中国医学伦理学2025,Vol.38Issue(1) :123-130.DOI:10.12026/j.issn.1001-8565.2025.01.18

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

田函 吴锦萍 张妍 周建裕
中国医学伦理学2025,Vol.38Issue(1) :123-130.DOI:10.12026/j.issn.1001-8565.2025.01.18

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

田函 1吴锦萍 1张妍 1周建裕1
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作者信息

  • 1. 山东第二医科大学管理学院,山东 潍坊 261053
  • 折叠

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.

Abstract

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

Key words

live surgery/evolutionary game/patient privacy/doctor-patient relationship

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出版年

2025
中国医学伦理学
西安交通大学

中国医学伦理学

北大核心
影响因子:0.935
ISSN:1001-8565
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