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JMIR Med Inform. 2024 Nov 14;12:e52675. doi: 10.2196/52675.
Interoperability has been designed to improve the quality and efficiency of health care. It allows the Centers for Medicare and Medicaid Services to collect data on quality measures as a part of the Meaningful Use program. Covered providers who fail to provide data have lower rates of reimbursement. Unintended consequences also arise at each step of the data collection process: (1) providers are not reimbursed for the extra time required to generate data; (2) patients do not have control over when and how their data are provided to or used by the government; and (3) large datasets increase the chances of an accidental data breach or intentional hacker attack. After detailing the issues, we describe several solutions, including an appropriate data use review board, which is designed to oversee certain aspects of the process and ensure accountability and transparency.
互操作性旨在提高医疗保健的质量和效率。它允许医疗保险和医疗补助服务中心（Centers for Medicare and Medicaid Services）收集质量措施的数据，作为有意义使用（Meaningful Use）计划的一部分。未能提供数据的参保者报销率较低。在数据收集过程的每个步骤中还会产生意想不到的后果：（1）医疗机构因生成数据而额外花费的时间得不到补偿；（2）患者无法控制何时以及如何向政府提供或使用其数据；（3）大型数据集增加了数据意外泄露或故意黑客攻击的可能性。在详细说明这些问题后，我们描述了几种解决方案，包括一个适当的数据使用审查委员会，旨在监督该过程的某些方面，确保问责制和透明度。
