科技创新发展战略研究2026，Vol.10Issue(4)：78-90,13.
粤港澳大湾区可信医疗数据空间的协同治理路径:从形式合规到实质等价
Collaborative Governance Path of Trusted Medical Data Spaces in the Guangdong-Hong Kong-Macao Greater Bay Area:From Formal Compliance to Substantive Equivalence
摘要
Abstract
The construction of trusted medical data spaces in the Guangdong-Hong Kong-Macao Greater Bay Area(GBA)is not merely a technical engineering project,but a socio-technical process in which technical architecture and legal order shape each other.In response to the evident lack of systematic legal research on cross-border medical data circulation in the GBA,this paper—differing from traditional hermeneutics—introduces the emerging technological and social construct of a trustworthy medical data spaces into the regulatory framework of existing civil law.It focuses on three key elements:the feasibility of re-identification risks,the verifiability of protection mechanisms,and substantive changes in risk distribution,while balancing technical realities with legal interests.From a functionalist perspective of the theory of science,technology and society,it argues for taking the irreversible personality rights and interests of medical data as the logical starting point to reconstruct civil liability within this space in a scenario-based manner.It focuses on three progressive core issues:First,regarding the responsible subjects,since the platform's technical architecture already possesses regulatory attributes,the duty of care commensurate with it should be established with"controllability-technical control-benefit attribution"as the axis.Second,regarding the judgment of illegality,the formal threshold review of anonymization,consent authorization,and data export should be abandoned in favor of a comprehensive shift toward a substantive evaluation centered on"functional and risk equivalence."Third,regarding the realization of remedies,it proposes a relatively lenient allocation of the burden of proof.In view of the legal conflicts under the GBA's"one country,two systems,three jurisdictions"principle,it suggests coordinating the joint tort standards across the three regions through a step-by-step determination based on functional equivalence.In summary,to meet current practical needs,a gradual strategy of"legal interpretation to explore the path,followed by legislative finalization"should be established,and then through bidirectional calibration between legal rules and technical architecture,a collaborative governance framework that transcends a single jurisdiction should be constructed,fully unleashing the technological governance potential of trusted medical spaces,and ultimately realizing the secure,controllable,and efficient integration of medical data in the GBA.关键词
可信医疗数据空间/数据安全/数据出境/科学技术与社会/粤港澳大湾区Key words
trusted medical data spaces/data security/data export/science,technology,and society/legal hermeneutics/Guangdong-Hong Kong-Macao Greater Bay Area分类
管理科学引用本文复制引用
陈靖怡,李雪松..粤港澳大湾区可信医疗数据空间的协同治理路径:从形式合规到实质等价[J].科技创新发展战略研究,2026,10(4):78-90,13.基金项目
澳门大学博士资助计划项目(YC372192) （YC372192）
