智慧医院建设下医疗健康信息的保护与利用

Protection and use of medical and health information with the construction of smart hospitals

随着智慧医院的建设,医疗健康数据共享与保护的冲突日益凸显。医疗健康信息具有私密性、敏感性的个人属性,以及公益性的公共属性,本文建议医疗机构根据其双重属性特征,建立健全医疗健康数据分类分级保护制度,通过正确适用“特别告知+单独同意”的“知情同意”规则,以及“目的正当+必要性+安全保障”的“知情同意”豁免原则,以此平衡数据共享价值与患者权益保护,合理利用医疗健康信息。

With the construction of smart hospitals,the conflict between health data sharing and protection is increasingly obvious.Medical and health information has properties of privacy,sensitivity,and commonweal.In the present article,we recommended to establish and improve the classification and hierarchical protection system of medical and health data based on the dual-attribute characteristics.Through an optimal application of the informed consent of special notification plus individual agreement,and the exemption principle of informed consent via legitimate purpose+necessity+safety guarantee,the value of data sharing and the protection of patients'rights and interests can be balanced,and the medical and health information can be rationally utilized.