首页|智慧医疗情境下四方主体隐私行为的交互机理及演化趋势研究

智慧医疗情境下四方主体隐私行为的交互机理及演化趋势研究

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[目的/意义]本文针对智慧医疗情境下隐私行为研究在博弈主体、模型参数等方面的不足,探寻患者、医疗机构、智慧医疗平台和政府四方主体之间的隐私行为交互机理与演化趋势.[方法/过程]基于演化博弈理论,构建患者、医疗机构、智慧医疗平台和政府四方博弈模型.根据不同参数调节下各方行为策略的收益、成本、损失等计算收益矩阵,求解主体的演化稳定策略,并考虑不同因素对主体行为策略及系统稳定状态的影响.[结果/结论]患者的隐私披露行为与披露隐私后获得的服务收益密切相关,医疗机构的隐私保护投入成本和隐私泄露概率对其隐私保护行为有显著影响,智慧医疗平台的政府奖惩、罚款收益和投入成本是影响其严格管理行为的关键因素,政府的监管行为与奖惩机制等因素密切相关.通过应用本文模型和方法,可以动态调整隐私保护机制,明确各方职责,推动智慧医疗可持续健康发展.
Research on the Interaction Mechanism and Evolutionary Trends of Privacy Behaviors of Four Parties in the Context of Smart Medical Care
[Purpose/Significance]The study gives the limitations of privacy protection mechanisms in smart medical scenarios,studying the privacy behavior interactions among patients,medical institutions,smart medical platforms,and governments is of great practical significance for maintaining privacy security.[Method/Process]Based on evolutionary game theory,a four-party game model of patients,medical institutions,smart medical platforms and governments was con-structed.The study calculated the benefit matrix based on the benefits,costs,losses,etc.of each party's behavioral strat-egies,solved the evolutionary stable strategies of each subject and the system,and considered the impact of different fac-tors on the subject's behavioral strategy selection and the stable state of the system.[Results/Conclusion]Patients'privacy disclosure behavior is closely related to the service benefits obtained after disclosing privacy.The privacy protection invest-ment cost and privacy leakage probability of medical institutions significantly impact their privacy protection behavior.The government rewards and penalties and fines income of the smart medical platform and input costs are key factors affecting its strict management behavior.The government's regulatory behavior is closely related to factors such as reward and punish-ment mechanisms.By applying the models and methods in this study,the privacy protection mechanism can be dynamically adjusted,the responsibilities of all parties can be clarified,and the sustainable and healthy development of smart medical care can be promoted.

smart medical careevolutionary gameprivacy behaviorpatientmedical institutionsmart medical platformgovernment

朱光、吴晗逸、刘雯

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南京信息工程大学风险治理与应急决策研究院,江苏南京 210044

南京信息工程大学管理工程学院,江苏 南京 210044

智慧医疗 演化博弈 隐私行为 患者 医疗机构 智慧医疗平台 政府

2025

现代情报
中国科学技术情报学会 吉林省科技信息研究所

现代情报

北大核心
影响因子:1.133
ISSN:1008-0821
年,卷(期):2025.45(1)