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关于健康数据共享中的区块链:探索颠覆性技术。

Reflections about Blockchain in Health Data Sharing: Navigating a Disruptive Technology.

机构信息

Clinical and Academic Centre of Coimbra, 3004-531 Coimbra, Portugal.

Faculty of Medicine, University of Coimbra, 3000-370 Coimbra, Portugal.

出版信息

Int J Environ Res Public Health. 2024 Feb 16;21(2):230. doi: 10.3390/ijerph21020230.


DOI:10.3390/ijerph21020230
PMID:38397719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10887941/
Abstract

A comprehensive analysis was performed, considering blockchain technology (BT) properties in digital health, addressing medicolegal, privacy, and regulatory considerations. Adherence to personal data protection and healthcare regulatory guidelines were analyzed and compared for GDPR (Europe), HIPAA (United States), CCPA (California), PIPEDA (Canada), the Privacy Act of 1988 (Australia), APPI (Japan), and LGPD (Brazil). Issues such as health systems, strengthening and aligning policy orientations and initiatives, and emphasizing the role of data analysis in shaping health policies were explored. The study addressed conflicts between the legal frameworks and blockchain, comparing and suggesting solutions like the revision of laws and the integration of compliance mechanisms. Additionally, it sought to enhance IT-health literacy by integrating the healthcare and legal domains. Ongoing collaboration between legal, health, and IT experts is essential for designing systems that effectively balance privacy rights and data protection while maximizing the benefits of disruptive technologies like blockchain.

摘要

进行了全面分析,考虑了区块链技术 (BT) 在数字健康中的特性,涉及医事法律、隐私和监管方面的考虑因素。分析并比较了 GDPR(欧洲)、HIPAA(美国)、CCPA(加利福尼亚)、PIPEDA(加拿大)、1988 年《隐私法》(澳大利亚)、APPI(日本)和 LGPD(巴西)等个人数据保护和医疗保健监管指南的遵守情况。探讨了卫生系统、加强和调整政策方向和举措以及强调数据分析在制定卫生政策中的作用等问题。该研究解决了法律框架与区块链之间的冲突,比较并提出了修订法律和整合合规机制等解决方案。此外,还试图通过整合医疗保健和法律领域来提高 IT 健康素养。法律、卫生和 IT 专家之间的持续合作对于设计能够有效平衡隐私权利和数据保护同时最大限度地发挥区块链等颠覆性技术优势的系统至关重要。

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[8]
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引用本文的文献

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Digital solutions for migrant and refugee health: a framework for analysis and action.

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[2]
Clinical Validation of Digital Healthcare Solutions: State of the Art, Challenges and Opportunities.

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本文引用的文献

[1]
Blockchain for Electronic Vaccine Certificates: More Cons Than Pros?

Front Big Data. 2022-7-8

[2]
Blockchain technology and universal health coverage: Health data space in global migration.

J Forensic Leg Med. 2022-7

[3]
Blockchain applications in health care for COVID-19 and beyond: a systematic review.

Lancet Digit Health. 2021-12

[4]
Health Information Privacy Laws in the Digital Age: HIPAA Doesn't Apply.

Perspect Health Inf Manag. 2021

[5]
Responsible Data Governance of Neuroscience Big Data.

Front Neuroinform. 2019-4-24

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