ABSTRACT
The Korean Central Cancer Registry Program analyses data on the incidence and characteristics of cancer gathered from training hospitals across the nation in order to prepare coherent and accurate summary. The program has had these data computer processed through CANCER (version 1.5), a computer program for registry, since 1996. In 2002, we conducted a survey of the registered hospitals on the status of utilization for this cancer registry related-computer program and on the additional requirements to the existing variables. The results showed that the number of hospitals using the CANCER program has slightly outnumbered the hospitals using their own computer system for hospital information. That is because the number of cancer registry cases of the large-scale hospitals such as general hospitals, which comprises the majority of registered hospitals, is so many that they are able to sort out cancer registry data from their own system. They also reported a middle level of satisfaction with the program utilization. Among the least satisfactory items were the program's lack of portability to different situations and the necessity for double input of the same registry field. The field most requested by the surveyed hospitals for addition to the program was one on metastatic site. This study should lead to follow-up measures such as the development of a variety of algorithms to enhance the accuracy of the data by further reducing the errors in processing the data, and the recommendation of standards which are likely to enhance data adaptability. The result will be utilized as a basic reference for building a systematic and effective database on the national cancer registry.
Subject(s)
Computer Systems , Hospitals, General , Incidence , KoreaABSTRACT
The possibility of a large quantity of information outflow has been growing since patients' private and medical information is being transmitted to inside and outside of the hospital because of the country's medical record computerization system. Accordingly, it has been threatening patient's privacy and the duty of confidentiality of medical people, and the introduction of security policy is needed which is required for patient information protection. We evaluated medical treatment facilities of diagnostic information security management by conducting questionnaire survey of medical documentation office about their standard of medical information security management, range of medical information access sanction to inside users, outside users' request for information and it's purpose. In the data of medical information user identification and authentication, about the grant of the ID and Password to official in charge, "All have it" has the most high percentaged as 60.0%, "Officer who's most needful have it" is the second as 15.7%, "one's post share it" is the third as 12.9%, but treatment facilities all show similar distribution. About the request for information by patients, All medical institution opened the information on occasion that patients themselves visited the institute and asked information, but in case of telephone inquiry, the only score 0.08 of the institutes accepted. This research, I hope, could be utilized for basic materials for medical recorder who control medical information to manage medical information security and to evaluate operation, and for individual hospital to manage the bound of opening to public and authority to access considering specificity of medical information, and supervisor. Also, the Goverment should set up a definite legal support about the political and technological plan to protect private information in the medical record.