A Survey on the Attitude of Social Groups toward Security, Privacy, and Confidentiality of Health Information: An Original Paper Authors and Affiliations / 대한의료정보학회지

To investigate the attitude towards the security, privacy, and confidentiality of health information, authors surveyed patient, physician, nurse, medical student, nursing student, medical record manager, and health management student groups. Most of the subject hoped that the health information should be treated as a secret. They answered that the information could be shared for the social good when necessary, the ownership and the right to decide the disclosure should belong to patient, and patient should be allowed to access their own information with certain degree of regulation. More than half of the clinical workers answered that they have disclosed patient' s secret for non-medical reasons within a year but they denied any potential harm to their patients. Patients expected that their health information were being securely treated, gave the lowest grade to security violation risk, and showed the most generous attitude towards disclosing and sharing their information than other groups. However, when they are asked the same questions for detailed items such as identification, diagnosis, cause of admission, past medical history and so forth, they showed the strictest attitude to most of the situations and items to disclose their information. Different attitudes toward the information security among the different social groups was demonstrated as a potential cause of social conflict. The attitude change of the patients with the different level of granularity of questions suggests that investigators should be cautious when they conduct and interpretate the attitude toward the security, privacy, and security aspects of health information.

A Method for the Application of Emergency Medical Information System in Health IC Card / 대한의료정보학회지

Recent developments in computer and communication technology were studied in relation to medical information network systems, using computers and IC cards, to solve problems in community health. Trial use of health IC card systems for personal health data management are already in existence in some countries. The health IC card system provides good quality information to the doctors, the hospital, the patients, and the insurance organizations. Emergency medical information card systems that take advantage of advanced information-related technologies such as computers and communication systems, in order to improve their emergency medical care systems may have many advantages. Emergency medical information card can provide a way to protect people during medical emergencies by providing physicians with their vital medical information during the critical seconds of emergency care if being unable to provide your vital medical information. Before introducing these systems, recognition that an important problems such as standardization of the data and code for the medical information systems, defining the access and usage rights by user profiles and the types of data for the security and data protection must be considered. We studied the emergency medical information card systems to clarify their purpose, analyse their present status, standardize the data and codes and define the access and usage rights and present the ideal system, in view of community health care requirements. Here the results of the research are examined, and there is a discussion of what is needed to use the emergency medical card system in the future.

On Study of the Standardization for Medical Information in Health IC Card / 대한의료정보학회지

Using IC cards with powerful information processing capabilities, high level of security, and multi media capabilities to create health IC cards has the following merits: comprehensive management of individual medical information, highly secure access to information that may be stored in separate location and/or institutes, increasing the compatability of difference used by various institutes. In this research ,we have categorized the information stored in the health IC card into the following main categories: basic personal information, emergency medical information, medical informatics, nursing information, welfare information. This was based on international ISO standards and specifics of Japan and south eastern Asia. These main categories are further divided into sub-categories and care was taken to ensure that the format of each sub-category is compatible with international standards while being suitable for Koran conditions of actual use. So, these categories conform to international standards and we will continue our efforts update the international standard to include additional categories needed in Korea and update the Korea standard to conform more closely with the international standards.