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大型社区医院的非干预性研究与《通用数据保护条例》(GDPR)的实施

[Non-Interventional Studies in a Large Community Hospital and Implementation of the General Data Protection Regulation (GDPR)].

作者信息

Hach Isabel, Meseli Filiz

机构信息

Studienzentrum Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität Nürnberg.

出版信息

Gesundheitswesen. 2022 Jan;84(1):75-79. doi: 10.1055/a-1192-5114. Epub 2020 Jul 21.

Abstract

BACKGROUND

The General Data Protection Regulation (GDPR) is applicable as of May 25, 2018 in all member states to harmonize data privacy laws across Europe. GDPR impacts also on medical data research. Non-interventional studies (NIS) in hospital are an important part of health services research and might need to be assessed by the local data protection officer. This study investigates all NIS (in house or sponsored) initiated between April 1, 2017 and July 31, 2018 in Nuremberg Hospital and their methods dealing with the GDPR.

MATERIALS AND METHODS

All studies in Nuremberg Hospital have to be reported to the study center of Nuremberg Hospital. We implemented some actions to fullfill GDPR, e. g. checklist for GDPR, quality circle, and all studies were assigned to a data protection officer specialized in scientific and clinical studies. We analyzed in each study the kind of data encryption (e. g., pseudonymous vs. anonymous), the need for approval from the official ethics commitee according to §15BO, and the need for approval from the hospital data protection officer. The data was analyzed using descriptive statistics.

RESULTS

After GDPR came into effect, more NIS were started (n=77 vs. n=59), especially investigator-initiated NIS increased significantly (+84%, p<0.01). The majority of inhouse studies were dealing with absolute anonymous data (before GDPR: n=28 anonymous vs. n=4 pseudonymous; after R: 51 vs.7; n.s.). 22 studies, mostly IITs (86%), needed a statement of the local data protection officer and used a patient's information. After GDPR 19% of in-house NIS showed the need for a statement of approval from the ethics committee (accordingly to §15BO) (before GDPR 12.5%; n.s.). One year after GDPR was implemented, the average processing time of the data protection officer for an NIS was 10.5 work days.

CONCLUSION

Investigator-initiated NIS are an important part of scientific research at Nuremberg Hospital. After GDPR, there was an increase in the number of self-initiated studies. Standardized procedures and simple actions help implement GDPR in medical research without critical delays at the start of study.

摘要

背景

《通用数据保护条例》(GDPR)自2018年5月25日起在所有成员国适用,以协调欧洲的数据隐私法律。GDPR也对医学数据研究产生影响。医院中的非干预性研究(NIS)是卫生服务研究的重要组成部分,可能需要由当地数据保护官员进行评估。本研究调查了2017年4月1日至2018年7月31日期间在纽伦堡医院开展的所有NIS(内部或赞助的)及其应对GDPR的方法。

材料与方法

纽伦堡医院的所有研究都必须向纽伦堡医院的研究中心报告。我们采取了一些行动来满足GDPR的要求,例如GDPR检查表、质量圈,并且所有研究都被分配给了一位专门从事科学和临床研究的数据保护官员。我们在每项研究中分析了数据加密的类型(例如,假名化与匿名化)、根据第15BO条获得官方伦理委员会批准的必要性以及获得医院数据保护官员批准的必要性。使用描述性统计方法对数据进行分析。

结果

GDPR生效后启动的NIS更多(77项对59项),尤其是研究者发起的NIS显著增加(+84%,p<0.01)。大多数内部研究处理的是绝对匿名数据(GDPR实施前:28项匿名对4项假名化;GDPR实施后:51项对7项;无统计学差异)。22项研究(大多为研究者发起的研究,占86%)需要当地数据保护官员的声明并使用了患者信息。GDPR实施后,19%的内部NIS表明需要伦理委员会的批准声明(根据第15BO条)(GDPR实施前为12.5%;无统计学差异)。GDPR实施一年后,数据保护官员处理一项NIS的平均时间为10.5个工作日。

结论

研究者发起的NIS是纽伦堡医院科研的重要组成部分。GDPR实施后,自主发起的研究数量有所增加。标准化程序和简单行动有助于在医学研究中实施GDPR,而不会在研究开始时造成严重延误。

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