Ubumfihlo nokuvikeleka kubalulekile ukulinganiselwa uma kuziwa kumarekhodi ezempilo kanye namarekhodi wezokwelapha (EMRs) kanye nama- PHR (amarekhodi ezempilo) . Kungenzeka ukuthi usuvele ubuyekeze izithiyo ezidalwe uhlobo lwendawo lwama-EMR kanye nokuntuleka kobuhle. Izinkinga ezengeziwe zikhona ngokuphepha nokuyimfihlo kula marekhodi.
Imibuzo yokuphepha yama-EMR
Ukuphepha kungase kube inkinga enkulu.
Kungase kungabi khona uhlelo emhlabeni olungenakunyulwa, kufaka phakathi ama-EMR noma ama-PHR. Cabanga emuva eminyakeni embalwa eyedlule ukulahlekelwa kwamarekhodi ekhadi lesikweletu kumaketanga amakhulu amakhulu noma ukulahlekelwa kwe-Veterans 'Ukulawulwa kwamarekhodi amagciwane awo. Naphezu kokuvikeleka okuqinile kulezi zinhlelo, idatha ilahlekile noma ifinyelelwe ngabanye abangenakukwazi ukufinyelela.
Uma kuziwa kuma-EMR, iziguli azikhulumi kancane ekubambeni kwabo; Ngakho-ke, ngisho noma bekhathazeka ngamarekhodi abo njengengxenye ye-EMR, akukho lutho abangakwenza ngakho.
Ngama-PHR, noma kunjalo, iziguli zinamandla amaningi okulawula okuqukethwe nokufinyelela. Ngenxa yokuthi la marekhodi akhuliswa isiguli yena ngokwakhe, isiguli sinquma nokuthi ubani onokufinyelela, nokuthi lokho kufinyelelwa kanjani.
Imibuzo Yobumfihlo ne-HIPAA
Ubumfihlo buyinkinga efanayo. I-HIPAA, uMthetho we-Accountability Portability Accountability Act, umthetho we-federal, unquma ukuthi ulwazi lwezempilo lungabelana kanjani nge-elektroniki.
Lokhu kunikeza amathuba amnandi okukwabelana ngolwazi, kodwa futhi kudala amabhuloho, futhi, uma omunye umuntu, isiguli, efuna ukufinyelela kumarekhodi akho. Kuhle ukuthi umuntu ofuna ukufinyelela angavunyelwe ukuthola lawo marekhodi. Kungaba inkinga enkulu uma othandekayo noma ummeleli wezempilo efuna ukufinyelela.
Ukudideka mayelana nemithetho ye-HIPAA ngokwabo kanye nokuthi badinga ukusetshenziselwa kanjani kuvame kuwo wonke amahhovisi odokotela nezindawo zokunakekelwa kwezempilo ezweni lonke.
Okunye ukukhathazeka kwangasese kwe-EMRs ukuthi iningi lezicelo ezisetshenziswa izinhlelo zezempilo, amahhovisi odokotela, izibhedlela nezinye izikhungo. Amarekhodi wesiguli agcinwa ngendlela efomethi yamaseva ekhompiyutha anesinye inkampani, hhayi yilolo bhedlela noma ihhovisi lezokwelapha ngokwayo. Lelo qembu lesithathu lingena ngaphansi kwe-HIPAA HITECH Act ka-2009 kanye ne-Omnibus Rule ka-2013 futhi kumele isebenzise ukuvikela okunjalo, kodwa kuyisistimu eyodwa engasengozini yokuphula.
Imibuzo Yobumfihlo ye-PHRs
I-Personal Health Records (PHRs) iphakamisa imibuzo yabo yobumfihlo. Ezinye iziguli zenze ama-PHR kumawebhusayithi ahlinzeka izinhlelo zokusebenza ezinjalo. Amanye amawebhusayithi anikeza i-PHRs, ikakhulukazi yilabo abanikeza isikhala sesitoreji mahhala, abakhathazekile ngobumfihlo. Bangase bathengise idatha kwezinye izinkampani noma bathengise ekhasini elifanayo njengokuqukethwe okulayishwe isiguli.
Amanye amawebusayithi athi azogcina imininingwane yangasese kepha angase athi amanye amalungelo njengemigodi yemigodi, ukuthengisa ulwazi lwesiguli ngobuningi.
Njengesiguli esinikezwe amandla, uma ufuna ukugcina amarekhodi akho ku-inthanethi ngokwakho, qaphela ngokucacile izinkinga zobumfihlo njengoba zihlobene nolwazi olulayishiwe. Hlola imigomo yesevisi ukuze ufunde ukuthi leyo website ingazenzeka ngolwazi lwakho.
Le mibuzo ethile yobumfihlo akuyona ukukhathazeka kwamarekhodi agcinwe kwikhompyutha yendawo / ekhaya noma i-personal (thumb) drive. Ubumfihlo bakho ngolwazi lwakho kulezi zinhlobo zezinhlelo kuzoba nesihe sokuthi ubathinta kanjani futhi ungaphansi kengozini kubaduni noma ezinye izihlukumezi. Isibonelo, uma i-thumb drive yakho ifakwe kwisihluthulelo sakho, futhi ulahlekelwa okhiye bakho, ulwazi lwakho lwezempilo lungasengozini.
Noma, uma uthengisa ikhompyutha yakho ngaphandle kokususa ngokuphelele i-hard drive, khona-ke umuntu othenga ikhompyutha yakho angakwazi ukufinyelela.
Isiguli esihlakaniphile siqonda izinkinga zobumfihlo nezokuphepha zokugcina amarekhodi ezempilo nezamazokwelapha ngefomethi yedijithali kanye nezinhlelo ngokufanele ukusetshenziswa kwazo.