Gostin L O
Georgetown University, 600 New Jersey Avenue NW, Washington, DC 20001, USA.
Health Care Anal. 2001;9(3):321-35. doi: 10.1023/A:1012905932744.
The success of the health care system depends on the accuracy, correctness and trustworthiness of the information, and the privacy rights of individuals to control the disclosure of personal information. A national policy on health informational privacy should be guided by ethical principles that respect individual autonomy while recognizing the important collective interests in the use of health information. At present there are no adequate laws or constitutional principles to help guide a rational privacy policy. The laws are scattered and fragmented across the states. Constitutional law is highly general, without important specific safeguards. Finally, a case study is provided showing the important trade-offs that exist between public health and privacy. For a model public health law, see www.critpath.org/msphpa/privacy.
医疗保健系统的成功取决于信息的准确性、正确性和可信度，以及个人控制个人信息披露的隐私权。关于健康信息隐私的国家政策应以道德原则为指导，这些原则既要尊重个人自主权，又要认识到在使用健康信息方面重要的集体利益。目前，没有足够的法律或宪法原则来指导合理的隐私政策。法律在各州之间分散且零碎。宪法非常笼统，没有重要的具体保障措施。最后，提供了一个案例研究，展示了公共卫生与隐私之间存在的重要权衡。有关示范公共卫生法，请访问www.critpath.org/msphpa/privacy。
