Duckett Stephen
1 Grattan Institute, Victoria, Australia.
Healthc Manage Forum. 2019 May;32(3):167-168. doi: 10.1177/0840470419827719. Epub 2019 Apr 1.
The last few months of 2018 saw a major battle over privacy, autonomy and use of health information in Australia as the basis for the national electronic health record changed from an opt-in system to one where every person had such a record unless they specifically requested to opt-out of the system. The debate was messy, involving both ethical and wider political concerns, with the ethical concerns partly heightened because of the political context. Canadian health leaders can learn from the mistakes and successes of this situation.
2018年的最后几个月，澳大利亚围绕隐私、自主权以及健康信息的使用展开了一场重大斗争，因为国家电子健康记录的基础从选择加入系统转变为除非个人特别要求退出系统，否则每个人都拥有这样一份记录。这场辩论混乱不堪，涉及伦理和更广泛的政治问题，由于政治背景，伦理问题在一定程度上被激化。加拿大的卫生领导人可以从这种情况的成败中吸取教训。
