Abstract

One of the most basic values is the sanctity of the doctor-patient relationship and the confidentiality of the communication between the physician and the patient. Another important medical tradition is the production and maintenance of an accurate medical records. Traditionally, the single paper copy of medical records has been treated with systematic handling, careful tracking, and respect for the integrity and confidentiality of the contents. Health car providers need to have accurate patient in order to make the right diagnosis and to give an optimal treatment. In many cases, the medical record, whether in electronic form or paper form is distributed over several health care providers and health care enterprises. Networks of health care providers and payers incresingly rely upon electronic databases to coordinate and analyze medical information. The primary advantage of the electronic medical records is the ability to store vast amounts of information and handle the data more efficiently. The widespread availability of computerized information requires the patient's privacy and right to confidentiality. Privacy is established as both a value and a right in our society, and as healthcare moves to improve quality and efficiency through the development of health information networks, which allow the electronic exchange of financial an clinic information, there will be a growing awareness of the necessity to protect patient privacy and confidentiality. Access to and use of medical records raise serious privacy concerns. Potential misuse of medical records may harm patients and undermine the quality of health care. The patient's rights of privacy must be balanced against the need for access by government, physician, or health care institution to confidential information. Currently the Medical Law in Korea was revised dealing with the approval of electronic medical record and the protection regulation of privacy. The acceptability of the electronic medical record presented a challenge to the legal system which had yet to be met. The revision bill of Medical Law in 2002 have established electronic data security policies and standards for handling of electronic medical information. However current law does not provide the strong, consistent guidelines needed. More stringent security procedures must be instituted, including limited access to electronic records and signing agreements and protecting transmissions.

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