《電子技術(shù)應(yīng)用》
您所在的位置:首頁 > 其他 > 设计应用 > 多方主体平行享有医疗数据产权的制度设计
多方主体平行享有医疗数据产权的制度设计
网络安全与数据治理
刘云,玄立杰
清华大学智能法治研究院
摘要: 随着医疗活动的数字化、智能化发展,原本作为诊疗活动副产品的医疗数据,日益具备独立的数据财产价值,患者、医疗机构、行业其他机构都具有参与数据财产权分配的资格。将医疗数据划分为提供型、观察型和加工型三类数据,依据“数据二十条”提出的数据产权结构性分置方案,构建了分类确权授权制度。患者对于由其促成产生的提供型数据具有完整数据持有权、使用权和经营权,医疗机构可以通过授权协议的方式继受取得相应的数据产权。患者、医疗机构可以平行享有观察型数据的财产权,并可以分别独立地行使相应的数据权利,其条件是不损害对方的合法利益。医疗机构和其他行业机构可以基于衍生创造取得加工型数据的财产权,同时也有必要在未来的立法中将国家机构的共享决定、授权运营决定作为法定取得数据财产权的方式。
中圖分類號:D922.16;D922.17文獻(xiàn)標(biāo)識碼:ADOI:10.19358/j.issn.2097-1788.2025.05.008
引用格式:劉云,玄立杰. 多方主體平行享有醫(yī)療數(shù)據(jù)產(chǎn)權(quán)的制度設(shè)計(jì)[J].網(wǎng)絡(luò)安全與數(shù)據(jù)治理,2025,44(5):49-56,63.
A systematic design for parallel entitlement to medical data property rights among multiple subjects
Liu Yun,Xuan Lijie
Institute for Studies on Artificial Intelligence and Law, Tsinghua University
Abstract: With the digital and intelligent development of medical activities, medical data, which was originally a by-product of diagnosis and treatment activities has increasingly acquired independent data property value. Patients, medical institutions, and other industry institutions all have the qualifications to participate in the allocation of data property rights. This paper divides medical data into three categories: provision-type, observation-type, and processing-type data. Based on the structural separation scheme of data property rights proposed in the "Twenty Provisions on Data", a classified system for confirming and authorizing property rights is constructed. Patients have complete data holding rights, usage rights, and operational rights over provision-type data generated through their contributions. Medical institutions can acquire corresponding data property rights through authorization agreements. Patients and medical institutions can parallelly enjoy property rights over observation-type data and independently exercise corresponding data rights, provided that they do not harm the legitimate interests of the other party. Medical institutions and other industry institutions can acquire property rights over processing-type data based on derivative creation. At the same time, it is necessary to include the sharing decisions and authorized operation decisions of state institutions as statutory methods of acquiring data property rights in future legislation.
Key words : medical data; data property rights; public data; patients′ personal information

引言

隨著醫(yī)療活動的數(shù)字化、智能化發(fā)展,醫(yī)療數(shù)據(jù)不再僅僅是診療活動的副產(chǎn)品,而是通過數(shù)據(jù)驅(qū)動發(fā)揮著改善患者健康、促進(jìn)醫(yī)療機(jī)構(gòu)診療水平提升、推動藥企新藥研發(fā)、提升政府部門傳染病監(jiān)測預(yù)警等多元資源價(jià)值。國家數(shù)據(jù)局等十七部門發(fā)布《“數(shù)據(jù)要素×”三年行動計(jì)劃(2024—2026年)》明確將醫(yī)療健康確定為重點(diǎn)領(lǐng)域,推動醫(yī)療數(shù)據(jù)在臨床決策、藥物研發(fā)、健康管理等方面的流通利用。北京市在2023年選取安定醫(yī)院、安貞醫(yī)院等6家三甲醫(yī)院開展醫(yī)療數(shù)據(jù)流通試點(diǎn),涵蓋骨科治療數(shù)據(jù)資產(chǎn)化、大模型訓(xùn)練等場景。2024年試點(diǎn)擴(kuò)大至22家醫(yī)院,年底已有部分醫(yī)院完成數(shù)據(jù)交易項(xiàng)目。此類實(shí)踐推動了醫(yī)療數(shù)據(jù)從資源到資產(chǎn)的轉(zhuǎn)化,為數(shù)據(jù)流通奠定了基礎(chǔ)。與此同時(shí),絕大多數(shù)醫(yī)療機(jī)構(gòu)依然對自身哪些數(shù)據(jù)可以形成數(shù)據(jù)產(chǎn)品缺乏指引,醫(yī)療數(shù)據(jù)之上承載的患者個(gè)人信息、不同機(jī)構(gòu)之間的利益協(xié)調(diào)問題阻礙了醫(yī)療機(jī)構(gòu)參與數(shù)據(jù)流通交易的積極性,一系列的障礙最終都引出一個(gè)根本性的問題:醫(yī)療數(shù)據(jù)如何確權(quán)?本文探討醫(yī)療機(jī)構(gòu)、患者和行業(yè)其他機(jī)構(gòu)在醫(yī)療數(shù)據(jù)生成過程中所發(fā)揮的作用,在“數(shù)據(jù)二十條”確定的方向上探索多方平行享有醫(yī)療數(shù)據(jù)產(chǎn)權(quán)的制度方案。


本文詳細(xì)內(nèi)容請下載:

http://m.ihrv.cn/resource/share/2000006547


作者信息:

劉云,玄立杰

(清華大學(xué)智能法治研究院,北京100084)


Magazine.Subscription.jpg

此內(nèi)容為AET網(wǎng)站原創(chuàng),未經(jīng)授權(quán)禁止轉(zhuǎn)載。