医学与法学2024,Vol.16Issue(1) :36-43.DOI:10.3969/j.issn.1674-7526.2024.01.006

论医疗健康信息的"合理利用"

On"Rational Use"of Health Information

卢剑峰
医学与法学2024,Vol.16Issue(1) :36-43.DOI:10.3969/j.issn.1674-7526.2024.01.006

论医疗健康信息的"合理利用"

On"Rational Use"of Health Information

卢剑峰1
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作者信息

  • 1. 浙大宁波理工学院传媒与法学院,浙江宁波 315100;宁波法治化营商环境研究院,浙江宁波 315100
  • 折叠

摘要

医疗健康信息的"合理利用"与敏感信息保护之间的平衡,在数字经济时代成为一个重大课题.检视疾病诊疗、医保管理、医学研究、公共卫生事件应对等典型场景下医疗健康信息的应用,存在诸多侵权风险和安全隐患.追本溯源,人格尊严当是医疗健康信息规范利用的逻辑起点,而其"合理利用"则是出于数据向善之规范利用的基本要求.从医疗健康信息"权利束"的视角,国家履行积极保护义务,在确保敏感信息安全与合规的前提下,促进健康医疗产业发展.医疗健康信息"合理利用"规则有二:"一般利用规则"主张"特别告知+书面同意";"特殊利用规则"主张遵循法定职责范围,恪守合法、正当、必要与程序正义.出于风险防控,行政监管成为医疗健康信息"合理利用"的必要制度,其社会目标主要是防控个体风险和社会风险的发生,经济目标则是防止数据垄断和商业滥用;其路径突出全程敏捷监管、合规监管与科技监管.医疗健康信息的"合理利用"应当构建"赋权+责任+监管"的三元模式.

Abstract

The balance between the"rational use"of medical and health information and the protection of sensitive information has become a major issue in the era of digital economy.There are many infringement risks and security risks in examining the applica-tion of medical health information in typical scenarios such as disease diagnosis and treatment,medical insurance management,scien-tific research,and public health incident response.Tracing back to the source,human dignity is the logical starting point of standardized use of medical health information,and its"rational use"is the basic requirement of standardized use of data for good.From the perspec-tive of the"bundle of rights"of medical and health information,the state fulfills the obligation of active protection,and promotes the de-velopment of the health and medical industry on the premise of ensuring the security and compliance of sensitive information.There are two rules of"rational use"of medical and health information:"General use rule"advocates"special notice + written consent";The"spe-cial use rule"advocates following the legal scope of responsibility,abiding by legality,propriety,necessity and procedural justice.For risk prevention and control,administrative supervision has become a necessary system for the"rational use"of medical and health infor-mation.Its social goal is to prevent the occurrence of individual risks and social risks,while its economic goal is to prevent data mo-nopoly and commercial abuse.Its path highlights the whole process of agile supervision,compliance supervision and technology supervi-sion.The"rational use"of medical and health information should build a three-way model of"empowerment + responsibility + supervi-sion".

关键词

医疗健康信息/敏感信息/人格尊严/权利束/行政监管

Key words

health information/sensitive information/personal dignity/bundle of rights/administrative supervision

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基金项目

宁波市哲学社会科学研究基地宁波市法治化营商环境研究基地(JD6-218)

工信部2022年度通信软科学研究计划(2022-R-47)

出版年

2024
医学与法学
泸州医学院 中国卫生法学会

医学与法学

影响因子:0.417
ISSN:1674-7526
参考文献量13
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