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新冠疫情期间远程医疗消费者的数据隐私考量

Data privacy considerations for telehealth consumers amid COVID-19.

作者信息

Bassan Sharon

机构信息

School of Law, Depaul University, Chicago, IL, USA.

出版信息

J Law Biosci. 2020 Sep 14;7(1):lsaa075. doi: 10.1093/jlb/lsaa075. eCollection 2020 Jan-Jun.

DOI:10.1093/jlb/lsaa075
PMID:33269090
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7543610/
Abstract

The COVID-19 emergency poses particularly high infection risks in a clinical setting, where patients and health care providers are placed in the same room. Due to these risks, patients are encouraged to avoid clinics and instead use Telemedicine for safer consultations and diagnoses. In March, the Office for Civil Rights (OCR) at the U.S. Department for Health and Human Services (HHS) issued a notice titled (the 'Notification'). The Notification relaxes the enforcement of privacy and security safeguards established by the Health Insurance Portability and Accountability Act (HIPAA) until further notice, in order to facilitate the transition to telehealth services for the broader purpose of promoting public health during the pandemic. Specifically, covered healthcare providers can use telehealth to provide all services that, in their professional judgment, they believe can be provided through telehealth. If providers make good faith efforts to provide the most timely and accessible care possible, they be subject to penalties for breaching the HIPAA Privacy, Security, and Breach Notification Rules. This paper examines the implications of the Notification on patients' health information privacy. It recommends that patients should undertake a careful reading of provider privacy policies to make sure their protected health information (PHI) is not at risk before switching to telehealth consultation. Acknowledging the limitations of patient self-protection from bad privacy practices when in need for medical treatment during pandemic, the paper proposes that consumers' data privacy should be protected through one of two alternative regulatory interventions: the FTC's authority under §5, or HIPAA's business associates agreements.

摘要

在临床环境中,新冠疫情带来了特别高的感染风险,因为患者和医护人员共处一室。鉴于这些风险,鼓励患者避免前往诊所,而是使用远程医疗进行更安全的咨询和诊断。今年3月,美国卫生与公众服务部(HHS)的民权办公室(OCR)发布了一份题为《通知》的文件。该通知放宽了《健康保险流通与责任法案》(HIPAA)所规定的隐私和安全保障措施的执行力度,直至另行通知,以便在疫情期间为促进公共卫生这一更广泛目的向远程医疗服务过渡提供便利。具体而言,受该通知覆盖的医疗服务提供者可以使用远程医疗来提供他们根据专业判断认为可以通过远程医疗提供的所有服务。如果提供者真诚地努力提供尽可能及时和便捷的医疗服务,他们将不会因违反HIPAA隐私、安全和违规通知规则而受到处罚。本文探讨了该通知对患者健康信息隐私的影响。建议患者在转向远程医疗咨询之前,仔细阅读提供者的隐私政策,以确保其受保护的健康信息(PHI)没有风险。鉴于在疫情期间患者在寻求医疗治疗时自我保护免受不良隐私行为影响的局限性,本文提议通过两种替代性监管干预措施之一来保护消费者的数据隐私:联邦贸易委员会根据第5条所拥有的权力,或HIPAA的业务合作伙伴协议。