隐私保护视角下医疗数据共享意愿研究——基于三方演化博弈分析  

Research on Willingness to Share Medical Data from Perspective of Privacy Protection——Based on Tripartite Evolutionary Game Analysis

作　　者：韩普 顾亮 张嘉明 Han Pu;Gu Liang;Zhang Jiaming(School of Management,Nanjing University of Posts & Telecommunications,Nanjing 210003,China;Jiangsu Provincial Key Laboratory of Data Engineering and Knowledge Service,Nanjing 210023,China)

机构地区：[1]南京邮电大学管理学院,江苏南京210003 [2]江苏省数据工程与知识服务重点实验室,江苏南京210023

出　　处：《现代情报》2021年第3期148-158,共11页Journal of Modern Information

基　　金：国家社会科学基金项目“大数据环境下健康领域实体语义挖掘研究”(项目编号:17CTQ022)。

摘　　要：[目的/意义]推进医疗数据共享是“互联网+医疗健康”的关键环节,在隐私保护视角下,构建三方演化博弈模型以分析不同主体的决策行为,探究各方利益相关者的共享意愿。[方法/过程]首先构建了患者、医疗服务机构和政府的三方演化博弈模型,接着分析参与主体在模型中的演化稳定策略,最后探究三方参与主体对医疗数据共享的参与意愿。[结果/结论]基于模型策略均衡和仿真模拟发现,患者参与是推进医疗数据共享的关键因素;政府处罚金额与奖励补贴是影响医疗服务机构策略选择的重要因素,合理的奖惩金额可有效提升患者和医疗服务机构的参与意愿。通过分析投入、收益和成本等因素对隐私保护和医疗数据共享意愿的影响,可提升医疗数据隐私保护水平,推动国内医疗数据共享进程。[Purpose/Significance]Promoting medical data sharing is a key link of“Internet+medical health”.From the perspective of privacy protection,a tripartite evolutionary game model is constructed to analyze the decision-making behavior of different subjects and explore the sharing willingness of all stakeholders.[Method/Process]First,a tripartite evolutionary game model of patients,medical service institutions and the government was constructed,then the evolutionary stability strategy of the participants in the model was analyzed,and finally the willingness of the tripartite participants to participate in the sharing of medical data was explored.[Result/Conclusion]According to the strategy balance and simulation based on the model,patient participation was a key factor to promote the sharing of medical data.Moreover,the amount of government penalties and rewards and subsidies were important factors that affect the strategic choices of medical service institutions.A reasonable amount of rewards and punishments can effectively increase the willingness of patients and medical service institutions to participate.By analyzing the influence of input,income,cost and other factors on privacy protection and medical data sharing willingness,the level of medical data privacy protection can be improved and the process of domestic medical data sharing can be promoted.

关 键 词：隐私保护 医疗数据共享 患者 医疗服务机构 政府 演化博弈 

分 类 号：G203[文化科学—传播学]