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1부. 보건의료정보화 현황
Ⅰ. 보건의료정보화 현황 ················································ 1
1. 우리나라 정보화 현황 ··········································· 1
2. 보건의료분야의 정보화 현황 ······································· 4
Ⅱ. 개인 의료정보 보호의 중요성 및 현황 ······························· 12
1. 의료정보화와 개인정보 보호 ······································ 12
2. 의료정보와 정보보안 ············································· 18
3. 의료정보 보호 국내 현황 ········································· 21
4. 해외 사례 - 미국 HIPAA 프라이버시 규칙 ·························· 26
5. 개인 의료정보 보호를 위한 대책 ·································· 29
<별첨> 개인정보 보호에 관한 OECD 가이드라인 개요 ··················· 31
Ⅲ. 보건의료정보화의 영향 ············································· 32
1. 환자의 자기정보통제권 ··········································· 37
2. 노동과정 변화에서 오는 스트레스 증가 ···························· 39
3. 보건의료의 시장화 ··············································· 42
2부. 사례 - 서울대병원 EMR
Ⅰ. EMR 체계 ·························································· 44
1. 서울대병원 정보화 현황 ·········································· 44
2. 서울대병원의 EMR 도입 과정 ······································ 46
3. EMR 구성체계 ···················································· 47
4. 서울대병원정보화 전략과 전망 ···································· 50
<별첨> 병원경영 분석에 활용되는 시스템 내용 ························ 54
Ⅱ. 서울대병원의 EMR 효과 ············································· 59
1. 설문조사 결과 ··················································· 59
2. 결과해석 ························································ 71
Ⅲ. 서울대병원 EMR과 현장통제 ········································· 85
1. 6시그마 ························································· 85
2. RFID-EMR-통합물류시스템-ERP··································· 88
3. I-First 실천교육 ················································ 90
4. 참고 사례 ······················································· 91
Ⅳ. 전산업무 외주화 현황 및 문제점 ···································· 100
1. 전산업무 외주화 현황 ············································ 100
2. 전산업무 외주화로 인한 문제 ····································· 101
3부. 노동조합의 대응
Ⅰ.신기술 도입 문제 어떻게 볼 것인가? ································· 105
Ⅱ. 노동권 보장을 위하여 ·············································· 109
[참고자료 1] 용어정리 ················································· 113
[참고자료 2] 건강정보보호 및 관리・운영에 관한 법률(안)에 대한 의견서 · 120
[참고자료 3] 보건의료 기관 개인정보 침해 관련 보도 자료 ··············· 124
[참고자료 4] 보건의료분야 개인정보유출 미국 등 외국 사례 ·············· 137
[참고자료 5] 보건의료정보화 관련 보도 자료 ···························· 142
1부. 보건의료정보화 현황
Ⅰ. 보건의료정보화 현황 ················································ 1
1. 우리나라 정보화 현황 ··········································· 1
2. 보건의료분야의 정보화 현황 ······································· 4
Ⅱ. 개인 의료정보 보호의 중요성 및 현황 ······························· 12
1. 의료정보화와 개인정보 보호 ······································ 12
2. 의료정보와 정보보안 ············································· 18
3. 의료정보 보호 국내 현황 ········································· 21
4. 해외 사례 - 미국 HIPAA 프라이버시 규칙 ·························· 26
5. 개인 의료정보 보호를 위한 대책 ·································· 29
<별첨> 개인정보 보호에 관한 OECD 가이드라인 개요 ··················· 31
Ⅲ. 보건의료정보화의 영향 ············································· 32
1. 환자의 자기정보통제권 ··········································· 37
2. 노동과정 변화에서 오는 스트레스 증가 ···························· 39
3. 보건의료의 시장화 ··············································· 42
2부. 사례 - 서울대병원 EMR
Ⅰ. EMR 체계 ·························································· 44
1. 서울대병원 정보화 현황 ·········································· 44
2. 서울대병원의 EMR 도입 과정 ······································ 46
3. EMR 구성체계 ···················································· 47
4. 서울대병원정보화 전략과 전망 ···································· 50
<별첨> 병원경영 분석에 활용되는 시스템 내용 ························ 54
Ⅱ. 서울대병원의 EMR 효과 ············································· 59
1. 설문조사 결과 ··················································· 59
2. 결과해석 ························································ 71
Ⅲ. 서울대병원 EMR과 현장통제 ········································· 85
1. 6시그마 ························································· 85
2. RFID-EMR-통합물류시스템-ERP··································· 88
3. I-First 실천교육 ················································ 90
4. 참고 사례 ······················································· 91
Ⅳ. 전산업무 외주화 현황 및 문제점 ···································· 100
1. 전산업무 외주화 현황 ············································ 100
2. 전산업무 외주화로 인한 문제 ····································· 101
3부. 노동조합의 대응
Ⅰ.신기술 도입 문제 어떻게 볼 것인가? ································· 105
Ⅱ. 노동권 보장을 위하여 ·············································· 109
[참고자료 1] 용어정리 ················································· 113
[참고자료 2] 건강정보보호 및 관리・운영에 관한 법률(안)에 대한 의견서 · 120
[참고자료 3] 보건의료 기관 개인정보 침해 관련 보도 자료 ··············· 124
[참고자료 4] 보건의료분야 개인정보유출 미국 등 외국 사례 ·············· 137
[참고자료 5] 보건의료정보화 관련 보도 자료 ···························· 142
