健康发展与政策研究2025，Vol.28Issue(4)：393-400,8.DOI:10.12458/HDPR.202505002
医疗卫生数据开放利用的挑战与对策
Challenges and countermeasures in utilization of open healthcare data
摘要
Abstract
The speedy development of China's data factor market gives the prominence to the value of healthcare data.However,the lack of foundational institutions and supporting mechanisms severely constrains the deeper exploitation of its value.This study analyzes the core issues in the opening and utilization of healthcare data from multidisciplinary perspective by systematically reviewing national and local policies,regulations,and exemplary data governance practices.It aims to construct a multi-dimensional collaborative governance framework and provide a reference for establishing China's healthcare data governance system.The findings reveal five major challenges in current healthcare data governance:ambiguous definition of data ownership,lagging ethical governance mechanisms,weak security protection capabilities,unclear pathways to assetization,and the absence of equity distribution mechanisms.The paper proposes pushing the boundaries of the current fragmented,single-centered governance model to unleash the synergistic governance of multiple mechanisms including institutions,ethics,security,value,and incentives.The enhanced data circulation efficiency and public value outcomes require systematic coordination of institutional design,technological tools,and public governance.关键词
医疗卫生数据/数据开放利用/系统性理论框架/数据权属/伦理治理Key words
healthcare data/open data utilization/systemic theoretical framework/data ownership/ethical governance分类
医药卫生引用本文复制引用
张怡,夏寒,冯骏,许铁峰..医疗卫生数据开放利用的挑战与对策[J].健康发展与政策研究,2025,28(4):393-400,8.基金项目
上海市卫生健康委员会2025年卫生健康政策研究课题(2025HP37) （2025HP37）
上海市医院协会2024年度医院管理课题(X2024074) （X2024074）
上海申康医院发展中心2024年度管理研究项目(2024SKMR-08) （2024SKMR-08）
