Ηθικά και δεοντολογικά προβλήματα στη χρήση του ηλεκτρονικού φακέλου φροντίδας υγείας του ασθενή

Abstract

This thesis after giving the definitions of Health Informatics, Ethics, Morals, Responsibility, Secrecy, Confidentiality, Privacy, Security, Sensitive Personal Data, Health Data Protection, describes the fields/domains of use of Informatics in the Sector/Domain of Health and especially the Electronic Health Care Record, it discusses within the framework of the 4 ethical principles of beneficence, non-maleficence, autonomy and justice, the different Ethical problems and Moral Dilemmas which emerge by the general use of Informatics in the Health Sector/Domain, and are specifically encountered in the use of the Electronic Health Care Record of the Patient. The current status of Legal Issues, Rules and Regulations is described. Also are discussed, the possible impacts to our future as Health Care consumers or providers, taking into consideration the vast/enormous geometrically expanded and unavoidable use of Health Informatics / Electronic Health Care Record, - which includes possible dangers, sometimes difficult to control with administration rules and auditing. In addition are presented the probable solutions/measures that should be taken under consideration / into account, and implemented, when applying Health Care policies in the future. Based on the above the use of a new created tool in the form of a questionnaire is proposed regarding the ethical and moral use of the Electronic Health Record is suggested. Different variables representing the 4 ethical principles are created and can be asked using a five point answering scale and the outcome is both four singles and a total scores giving us an idea of the set of values of the health professional asked. Also are presented some interesting results of this particular survey/research, which was addressed, to health care professionals (doctors and nurses) of four health care organizations.