تبیین نقش استانداردسازی در راهحلهای ارائه شده برای حفظ حریم خصوصی در داده‌های سلامت
محورهای موضوعی : تخصصی
بتول مهرشاد
1
,
محمد مهرآیین
2
,
محمد خوانساری
3
,
سعید مرتضوی
4
1 - دانشگاه علوم پزشکی ایران
2 - دانشکده علوم اداری و اقتصادی / دانشگاه فردوسی مشهد
3 - دانشگاه تهران
4 - دانشگاه فردوسی مشهد
کلید واژه: استانداردسازی, حفظ حریم خصوصی, سلامت الکترونیک, داده‌های سلامت, سیستم‌های مراقبت سلامت نسل 4 و 5,
چکیده مقاله :
با توجه به اهمیت به‌اشتراک‌گذاری داده در عصر دیجیتال و ملاحظات اصلی آن یعنی دو مقوله استانداردسازی و حفظ حریم خصوصی، در این مطالعه تلاش شده است تا به یک پرسش مهم پاسخ داده شود که آیا استانداردسازی در راهحلهای ارائه شده برای حفظ حریم خصوصی داده‌های سلامت نقش دارد؟ مطالعۀ حاضر با روش مرور نظام‌یافته و با جستجو در پایگاه‌های اطلاعاتی مانند: Web of Sience، PubMed، SienceDirect، Springer، Magiran و SID و با محدودیت زمانی انجام شد. پس از اعمال معیارهای ورود و خروج و ارزیابی یافته‌ها، مطالعات مرتبط انتخاب شدند. مقالات حاوی موضوعات مرتبط با استانداردسازی و حفظ حریم خصوصی در داده‌های سلامت با 5 شاخص مورد بررسی قرار گرفته است. نیاز به استانداردسازی و نقش آن برای حفظ حریم خصوصی در داده‌های سلامت نیز با بررسی یافته‌ها تشریح و در مورد قوانین مختلف مرتبط با حفظ حریم خصوصی در حوزه سلامت و ارتباط آن با استانداردسازی بحث شده است. پس از بررسی مشخص شد با توجه به ساختار فنی نسل چهارم و پنجم مراقبت سلامت که استانداردپذیری را تسهیل کرده است، حفظ حریم خصوصی نیز از مسیر استانداردسازی قابل دستیابی است. در نهایت، جهت‌دهی برای تحقیقات آینده در این موضوع نیز انجام شده است. نتایج این تحقیق نشان داد نسل چهارم و پنجم سیستم‌های مراقبت سلامت که فناوری محور هستند مبتنی بر استانداردها شکل می‌گیرند و استانداردها امکان قابل ارزیابی شدن آنها را فراهم می‌کند. بنابراین اگر قوانین مرتبط با حفظ حریم خصوصی، مبتنی بر استانداردها تدوین شود ضمانت اجرایی بالایی خواهد داشت. این موضوع نقش نهادهای توسعه‌دهنده استانداردها را در این زمینه پررنگ می‌کند.
Due to the importance of data sharing in the digital era and the two main considerations related to it that are; standardization and privacy protection, this article aims to answer a critical question that is, does standardization play a role in the proposed solutions for health data privacy protection? The present study is a systematic review conducted by searching databases such as Web of Science, PubMed, ScienceDirect, Springer, Magiran and SID and by applying a time limit filter. After applying the criteria for inclusion and exclusion and evaluating the results, relevant studies were selected. Articles addressing standardization and privacy protection in health data have been analyzed by taking 5 indicators into account. The need for standardization and its role to preserve privacy in health data have also been explained by examining the findings and discussing various laws related to privacy in the health field and its relationship with standardization. After the investigation, our study reveals that due to the technical structure of the fourth and fifth generation of health care, which has facilitated standardization, privacy protection can also be achieved through standardization. Finally, directions for future research on this topic are also suggested. The results of this research shows that the fourth- and fifth-generation health care systems that are technology-oriented; are formed based on standards, and these standards provide the possibility of their evaluation. Thus if laws related to health data privacy protection are developed based on standards, they will have a high execution guarantee. This further highlights the critical role of standard development organizations in this field.
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