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区块链与医疗保健隐私法不可混为一谈
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Topic: 区块链与医疗保健隐私法不可混为一谈 (Read 167 times)
kangageaf
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区块链与医疗保健隐私法不可混为一谈
May 05, 2017, 02:19:15 AM
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暴走时评:区块链技术发展前景广阔,也受到了充分的关注,但是医疗保健领域的法规还是会妨碍这项技术的采纳。从隐私的角度来看,区块链中的健康数据若被视为受保护的信息,就要受到监管,就会对其在医疗领域的实际落地实施产生监管阻力。而从监管的角度来看,就需要去寻找更简单的方法促进区块链技术在医疗保健行业(甚至是利润里方面)发挥作用,而无需纠结于现行隐私法的约束。所以,这就需要我们从现在开始,从小问题着手一步步去解决。
翻译:Clover
领导者对数字分类账本技术的潜力十分感兴趣,但是仅凭兴趣不足以让其跨越法规的障碍。
Sharon Klein律师在大约18个月前第一次开始认真思考区块链对于医疗保健行业的意义。但是她并不是唯一一个这样做的人。
区块链在医疗保健领域引起了极大的关注,许多技术利益相关者对新型数据存储范式所蕴含的能够影响网络安全和互操作性的潜力感到十分兴奋。
但尽管数字分类账本技术的前景极好,区块链技术还是难以与隐私法的当前现实相吻合。
律师事务所Pepper Hamilton健康科学部门合伙人以及其隐私、安全与数据保护实践负责人Klein说道:
“在当前监管环境下,尤其是考虑到医疗保健行业需要处理的所有其他问题,区块链的实施才是问题之所在。这会是人们想要投入时间、经历、资金的领域吗?这的确有很多好的应用,但是我们也有很多问题要解决。”
Klein将在5月12日于旧金山举办的HIMSS健康隐私论坛上发表演讲,同时也将在新成立的HHS网络安全工作组中任职。而据她表示,区块链技术已被提上日程。
Klein说道:
“所有类型的数据都可以存储在区块链之中。但从隐私的角度来看,存储的数据是否可以被视作是受到保护的健康信息,因而受到管制,这才是关键所在。如此一来,所有的监管阻力就会适用。”
例如,她说道:“HIPAA包含一个‘患者权利法案’。所以如果我作为患者想要查看我的医疗记录,我只是举起手来,你就必须把它交给我。这又如何与区块链一起发挥作用呢?
或者想想这对于更新业务合作协议的潜在影响,即使是中等规模的医疗机构都会有数百份存档的协议。
Klein说:
“我要绞尽脑汁去思考实际上必须要执行多少份业务合作协议的更新,以及谁去执行这些协议的更新。这个结构太不灵活了,在涉及到数据交换时,与任何行业的结构都大有不同。而这也是我们必须跨越的障碍。”
她表示,无可否认,区块链是一项令人兴奋的新兴技术,但是当起草HIPAA和HITECH的隐私和安全规则时,这项技术几乎没有被考虑在内。而随着这项技术发展到如今所处地位,这些法律“可能不符合当前构建的区块链技术”。
所以,从监管的角度来看,问题就在于:有没有更简单的方法促进区块链技术在医疗保健行业(甚至是利润里方面)发挥作用,而无需纠结于现行隐私法的约束呢?
她说:
“是否存在一些不同于PHI的机制(或许是一些边缘机制),不像PHI那样受到监管的机制,能够以医疗保健领域中区块链所允许的方式而使用的机制?你必须从某个地方开始着手。”
在短期内,Klein表示,“私有行业自我调节的越多,并且拥有一些标准制定,我认为就越有可能采用这项技术。”
Klein的同事,Pepper Hamilton区块链技术小组负责人Joe Guagliardo也认同这一观点。
他说:“有一点是所有正在谈论区块链技术的人都需要了解的,无论是监管机构或是医疗机构,还是技术人员。那就是我们不断听说区块链将彻底变革我们与数据交互以及存储数据的方式。但这并不会在明天就发生。而且由于这些规定的存在,数字分类帐本技术可能永远不会取代当前的基础架构。”
归根结底,这一切都归结为这种转型有多么重要。
他说:
“在医疗保健领域我们所能做的是什么,我们能够开展多么小型的项目,才不会受监管阻碍?我们要多么小心翼翼地一步步尝试,才不需要去打破所有的壁垒?作为起步,让我们一起去找出目前我们能解决的小问题吧。”
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区块链与医疗保健隐私法不可混为一谈
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