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1.6 Parties
The
system we want to build and put on disposal on Internet is potentially
destined to all individuals who can access Internet.
The
system will have a Home Page available for every one and a public dominion
information, but to employ the services it is required to select users
who will have access to such system by differing among figures having
a different authority on the available data and so able to getting or
not to the display of certain information.
On
follow we detail the main parties that will operate in the system.
1.6.1 The patient
The
Patient is the main figure of this project since he's who can benefit
from the implementation of a system able to maintain and put on disposal
important information for his state of health.
In
the current healthy organization the Patient is still deemed as a passive
subject that is not at all owner of the information regarding his state
of health.
Such
approach will change on the push of a greater autonomy of the patient
and of some rules concerning the law about privacy.
The
project foresees that the receivers are not only the Patients “substantially
healthy “, but mainly Patients in troubles, that is those affected
by particular pathologies or who are in a difficult situation, for it
is required to recollect the substantial information to reconstruct
their anamnesis in the less possible time.
Think
about for example about an emergency cardiopath gets to the first aid
without anyone having noticed the medical personnel about the situation
previous to the crisis.
For
convenience reasons in order to the project, we conjecture that the
Patient brings the whole important information with him: clinic sheet,
laboratories test, discharge letter, radiographs, TAC, scintigraphies,
ultrasound scanner tests, medical reports....
Such
information must be stored in a centralized system easy to look it up
and to find.
It
can already be perceived some elements regarding patient and that must
be deepen:
-
Must the Patient see and know all the information about his state of
health or must they be mediated by someone (the panel doctor or the
family doctor...) ?
-
How must the Patient have all information if they are hard to find since
stored by the means different mediums (paper, magnetic, optical...)
differently formatted and care of different bodies?
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How must the Patient transfer such information to the centralized system?
-
Who must border the information besides the same patient and which degree
of detail is allowable so to grant at the same time the required privacy?
-
Which degree of acknowledgement about informatic instruments of Internet/Intranet
must the Patient have to employ the system?
-
Which are the less information and the detail level that must have information
to put in the centralized memory?
1.6.2 The Physician
The
Physician figure is of the utmost importance within such project since
he's the active party employing the system.
Indeed
the Patient gives mandate to the system to store and make accessible
information regarding his state of health, so someone competent, just
the Physician, could access to analyze them at the time the Patient
is in a state of necessity o for a simple control.
The
Physician will have furthermore a function of mediation toward patient.
The law about Privacy safeguard foresees that the Physician has the
responsibility to communicate and to mediate all information about his
state of health.
The
problem itself is not easy to interpret and it is not univocal since
not all Patients, in case of serious pathologies, want to have a complete
acknowledgement of what is happening, rather on opposite, ever more
we move toward the Anglo-Saxon model within it must be warranted to
the patient the free choice about treatments to do and so he must be
fully awareness of his state of health.
It
obvious that it exists different levels and competencies of the professional
figure of the physician, but to the purposes of our project we'll are
interested in distinguish fundamentally among three situations:
*
The First Aid
*
The Specialist
*
The Family Doctor
The First Aid
It's
the first place where it is needed to view all information about patient
whereas he is in a state of necessity.
The
basic feature of the required service is that it must get in the less
time (so it is required a quick system) the remarkable information allowing
a first diagnosis.
The
Physician of the First aid is not interested to analytical information
but rather to essential information.
So
the system must discriminate between First Aid, general practitioners
and specialists to supply to the first the essential but exhaustive
information in very brief times.
The
Specialist
In
this second group, we must put all physicians, both general practitioners
and specialists, who must border all the detailed information about
the state of health of the Patient allowing a deepen analysis. It's
obvious that for privacy reasons not all information must be put on
disposal to all physicians. So it is required a third figure that is
the family doctor.
The Family doctor
The
family doctor is a physician named by the patient who can fully view
all the confidential data of the patient.
He
will have the function to warrant that the information regarding patient
could be seen in its entirety by someone, besides by the patient himself,
and that information particularly crucial are introduced anyhow in the
system without having he the full view.
The
family doctor and the Patient will have the authority to decide which
data the several users of the system can view.
The
Patient can also decide if remit the family doctor the sole authority
to fully view the data.
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