[1]李梓瑜,王佳佳,吴程琳,等.利益相关者视角下健康医疗数据共享的困境与优化路径[J].卫生经济研究,2026,43(07):33-36.
 LI Ziyu,WANG Jiajia,WU Chenglin,et al.Study on the Dilemmas and Optimization Path of Healthcare Data Sharing from the Perspective of Stakeholders[J].Journal Press of Health Economics Research,2026,43(07):33-36.
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利益相关者视角下健康医疗数据共享的困境与优化路径

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年07期
页码:
33-36
栏目:
理论研究
出版日期:
2026-07-03

文章信息/Info

Title:
Study on the Dilemmas and Optimization Path of Healthcare Data Sharing from the Perspective of Stakeholders
作者:
李梓瑜1王佳佳1吴程琳1谈在123
1.徐州医科大学管理学院,江苏 徐州 221004
2.徐州医科大学卫生政策与健康管理研究中心,江苏 徐州 221004
3.徐州医科大学附属医院,江苏 徐州 221006
Author(s):
LI Ziyu WANG Jiajia WU Chenglin TAN Zaixiang
School of Management, Xuzhou Medical University, Xuzhou Jiangsu 221004, China
关键词:
健康医疗数据数据共享利益相关者
Keywords:
healthcare data data sharing stakeholders
分类号:
R19
文献标志码:
A
摘要:
健康医疗数据共享是释放数据价值、驱动医疗创新的关键环节。基于利益相关者理论,健康医疗数据主体可分为数据贡献者、数据控制者、数据处理者和数据监管者,各主体在数据共享中面临不同的困境,主要表现为隐私保护不足、数据权属不清、数据资产化路径模糊及收益分配机制缺失。对此,国家层面应制定清晰的数据产权框架,厘清各主体的权责边界;建立动态知情同意机制,强化个人隐私保护;推动医疗机构数据资产化进程,健全公平的收益分配制度,从而系统性提升各方参与健康医疗数据共享的意愿,实现健康医疗数据共享的可持续发展。
Abstract:
Healthcare data sharing is a critical step in unlocking data value and driving medical innovation. Based on stakeholder theory, the key stakeholders in healthcare data can be categorized into data contributors, data controllers, data processors, and data regulators. Various stakeholders face different dilemmas in data sharing, primarily manifested as inadequate privacy protection, unclear data ownership, ambiguous paths towards data assetization, and a lack of benefit distribution mechanisms. In response, the government should establish a clear framework for data property rights to delineate the boundaries of authority and responsibility among stakeholders, create a dynamic informed consent mechanism to strengthen the protection of personal privacy, and promote the monetization of healthcare data within medical institutions to improve fair revenue-sharing systems. These measures will systematically enhance the willingness of all stakeholders to participate in healthcare data sharing, thereby ensuring the sustainable development of healthcare data sharing.

参考文献/References:

[1] 陈怡.健康医疗数据共享与个人信息保护研究[J].情报杂志,2023,42(05):192-199.
[2] 吉萍,祝丹娜,谢杨晓虹,等.健康医疗数据的科研共享应用思考[J].医学与哲学,2022,43(01):5-8.
[3] 邓明攀,刘春林.健康医疗大数据应用中的权利保护和行为规制[J].医学与法学,2019,11(04):39-46.
[4] 张建楠,李莹莹,顾宴菊,等.健康医疗数据共享基本原则探讨[J].中国工程科学,2020,22(04):93-100.
[5] 翟运开,郭瑞芳,王宇.基于三方演化博弈的医疗健康数据共享策略[J].系统工程学报,2025,40(03):374-392,420.
[6] 莫琳芳,李喆,甘辉亮,等.全球视野下医疗人工智能中患者隐私和数据安全:焦点与策略[J].海军军医大学学报,2025,46(08):989-999.
[7] 袁劲杰,张华,石建,等.泛知情同意的发展现状与思考[J].中国新药与临床杂志,2022,41(10):594-599.
[8] 潘燕杰.被遗忘权保护健康医疗数据的实践困境与对策[J].医学与社会,2024,37(09):137-144.
[9] 刘武朝,温春辉.过度收集用户隐私数据行为的竞争损害及反垄断法规制[J].价格理论与实践,2021(07):65-70.
[10] 温廷婷.“三权分置”理念下健康医疗数据共享的纾困路径[J].卫生经济研究,2025,42(05):41-45.
[11] 张耀文.数据产品经营权的类别、功能与规范构造[J].南京邮电大学学报(社会科学版),2025,27(04):94-104.
[12] 张汉成.健康医疗数据共享的现实困境与合规因应[J].医学与哲学,2024,45(17):52-57.
[13] 王丹丹,武金格.健康医疗数据开放利用的监管策略研究——基于OpenNeuro平台的分析[J].图书情报工作,2025,69(01):58-67.
[14] 屈佳.健康医疗数据治理体系建构的困境及对策[J].医学与社会,2023,36(12):7-13,32.
[15] 殷明雪.健康医疗大数据建设与隐私保护之冲突与协调[J].医学与社会,2023,36(02):125-131.
[16] Hall M A, Schulman K A. Ownership of medical information[J]. JAMA, 2009, 301(12):1282-1284.
[17] 汪火明,孙润康,任宇飞,等.基于数据分级的医疗大数据中心数据安全管理策略研究[J].中国医院管理,2022,42(10):64-67.

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更新日期/Last Update: 2026-07-03