American College of Physicians, Washington, DC (B.R., D.J.).
American College of Physicians, Philadelphia, PA (L.S.S.).
Ann Intern Med. 2021 Jul;174(7):994-998. doi: 10.7326/M20-7639. Epub 2021 Apr 27.
Technologic advancements and the evolving digital health landscape have offered innovative solutions to several of our health care system's issues as well as increased the number of digital interactions and type of personal health information that is generated and collected, both within and outside of traditional health care. This American College of Physicians' position paper discusses the state of privacy legislation and regulations, highlights existing gaps in health information privacy protections, and outlines policy principles and recommendations for the development of health information privacy and security protections that are comprehensive, transparent, understandable, adaptable, and enforceable. The principles and recommendations aim to improve on the privacy framework in which physicians have practiced for decades and expand similar privacy guardrails to entities not currently governed by privacy laws and regulations. The expanded privacy framework should protect personal health information from unauthorized, discriminatory, deceptive, or harmful uses and align with the principles of medical ethics, respect individual rights, and support the culture of trust necessary to maintain and improve care delivery.
技术进步和不断发展的数字健康领域为我们的医疗保健系统的多个问题提供了创新的解决方案，同时也增加了数字交互的数量和生成和收集的个人健康信息的类型，无论是在传统医疗保健内部还是外部。美国医师学院的这份立场文件讨论了隐私立法和法规的现状，强调了健康信息隐私保护方面现存的差距，并概述了制定全面、透明、可理解、适应性强和可执行的健康信息隐私和安全保护政策原则和建议。这些原则和建议旨在改进医生数十年来一直遵循的隐私框架，并将类似的隐私护栏扩展到目前不受隐私法律法规管辖的实体。扩展后的隐私框架应防止个人健康信息被未经授权、歧视性、欺骗性或有害地使用，并符合医学伦理原则、尊重个人权利、支持维护和改善医疗服务所需的信任文化。
