A decentralized approach to word processing in a hospital setting.
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Medical data are collected, stored, transferred and used in Belgium as in many other western countries. Most of these countries have statutes for the protection of the individual with regard to (automatic) processing of medical data. Belgium, however, does not have such statutes or regulations. This article, firstly, describes briefly the processing of medical data on different levels in Belgium. It secondly illustrates the lack of personal medical data protection of the individual in Belgium. When more and more states started ratifying Council of Europe Convention No 108, the Belgian attitude was at times embarrassing. To make things worse, a Proposal for a Council Directive of 27 July 1990 has been published. The proposal, providing a deadline for the member states, aims at establishing throughout the community a high level of data protection on the basis of the internationally acknowledged principles of Convention No 108 and taking into account more recent national legislations in line with current technological developments. Special protection is provided for sensitive medical data. As said before, Belgium does not yet have legislation for medical data protection. There is, however, a draft concerning the protection of a person's data with regard to the processing of personal data. This draft, which might soon become law, is critically analysed, more particularly its protection of the individual in relation to the processing of medical data.
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A study of 191 data processing workers undertaken in Porto Alegre, Brazil, in 1989, is presented. The relationship between complaints of loss of memory and their respective scores on cognitive testing in three groups of workers, one with automatized repetitive activities and two others with diversified activities, is analysed. The scores and complaints are compared with the results of a screening test for psychiatric disorders in order to verify the influence of this confounding factor. No significant evidence of cognitive problems was found despite the high prevalence of complaints of memory loss in this population (65.4%). There is a significant statistical association between these complaints and the scores of the psychiatric testing. It is suggested that futures studies should emphasize psychiatric analysis with a view to clarifying the complaints of Data Processing workers.
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