健康医疗数据共享的现实困境与合规因应  

Practical Dilemmas and Compliance Responses in Healthcare Data Sharing

作　　者：张汉成 ZHANG Hancheng(School of Health Manage-ment,Guangzhou Medical University,Guangzhou 510000,China)

机构地区：[1]广州医科大学卫生管理学院,广东广州510000

出　　处：《医学与哲学》2024年第17期52-57,共6页Medicine and Philosophy

基　　金：2024年广州医科大学科研能力提升项目(02-410-2405115);2024年四川省哲学社会科学重点研究基地—四川医事卫生法治研究中心资助项目(YF24-Q13);2024年广东省普通高校人文社科重点研究基地(2024WZJD007)。

摘　　要：健康医疗数据共享正面临实际需求与合规挑战之间的强烈张力,详细审视健康医疗数据的基础特性,揭示出其内在蕴含着共享的价值导向和目的需求。但现有治理正面临数据异构、隐私泄露及国家安全风险等三重困境。这些问题在各类医疗机构和服务平台中尤为突出。考虑到我国健康医疗数据共享合规已具备治理基础,是解决当前问题的可行路径。在此基础上,回归合规因应,区别于不同场景,以主体区分明确各自合规侧重路径,实现对各类型主体、各级别数据以及不同共享行为的有效管理。Healthcare data sharing is facing significant tension between actual needs and compliance challenges.A detailed examination of the fundamental characteristics of healthcare data reveals a shared value orientation and the need for sharing.However,current governance faces three major dilemmas:data heterogeneity,privacy leakage and national security risk.These problems are particularly prominent in various medical institutions and service platforms.Given that the governance foundation for compliant health data sharing in China is already in place,it is a feasible path to solve the current problems.Based on this,compliance responses should focus on distinguishing between different subjects rather than scenarios,clarifying compliance pathways for each,and achieving effective management of different types of entities,data levels,and sharing behaviors.

关 键 词：数据共享 数据异构 数据泄露 共享合规 

分 类 号：R-05[医药卫生]