CAJ | 학술논문

《侵权责任法》施行后,对病历的合法性与真实性要求更为严格,对患者知情同意权保护更为明确.本研究结合上述法律变化,针对目前电子病历使用过程中存在的不足之处,提出必须健全电子病历各项法律认证制度,完善电子病历规范使用相关法律制度,制定提高医务人员依法使用电子病历意识的管理措施,以促使电子病历更好地适应现有法律环境,从而更加健康有序地发展.
《침권책임법》시행후,대병력적합법성여진실성요구경위엄격,대환자지정동의권보호경위명학.본연구결합상술법률변화,침대목전전자병력사용과정중존재적불족지처,제출필수건전전자병력각항법률인증제도,완선전자병력규범사용상관법률제도,제정제고의무인원의법사용전자병력의식적관리조시,이촉사전자병력경호지괄응현유법률배경,종이경가건강유서지발전.
Tort Liability Law set tougher requirements on the validity and authenticity of medical records,featuring explicit protection of patient rights of informed consent.Based on the changes in the law since its enforcement,the authors studied existing deficiencies of electronic medical records and came up with the following suggestions.Establish sound legal accreditation system for electronic medical records; perfect related laws and regulations to ensure standard application of the electronic medical records; and work out regulations to make medical staff aware of their legal responsibilities when applying electronic medical records.These recommendations will enable electronic medical records better fit the current legal environment onto the track of healthier development.