手术直播中患者隐私保护的三方演化博弈分析  

A three-party evolutionary game analysis of patient privacy protection in live surgery

作　　者：田函 吴锦萍 张妍 周建裕 TIAN Han;WU Jinping;ZHANG Yan;ZHOU Jianyu(School of Management,Shandong Second Medical University,Weifang 261053,China)

机构地区：[1]山东第二医科大学管理学院,山东潍坊261053

出　　处：《中国医学伦理学》2025年第1期123-130,共8页Chinese Medical Ethics

基　　金：山东省社会科学规划研究项目“行政裁决现状及法律对策研究”(20CFXJ10)。

摘　　要：随着网络技术的快速发展,手术直播成为手术教学的新方式,但由直播引发的患者隐私保护问题受到广泛关注。基于演化博弈理论,从医方、患方和政府三方视角出发,构建演化博弈模型,分析三方主体在手术直播过程中的博弈行为,并运用Matlab软件进行动态模拟和数值仿真分析。发现影响医方策略选择的因素包括保护成本、泄露隐私代价、保护获得的收益以及高流量收益等方面;影响患方策略选择的因素包括手术费用、隐私被泄露风险以及额外收益等方面;影响政府策略选择的因素包括监管成本和公信力的提升。为使医方、患方和政府实现共赢,三方主体需协同发力,切实保障患者隐私不受侵害,在扩大医疗教育影响力和保护患者隐私之间找到平衡。With the rapid development of network technology,live surgery has become the new way of surgery teaching.However,the issue of patient privacy protection caused by live surgery has received widespread attention.Based on the evolutionary game theory,this paper constructed an evolutionary game model from the three-party perspectives of doctors,patients,and government and analyzed the game behaviors of the three parties in the process of live surgery.Matlab software was utilized to conduct dynamic simulation and numerical simulation analysis.It was found that the factors affecting the choice of doctors’strategies included protection costs,the cost of privacy leakage,the benefits of protection,high-traffic benefits,and other aspects;the factors affecting the choice of patient strategies encompassed surgical costs,the risk of privacy leakage,additional benefits,and other aspects;the factors affecting the choice of government strategies embodied regulatory costs and the improvement of credibility.To realize a win-win situation among doctors,patients,and the government,the three parties need to work together to ensure that patient privacy is not violated and find a balance between expanding the influence of medical education and protecting patient privacy.

关 键 词：手术直播 演化博弈 患者隐私 医患关系 

分 类 号：R-052[医药卫生]