technology Pub Date : 2024-11-01 DOI:10.1016/j.hlpt.2024.100933
Eric Gotah, Emmanuel Adjei, Philip Kwaku Kankam, Monica Mensah Danquah
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引用次数: 0

摘要

目标健康信息依赖于患者的感官认知以及客观评估、诊断和检查结果。尽管人们一直在讨论患者健康信息的重要性以及保护患者信息不被不当披露的必要性,但加纳目前有关患者健康数据保密的法律似乎并不贴切。因此,本研究通过研究管理病人记录的准则、条例和规则,对加纳的病人保密程度进行了调查。方法采用定性研究中使用的解释学、现象学和叙事学方法对这一现象进行研究。为了收集分析所需的数据,研究人员以半结构化的方式采访了二十(20)名参与者,包括拉综合医院五个科室的医生、护士、行政人员、记录员和信息通信技术(ICT0)技术人员。结论该研究显示,医护人员坚持为患者保密和信任的道德标准。同样,研究结果表明,医院通过使用电子病历系统安全地存储了医疗记录,不会损害病人的隐私。然而,研究结果表明,医护人员可能会因为疏忽和不专业的做法而成为泄漏或泄露患者信息的渠道。 公益声明本研究调查了加纳医护人员为确保患者健康记录得到保护而采用的系统和做法,以建立患者对其健康记录保护方式的信心。这项研究对医务工作者进行了访谈,研究结果表明,医院有保护病人健康记录的做法和系统。虽然电子病历系统有助于保护病人的健康记录,但研究建议健康电子记录的使用者必须充分参与实施过程,并严格执行有关使用电子病历系统的政策,以防止疏忽和不专业地使用该系统。
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Practices and systems employed by health professionals toward protection and confidentiality of patient health records in Ghana

Objectives

Health information relies on a patient's sensory perceptions as well as objective assessments, diagnoses, and test findings. Ghana's current laws governing the confidentiality of patient health data seems a little pertinent in spite of ongoing conversations on the significance of patient health information and the necessity to protect patient information from improper disclosure. The study therefore investigated the extent of patient confidentiality in Ghana by looking into the guidelines, regulations, and rules that govern patient records.

Methods

The interpretive, phenomenological, and narrative methodologies used in qualitative research were employed to study the phenomenon. Twenty (20) participants were interviewed in a semi-structured manner to gather the data needed for the analysis comprising of Doctors, Nurses, Administrative staff, Record Officers, and Information Communication Technology (ICT0 Technicians of five Departments in La General Hospital. The Activity Theory was used as a theoretical foundation for the study

Conclusions

The study revealed that healthcare professionals uphold the moral standards relating to patient confidentiality and trust. Again, the findings of the study showed that medical records are safely stored through the use of Electronic Health Record system in the hospital in a manner that wouldn't compromise patient confidentiality. However, the results establishes that health care workers can potentially serve as a conduit for the leak or breach of patient information through negligence and unprofessional practices.

Public interest statement

The study investigated systems and practices that are employed by health workers in Ghana to ensure that patient health records are safeguarded in order to build patients confidence in how their health records are protected. Health workers were interviewed in this study and the findings of the study show that there are practices and systems put in place to safeguard patient health records in the hospitals. Although, it was established that EHR systems help in safeguarding patient health records, the study recommends the need for users of the Health Electronic Records to be fully involved in the implementation process and strict enforcement of policies regarding the use of the EHR system to help prevent negligence and unprofessional application of the system.
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来源期刊
Health Policy and Technology
Health Policy and Technology Medicine-Health Policy
CiteScore
9.20
自引率
3.30%
发文量
78
审稿时长
88 days
期刊介绍: Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics
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