환자의 의료정보의 법적 보호에 관한 고찰

이봉문 인하대학교 법학연구소 2023 法學硏究 Vol.26 No.2

A Medical personnel record personnel record, create, and manage numerous patients' information through medical practices, and among these medical information, important and sensitive information that may significantly infringe on the privacy and confidentiality of individual patients is included. The reason that Article 22 of the Medical Act requires medical personnel to prepare so-called medical records such as medical records, midwifery records, nursing records, and examination records is that the medical personnel in charge of treatment themselves accurately record information about the patient's condition and the progress of treatment without omitting it. In addition to using this information for subsequent patient treatment, the information is also provided to other related medical practitioners so that patients can receive appropriate medical care, and to be used as data to determine the appropriateness of the medical practice after the medical practice is terminated. Medicine is developed through the experience that medical personnel have accumulated through long-term treatment of patients, the hypotheses based on it, and the research process that draws conclusions confirming this. When medical information including genetic statistics and disease information as well as video images is used, it can be used for medical innovation and quality improvement such as clinical decision-making by medical staff, customized medical provision, early detection of genetic diseases, prevention and disease management, and infectious diseases. will make a great contribution As such, patient medical information is data used for medical research as well as patient treatment, and plays an important role as a means of communication between medical personnel and patients, as a means of communication between medical personnel, and as data for establishing medical policies. In addition, medical information is used as important data for policy establishment and operation. The relationship to a number of laws related to medical information processing, such as the Personal Information Protection Act, Medical Act, and Bioethics Act related to the protection of patients' medical information, was not clear, making it difficult to utilize medical information. In addition, the concept or scope of personal information and the criteria for judging personal information are not clear, and there is a tendency to interpret personal information widely to protect the information subject, so the use of medical information can be an invasion of privacy and confidentiality. The focus was on protecting medical information, and there was a lack of legal basis or system for managing, distributing, and utilizing medical information. The three data laws (Personal Information Protection Act, Information and Communications Network Act, Credit Information Act), which promote the use of information, passed the plenary session of the National Assembly on January 9, 2020, and are in force from August 5, 2020. In this paper, in order to examine the proper protection and utilization of patient’s medical information, first Ⅱ. In terms of patient’s medical information, the definition of medical information, the relationship between personal information and medical information in terms of the legal nature of medical information, and as the utilization of medical information becomes more active, whether the ownership of medical information belongs to the patient, the medical practitioner, or whether the patient and the medical practitioner share examines the legal status of medical information, the basis for protection of medical information, and the utilization of medical information, which are very important legal issues in the industry using medical information, and then Ⅲ. In the legal protection of patient’s medical information, the necessity of legal protection of medical information, the legal system of medical information is reviewed, and finally, the b... 의료인은 의료행위를 통하여 수많은 환자들의 정보를 기록·생성·관리하며, 이들 의료정보 중에는 환자 개인에 대한 사생활과 비밀을 현저히 침해할 우려가 있는 중요한 민감한 정보들이 포함되어 있다. 의료법 제22에서 의료인이 진료기록, 조산기록, 간호기록, 검사기록 등 이른바 의무기록을 작성하도록 한 이유는 진료를 담당하는 의료인 자신으로 하여금 환자의 상태와 치료의 경과에 관한 정보를 빠트리지 않고 정확하게 기록하여이를 그 이후의 계속되는 환자치료에 이용하도록 함과 아울러 다른 관련 의료종사자에게도 그 정보를 제공하여 환자로 하여금 적정한 의료를 제공받을 수 있도록 하고, 의료행위가 종료된 이후에는 그 의료행위의 적정성을 판단하는 자료로 사용될 수 있기 위해서다. 의학이란 의료인들이 오랜 기간 환자의 진료를 통하여 축적한 경험과 이를 바탕으로 하는 가설 그리고 이를 확인하는 결론을 도출하는 연구과정을 통하여 발전하고, 의료인들이 진료를 통하여 취득한 환자들의 진료기록, 임상정보, 의료영상 이미지뿐만 아니라 유전자 통계, 질병정보 등을 포함한 의료정보를 활용할 경우 의료진의 임상적 의사결정, 맞춤형 의료제공, 유전성 질환의 조기발견, 예방과 질환 관리, 전염성 질환 등 의료혁신과 의료의 질 향상 에 크게 기여할 것이다. 이처럼 환자의 의료정보는 환자의 진료뿐만 아니라 의학연구에 활용되는 자료로 의료인과 환자 사이의 의사소통 수단으로서, 의료인 사이의 의사소통 수단으로서 그리고 의료정책 수립을 위한 자료로서 중요한 역할을 한다. 이외에도 의료정보는 정책 수립과 운영에도 중요한 자료로 활용되고 있다. 환자의 의료정보 보호와 관련된 개인정보호법, 의료법, 생명윤리법 등 의료정보 처리에 관한 다수의 법률에 대한 관계가 명확하지 않아 의료정보의 활용을 어렵게 하고 있었다. 또한 개인정보의 개념이나 범위, 개인정보의 판단기준이 명확하지 않고 정보주체 보호를 위해 개인정보를 넓게 해석하는 경향이 있는바, 의료정보의 활용은 개인의 사생활과 비밀에 대한 침해가 될 수 있어 의료정보를 보호하는데 중점이 있으며, 의료정보를관리, 유통, 활용하기 위한 법률적 근거나 제도는 부족한 상황이었다. 정보의 이용을 활성화하는 데이터 3법(개인정보보호법·정보통신망법·신용정보법)이 2020년 1월 9일 국회 본회의를 통과 했고 2020년 8월 5일부터 시행되고 있다. 본 논문에서는 환자의 의료정보에 대한 적절한 보호와 활용에 대하여 살펴보기 위해먼저 Ⅱ. 환자의 의료정보에서는 의료정보의 정의, 의료정보의 법적 성격에서는 개인정보와 의료정보와 관계, 의료정보의 활용이 활발해 지면서 의료정보의 소유권이 환자에있는지, 의료인에게 있는지 혹은 환자와 의료인이 공유하는지는 의료정보를 활용한 산업에서 매우 중요한 법적 쟁점이 되고 있는 의료정보의 법적지위, 의료정보의 보호근거, 의료정보의 활용을 검토하고, 다음으로 Ⅲ. 환자의 의료정보의 법적 보호에서는 의료정보의 법적보호의 필요성, 의료정보의 법적 체계를 검토하고, 마지막으로 의료정보의 활용과 보호의 균형에 대하여 알아보고자 한다.

환자 개인정보보호에 대한 치위생 전공 학생의 인식도

조명숙,이성숙,Cho, Myung-Sook,Lee, Seong-Sook 대한치과위생학회한국치위생과학회 2021 대한치위생과학회지 Vol.4 No.1

Background: The purpose of the present study was to gather basic data necessary for developing an educational program regarding the protection of patients' personal information. Such a program would stress the importance of the protection of patients' personal information for dental hygiene students obtaining clinical practice. Methods: A self-reported questionnaire-based survey was conducted targeting dental hygiene undergraduates who were obtaining clinical practice in the capital region. A total of 543 questionnaires were included in the analysis. Results: The results of this study were as follows: 1) the average score for awareness of the Patient Privacy Act was 2.93 on a 4-point scale; 2) the average score for the recognition of the protection of patients' personal information was 3.22 on a 4-point scale; 3) the area-based perception of the protection of patient's personal information was 3.37 points for communication, which scored highest, followed-by the linked-work area at 3.27 points, the patient's information management at 3.22 points, and the direct dental hygiene work at 3.18 points; 4) with regard to awareness of the protection of patients' personal information according to general characteristics, the perception was higher in the advanced academic year (p < 0.01), in those who had education regarding the protection of patients' personal information at both the university and the clinical practice institution (p < .05), and in those with higher grades (p < 0.01). Conclusions: Based on the above findings, the development and application of an educational program to improve awareness of the protection of patients' personal information are considered to be necessary by both universities and clinical practice institutions.

환자개인정보보호에 대한 간호대학생의 인식과 태도

김수현(Suhyeon Kim),강수민(Sumin Kang),유재인(Jaein Yoo),이가현(Gahyeon Lee),이효정(Hyojeong Yi),이현주(Hiunju Lee) 다문화건강학회 2020 다문화건강학회지 Vol.10 No.2

The purpose of this study was to investigate the levels of perception and attitude of nursing students with clinical practice experience in terms of patients’personal information protection. Method: Among nursing students attending one university in Gyeonggi-do, 102 students in third and fourth grades who had clinical nursing practice experience were recruited. Data were collected between August 1, 2019 to August 29, 2019. Statistical analysis of the data was performed using SPSS version 24. T-test, ANOVA, and Pearson s correlations as well as Scheffe test were performed. Results: The study found that 92.2 percent of the subjects had educational experience in patient privacy. It was found that nursing students who had experience in patient personal information protection education at universities and medical institutions were highly aware of the protection of patient personal information. Conclusion: Education experience of nursing students in college or clinical practice setting in terms of patients’personal information protection lead to high levels of awareness and practical attitude of patient privacy among nursing students. The higher the awareness of patient privacy among nursing students, the higher the actual degree of practical attitude in terms of personal information protection of their patients.

코로나19 시대의 개인정보보호방안에 관한 연구

이주희 충북대학교 법학연구소 2020 과학기술과 법 Vol.11 No.2

Personal information and health information on Covid-19 patient of an infectious disease and person suspected of contracting an infectious disease are disclosed in accordance with Article 6 and Article 34-2 of the Infectious Disease Control and Prevention Act, and also the rights of the subject of personal information are excluded by Article 58 (1) 3 of the Personal Information Protection Act, even if the information is private data. So, the personal information of a patient of an infectious disease does not actually fall into the area of privacy protection. Consequently, this allows the state to obtain private information and that information is located outside the protected area of the Personal Information Protection Act. Eventually, conflict arises between the two laws: Infectious Disease Control and Prevention Act that aims to improve the health of the people by stipulating the prevention and management of infectious diseases, and Personal Information Protection Act that aims to protect individual freedoms and rights and to realize individual dignity and values. Recognizing these issues, this article studied how personal information protection should be handled in a national disaster situation caused by an infectious disease. To this end, we researched the applicable provisions on the processing of personal information in national emergency situations such as Covid-19 (Ⅱ), reviewed, from a constitutional perspective, the regulations on the processing of personal information of citizens other than patient of an infectious disease and person suspected of contracting an infectious disease (Ⅲ), proposed a desirable method of handling public health information such as infectious diseases after reviewing the European Personal Information Protection Act, the General Data Protection Regulation (GDPR), which had the greatest impact on the amendment of the Personal Information Protection Act (Ⅳ), and finally researched how to best protect the rights of the subject of the personal information in national disasters such as Covid-19 (Ⅴ).

간호대학생의 환자 개인정보보호 인식, SNS 중독경향성, 간호정보활용 역량이 간호전문직관에 미치는 영향

김현영(Hyun Young Kim) 학습자중심교과교육학회 2024 학습자중심교과교육연구 Vol.24 No.10

목적 본 연구는 간호대학생의 환자 개인정보보호 인식, SNS 중독경향성, 간호정보활용 역량이 간호전문직관에 미치는 영향을 파악하여 간호전문직관 형성에 필요한 기초자료를 제공하고자 수행되었다. 방법 본 연구에는 일 대학 간호학과 200명이 참여하였고, 자료수집 기간은 2023년 1월 3일부터 1월 25일까지였다. 자료는 SPSS Statistics 27.0 프로그램으로 분석하였으며, 변수의 특성에 따라 기술통계, Independent t-test, ANOVA로 분석하였다. 또한 변수 간의 관계는 Pearson’s Correlation, 간호대학생의 간호전문직관에 영향을 주는 요인은 Hierarchical Multiple Regression을 실시하였다. 결과 간호대학생의 간호전문직관에 유의한 차이를 보인 일반적인 특성은 하루 SNS 평균 사용시간(F=8.19, p<.001), 환자 개인정보보호 교육의 필요성 유무(F=3.21, p<.05)였다. 환자 개인정보보호 인식(r=.529, p<.001), 간호정보활용 역량(r=.647 p<.001)은 유의한 양의 상관관계를 보였고, SNS 중독경향성(r=.148, p<.05)은 약한 양의 상관관계를 보였다. 유의한 일반적 특성을 통제변수로 투입하고 독립변수를 추가 투입한 모형 를 통해 간호정보활용 역량2,환자 개인정보보호 인식 순으로 간호대학생의 간호전문직관에 높은 영향을 주는 것으로 나타났고, 그 설명력은 47.5%였다. 즉, 간호정보활용 역량이 높을수록, 개인정보보호 인식이 높을수록 간호전문직관이 높은 것으로 나타났다. 결론 본 연구결과를 토대로 4차 산업혁명 시대를 살고 있는 간호대학생에게 간호전문직관을 형성하기 위해서는 간호정보를 활용할 수 있는 역량을 기르고, 환자들의 개인정보에 대해 높은 보호 인식을 가지고 관리하며, 전문직으로서 새로운 정보의 공유 및 타인과의 관계 형성을 위해 실시간 접속으로 SNS의 순기능을 적극적으로 활용하는 것이 필요하다. Objectives This study was conducted to provide basic data necessary for the formation of nursing professional values by identifying the effects of nursing students' awareness of patient personal information protection, SNS addiction tendency, and nursing information literacy competency on nursing professional values. Methods A structured self-report questionnaire was used to measure awareness of patient personal information protection, SNS addiction tendency, and nursing information literacy competency to nursing professional values. Data were collected from January 3 to January 20, 2023. Participants were 200 nursing students studying in 1 uni-versity within Gumi Province. Data were analyzed using Independent t-test, ANOVA, Pearson correlation co-efficients, and Hierarchical Multiple regression with the SPSS Statistic 27.0 program. Results The general characteristics that showed significant differences in nursing professional vlaues of nursing students were the average daily use of SNS(F=8.19, p<.001), and the necessity of patient personal information protection education(F=3.21, p<.05). Awareness of Patient Personal Information Protection(r=.529, p<.001) and nursing Information Literacy Competency(r=.647 p<.001) showed a significant positive correlation, and SNS ad-diction tendency(r=.148, p<.05) showed a weak positive correlation. Through Model 2, in which significant general characteristics were input as control variables and independent variables were added, it was found that nursing Information Literacy Competency and awareness of Patient Personal Information Protection had a high influence on nursing professional vlaues of nursing students in that order, and the explanatory power was 47.5%. In other words, the higher the nursing Information Literacy Competency and the higher the awareness of personal in-formation protection, the higher nursing professional vlaues. Conclusions Based on the results of this study, in order to form a nursing professional values for nursing students living in the era of the Fourth Industrial Revolution, it is necessary to develop the ability to utilize nursing in-formation, manage patients' personal information with high protection awareness, and actively utilize the net function of SNS through real-time access to share new information and form relationships with others as a professional.

복부 전산화단층촬영에서 Bolus triggering기법을 이용한 체질량 지수 변화에 따른 최적의 지연시간 연구

정재연(Jeong Jae yeon),김홍석(Kim Hong suck),최진영(Choi Jin Young),임상묵(Lim Sang Muk),조영기(Kim Dae Hyun),김대현(Cho Young Ki) 대한CT영상기술학회 2013 대한CT영상기술학회지 Vol.15 No.1

목적 조영증강 CT 검사에서 병변의 진단과 조영제 사용 등에 많은 영향을 주고 있는 조영증강 시간을 환자의 성별, 연령별, 비만, 고혈압 유무 등의 체질량지수에 따라 복부 대동맥에서 Bolus triggering 기법을 이용하여 평균 도달 시간이 사람마다 각각 다르게 나타난다는 점을 착안하여 조영 시간에 영향을 주는 인자들에 대해 살펴보고 환자방어의 최적화를 위한 그들의 상관관계에 대해 유용성을 알아보고자 연구하였다. 대상 및 방법 2010년 8월부터 2011년 8월까지 12개월간 본원에서 복부 전산화단층촬영을 시행한 환자 중 장비에 내장된 응용 소프트웨어 Bolus triggering 기법을 이용하여 검사를 시행한 환자를 대상으로 하였다. 정상 환자군에서 남, 여 각 50명씩 100명, 비만 환자군에서 남, 여 각 50명씩 100명, 고혈압 환자군에서 남, 여 각 50명씩 100명, 비만과 고혈압이 동시에 있는 환자군에서는 남, 여 각 40명씩 80명이었다. 스캔 범위를 결정한 다음 20G로 정맥내 주사를 확보하여 조영제 양을 3.5 ml/s, 2 ml/kg의 주입속도로 주입하고 난 후 생리식염수 20 ml를 같은 주입속도 비율로 주입하여 균일한 조영증강이 정점에 도달하게 하였다. 복부 대동맥에서 Bolus triggering을 실시하여 100 HU되는 시점으로부터 15초 후 영상을 얻기 시작하였다. 선량측정은 전체 스캔 선량을 표시하는 DLP값을 이용하여 비교하였다. 결과 연령별 분석에서 연령이 증가할수록 모니터링 횟수가 증가되었고 평균 도달 시간이 늦어지는 것을 알 수 있었으며 통계적으로 유의한 차이를 보였다(p= .001). 성별 분석에서는 남자군이 여자군보다 모니터링 횟수가 증가되었고 평균 도달 시간이 늦어지는 것을 알 수 있었으며 통계적으로 유의한 차이를 보였다(p= .001). 환자의 특성 중 100 HU값의 조영증강 시간은 체질량지수 측정 결과 비만 환자군 또는 고혈압 환자군 보다는 비만과 고혈압을 동시에 가지고 있는 환자군에서 모니터링 횟수가 증가되었고 평균 도달 시간이 늦어지는 것으로 나타냈다(p= .001). 기존의 모니터링 스캔 지연시간 15초를 비만 환자나 질환의 유무 및 정도에 따라 조절하여 모니터링 횟수 분석을 통해 적용했을 때 평균 4.4회로 DLP값 0.214 mSv였고, 모니터링 시작 시간을 4초 후에 시작함으로써 DLP값 0.214 mSv의 방사선 노출을 감소시킬 수 있었다. 비만인 남자 환자군에서 평균 5.4회로 DLP값 0.283mSv, 여자 환자군에서 평균 4.38회로 DLP값 0.212 mSv로 나타냈다. 고혈압인 남자 환자군에서 평균 5.18회로 DLP값 0.268 mSv, 여자 환자군에서 평균 3.62회로 DLP값 0.182 mSv로 나타났다. 결론 환자의 특성 중 100 HU값의 조영증강 시간은 연령이 증가할수록, 성별이 여자군 보다는 남자군에서, 체질량지수 측정결과 비만과 고혈압을 동시에 지닌 환자군에서 조영증강 시간이 증가하는 것으로 나타났다. 본 실험에서와 같이 모니터링 자료를 관리하여 환자 개개인의 특성을 알고 접근한다면 1년에 최소 2~3번까지 추적검사를 하는 환자에게 피폭되는 선량값을 줄일 수 있을 것으로 사료된다. Ⅰ. Purpose The purpose of this study is to review the factors influencing the contrast time and to identify the usefulness of their correlations of the factors for the optimization of patient protection, considering that in contrast enhancement CT, contrast enhancement time influences much on the lesion diagnosis and the use of contrast agent and average arrival time varies among people by sex, age, obesity, BMI and hypertension. In this study, it was measured at abdominal aorta using Bolus triggering technique. Ⅱ. Meterial and Methods The subjects were the patients who had a test using Bolus triggering technique among the patients who had abdominal Computed Tomography in Chonbuk National University Hospital for 12 months from August 2010 to August 2011. Subjects were selected as 100 people (50 males and females respectively) from normal group, 100 people (50 males and females respectively) from the group of hypertension patients, and 80 people (40 males and females respectively) from the group with obesity and hypertension together. After determining the scan scope, contrast agent was injected at 3.5 ml/s or 2 ml/kg by securing the intravenous injection with 20 gauge and 20 ml physiological saline was injected at the same injection speed to make the even contrast enhancement arrive at peak. Performing Bolus triggering at abdominal aorta, images were acquired from 15 seconds after 100HU. Dosimetry was compared using DLP value showing the total scan dose. Ⅲ. Result From the analysis by age, the times of monitoring increased with the increase of age, average arrival time became delayed, and the difference was statistically significant (p= .001). In the analysis by sex, male patients had more monitoring sessions than female patients, average arrival time was delayed, and the difference was also statistically significant (p= .001). From the characteristics of the patients, contrast enhancement time of 100HU was seen more frequently among the group with obesity and hypertension together than the group of obesity or hypertension and the arrival time was later in obese and hypertension group (p= .001). When applying by coordinating the conventional monitoring scan delay time (15 seconds) according to the obesity or the presence of a disease and analyzing the monitoring times, the average monitoring times was 4.4 or 0.214 mSv in DLP value. By adjusting the monitoring starting time to 4 seconds late, radioactive exposure such as DLP value of 0.214 mSv could be reduced. It was shown as 5.4 times and 0.283 mSv of DLP in obese male patients, and 4.38 times and 0.212 mSv of DLP in obese female patients. It was shown as 5.18 times and 0.268 mSv of DLP in hypertension male patients, and 3.62 times and 0.182 mSv of DLP in hypertension female patients. Ⅳ. Conclusions Contrast enhancement time of 100 HU increased in the patients who were older males and had obesity and hypertension together. If approaching the characteristics of each patient by managing the monitoring data just as in this experiment, we may be able to reduce the radioactive dose that the patients would have who should have at least 2-3 times follow up treatment a year.

치위생과 학생들의 윤리적 성향과 자아존중감이 환자 의료정보보호 인식에 미치는 영향

김지영,배선영,지정 대한통합의학회 2024 대한통합의학회지 Vol.12 No.3

Purpose : This study explores the effects of dental hygiene students' ethical propensity and self-esteem on their awareness of protecting patient medical information and how these factors interact to influence their professional ethical consciousness. The aim of this study is to highlight the role of university education in shaping the ethical values of dental hygienists. Methods : Between June 1 and November 30, 2023, 210 dental hygiene students in Busan Metropolitan City participated in this study. After providing consent, the participants completed a self-administered questionnaire comprising 69 questions. The questions covered general characteristics (8 questions), ethical propensity (20 questions), self-esteem (10 questions), and awareness of patient medical information protection (31 questions), all measured on a five-point Likert scale. Results : Correlation analysis indicated that idealism had a significant positive correlation with relativism (r=0.35, p<.001), self-esteem (r=0.28, p<.001), and awareness of patient medical information protection (r=0.46, p<.001). Relativism had a significant positive correlation with self-esteem (r=0.17, p<0.05) and awareness of patient medical information protection (r=0.23, p<.01). Self-esteem had a significant positive correlation with awareness of patient medical information protection (r=0.34, p<.001). Multilinear regression analysis revealed that idealism (ß=0.38) and self-esteem (ß=0.22) significantly increased the level of awareness of patient medical information protection. However, relativism did not have a significant impact on the level of awareness of patient medical information protection. The model explained 26.0 % of the variance (24.9 % when corrected). Conclusion : Higher levels of idealism and self-esteem correlate with greater awareness of patient medical information protection. In addition to appropriate program development and strategies, university curricula for dental hygiene students should include systematic and continuous training to enhance the values of ethical awareness, idealism, and self-esteem.

간호대학생의 의료정보보호에 대한 인식도와 실천도

김은영,임경숙 한국융합보안학회 2017 융합보안 논문지 Vol.17 No.5

본 연구는 간호대학생의 의료정보보호에 대한 인식도와 실천도 정도를 알아보고, 이들 간의 관계를 파악하기 위한 서술적조 사연구이다. 연구대상은 G광역시에 소재한 대학교 중 2개 대학의 간호학과에 재학 중이며, 임상실습을 경험한 남녀 간호대학생 122명으로 자료수집은 2017년 10월 13일부터 28일까지 이루어졌다. 자료분석은 SPSS/WIN 21.0 프로그램을 이용하여, 기술통 계, t-검정, 일원분산분석, 피어슨 상관관계분석을 하였다. 연구결과, 의료정보보호 인식도와 실천도는 5점 만점에 인식도는 4.44(SD=0.44)점, 실천도는 4.28(SD=0.62)점이었다. 학교(t=5.094, p<.001)와 병원(t=2.028, p=.045)에서의 의료정보보호에 대한 교 육을 받은 경험이 있는 경우에 의료정보보호에 대한 인식도 차이가 있었으며, 실천도는 병원에서 의료정보보호에 대한 교육을 받은 경험이 있는 경우 통계적으로 유의한 차이를 보였다(t=2.551, p=.012). 의료정보보호 인식도와 실천도는 유의한 정적(+) 상 관관계가 있었으며, 의료정보보호 실천도는 의료정보보호 인식도의 하위영역인 의사소통영역(r=.420, p<.001), 정보관리영역 (r=.368, p<.001) 및 의뢰영역(r=.304, p=.001)과 유의한 정적(+) 상관관계가 있었다. 이러한 결과를 바탕으로 환자의 개인정보를 보호할 수 있는 방안을 모색하고 표준화된 교육프로그램을 위한 개발에 힘쓰고자 필요한 기초자료를 제공하기 위함이다. This study is a narrative research study to understand the degree of awareness and practice of nursing college students' patients’ health information protection and to grasp the relationship between them.. The subjects of this study were 122 nursing college students who experienced clinical practice in two nursing colleges in GwangJu city. Data collection was done from October 13 to 28, 2017. Using SPSS/WIN 21.0 Program, descriptive statistics, t-test, one-way ANOVA and Pearson correlation analysis were performed. As a result of the study, the degree of awareness and practicability of patient' health information protection were 4.44(SD=0.44) and 4.28(SD=0.62), respectively. There was a difference in the awareness of health information protection when they were educated about patients’ health information protection at school (t=5.094, p<.001) and hospital (t=2.028, p=.045) in the case of having experience in patients’ health information protection in hospitals(t=2.551, p=.012). There was a significant positive(+)correlation between patient's health information protection perception and practicing degree, and the degree of health information protection practitioner 's communication domain (r=.420, p<.001). There was a significant positive correlation with the domain (r=.368, p<.001) and the referral domain (r=.304, p=.001). Based on these results, we sought to protect the personal information of patients and to provide necessary basic data to develop for standardized education program.

치과의료진의 개인보호장구 착용에 관한 환자의 인식

임현경 ( Hyun Kyung Kim ),정원균 ( Won Gyun Chung ),유재하 ( Jae Ha Yoo ),김남희 ( Nam Hee Kim ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.3

Objective: The purpose of this study is to investigate the patient`s perception about wearing personal protective equipment in dental health care settings. By providing this information, the study aimed to increase the dental health-care team`s interest and action for infection control. Method: A survey was performed on 714 subjects aged 18 years or older and who visited 13 dental clinic located in Seoul and the Gyeonggi, and Chungcheong areas from Sep.18 to Nov.8 in 2008. The research tool was a structured questionnaire. The collected data was analyzed by Chi-square tests, independent t-tests and one-way ANOVA. Result: 1. With respect to the reasons of wearing personal protective equipment by dental health-care personnel, `to protect health-care personnel and the patients (77.6%)`, `o protect patients (13.4%)` and, `to protect dental health-care personnel (9.0%)` were the responses. 2. With regard to the patient`s perception about the necessity of wearing protective equipment, they replied that a mask (93.6%), gloves (88.1%), and protective eye-wear (47.1%) should be worn during the treatment. A mask and gloves were generally recognized as the mandatory hygienic equipment to be worn. 3. With respect to gloves, the perception was different depending on the age. The respondents in their 20s and those who were younger cared more about dental personnel wearing gloves than those respondents in their 50s and older (p<0.001). 4. Regarding the patients` perception of changing used gloves, 83.1% replied that gloves should be changes whenever dental personnel meet a new patient. Conclusion: The patient`s perception and demands are considered to be an efficient way to change the dental health care team`s perception and their infection control behavior.

醫師의 說明義務와 患者의 自己決定權

崔幸植(Choi Haeng-Sik) 한국법학회 2004 법학연구 Vol.17 No.-

The protection of patients' right is one of the most serious issues in the course of such highly divided and specialized conducts of medical doctors as practiced today. Since medical doctors are usually given fair grade of authority for their medical judgements, there comes on the scene the necessity to protect the right of patients from danger of being exposed to peremptory treatment of medical doctors. Moreover, the treatment of doctors may incur the intrusion into the bodies of patients, an act which requires the prior consent of patients in order to be deemed justifiable, If a patient does not know about what a doctor is going to do for treatment, the patient may not be able to agree to it. This is why the obligation of medical doctors to explain is emphasized with a view to assure the right of patient's self-determination concerning medical treatment. The present paper reviews primarily the scope of doctor's obligation to explain, which is believed today to constitute one of doctor's responsibilities together with those of medical examination, medical record keeping, presentation of medical charts for view and observance of secrecy. This study also covers the effects of violation of such obligations. A brief comment will follow lastly to deal with the basis for recognition, contents and effects of consent by patients for the intrusion into patients' body which is a prerequisite to make the treatment of medical doctors justifiable.