摘要
为了提高理赔效率,某医院与某商业保险公司改变传统商业保险的病案勘察模式,在数字化病案基础上,开展病案远程调阅项目,但其安全性是值得关注的重点。本文就该项目中涉及到的法律法规、数据保护措施和信息安全保障进行了探讨。数字化病案和证明材料图片与原件的一致性和原件的可获得性是病案远程调阅的法律安全基础,符合法律法规的要求;签订安全协议及保密条款、明确勘察权限保护了医院、保险公司、患者3方的合法权益;在信息系统安全保护等级为第三级的前提下,虚拟专用网的应用、前置机的数据转化和认证、数据的3DES对称加密、操作可追溯、用户端的安全保护等措施,保证了数据及网络传输的安全性。将病案远程调阅应用到商业保险中是安全可行的。
In order to improve the efficiency of commercial insurance claims, a hospital and a commercial insurance company changed the traditional medical insurance investigation mode, and carried out remote access of medical records on the basis of digital medical records, but its safety is the focus of attention. This article discussed the laws and regulations, data protection measures and information security guarantees involved in the project. The consistency between the digital medical records, certificates and the original materials, and the availability of original materials is the legal security basis for the remote access of medical records, in line with the requirements of laws and regulations. Signature of security agreements and confidentiality clauses, and definite investigation purview protect legitimate rights of hospitals, insurance companies and patients. Under the premise of third level information system security protection, measures such as application of the virtual private network, data conversion and authentication in the front-end machine, 3 DES symmetric encryption of the data, operation traceability, security protection of user computer, etc. guarantee the safety of data and network transmission. In summary, it＇s safe and feasible to apply remote access of medical records to commercial insurance.
作者
谢辉
裴圣广
陈晶
陈曦
吴丽娜
Xie Hui;Pei Shengguang;Chen Jing;Chen Xi;Wu Lina(School of Medicine and Health Management,Tongji Medical coliege,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中国病案》
2018年第11期20-22,共3页
Chinese Medical Record
关键词
病案远程调阅
商业保险
安全性
Remote access to medical records
Commercial insurance
Security
