{"title":"医疗保健数据保护中的监管中断和套利。","authors":"Nicolas P Terry","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>This article explains how the structure of U.S. health-care data protection\n(specifically its sectoral and downstream properties) has led to a chronically\nuneven policy environment for different types of health-care data. It examines\nclaims for health-care data protection exceptionalism and competing demands\nsuch as data liquidity. In conclusion, the article takes the position that healthcare-\ndata exceptionalism remains a valid imperative and that even current\nconcerns about data liquidity can be accommodated in an exceptional protective\nmodel. However, re-calibrating our protection of health-care data residing\noutside of the traditional health-care domain is challenging, currently even\npolitically impossible. Notwithstanding, a hybrid model is envisioned with\ndownstream HIPAA model remaining the dominant force within the health-care\ndomain, but being supplemented by targeted upstream and point-of-use\nprotections applying to health-care data in disrupted spaces.</p>","PeriodicalId":85893,"journal":{"name":"Yale journal of health policy, law, and ethics","volume":"17 1","pages":"143-208"},"PeriodicalIF":0.0000,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Regulatory Disruption and Arbitrage in Health-Care Data Protection.\",\"authors\":\"Nicolas P Terry\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This article explains how the structure of U.S. health-care data protection\\n(specifically its sectoral and downstream properties) has led to a chronically\\nuneven policy environment for different types of health-care data. It examines\\nclaims for health-care data protection exceptionalism and competing demands\\nsuch as data liquidity. In conclusion, the article takes the position that healthcare-\\ndata exceptionalism remains a valid imperative and that even current\\nconcerns about data liquidity can be accommodated in an exceptional protective\\nmodel. However, re-calibrating our protection of health-care data residing\\noutside of the traditional health-care domain is challenging, currently even\\npolitically impossible. Notwithstanding, a hybrid model is envisioned with\\ndownstream HIPAA model remaining the dominant force within the health-care\\ndomain, but being supplemented by targeted upstream and point-of-use\\nprotections applying to health-care data in disrupted spaces.</p>\",\"PeriodicalId\":85893,\"journal\":{\"name\":\"Yale journal of health policy, law, and ethics\",\"volume\":\"17 1\",\"pages\":\"143-208\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Yale journal of health policy, law, and ethics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Yale journal of health policy, law, and ethics","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Regulatory Disruption and Arbitrage in Health-Care Data Protection.
This article explains how the structure of U.S. health-care data protection
(specifically its sectoral and downstream properties) has led to a chronically
uneven policy environment for different types of health-care data. It examines
claims for health-care data protection exceptionalism and competing demands
such as data liquidity. In conclusion, the article takes the position that healthcare-
data exceptionalism remains a valid imperative and that even current
concerns about data liquidity can be accommodated in an exceptional protective
model. However, re-calibrating our protection of health-care data residing
outside of the traditional health-care domain is challenging, currently even
politically impossible. Notwithstanding, a hybrid model is envisioned with
downstream HIPAA model remaining the dominant force within the health-care
domain, but being supplemented by targeted upstream and point-of-use
protections applying to health-care data in disrupted spaces.