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4 - Promoting the Use of PHR by Citizens and Physicians

Proposed Design for a Token to Be Allocated to Citizens

from Part I - Platforms, Apps and Digital Health

Published online by Cambridge University Press:  08 September 2022

By
Shinto Teramoto
Edited by
Marcelo Corrales Compagnucci ,
Michael Lowery Wilson ,
Mark Fenwick ,
Nikolaus Forgó  and
Till Bärnighausen
Marcelo Corrales Compagnucci
Affiliation:
University of Copenhagen
Michael Lowery Wilson
Affiliation:
University of Turku, Finland
Mark Fenwick
Affiliation:
Kyushu University, Japan
Nikolaus Forgó
Affiliation:
Universität Wien, Austria
Till Bärnighausen
Affiliation:
Universität Heidelberg
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Summary

The digitalised medical and health records of citizens are stored in the Electronic Health Records (EHR) of hospitals or clinics, and Personal Healthcare Records (PHR). The quality of medical care is improved when physicians can access the past records of patients. A user-friendly service that enables individual citizens to share their health and medical records in PHR with their physicians is essential to achieve this. In order to encourage patients and physicians to share medical records utilising PHR, while avoiding conflict with the recent trend demanding that citizens have autonomous control of their own personal information, governments have to develop legal measures to encourage individual citizens to take the initiative to record their medical and health data in their PHR and to give their physicians access to it. The author proposes mathematical schemes that can be implemented in the legal incentives deemed suitable for such encouragement.

Keywords

PHRhealthcarelegal incentivesdigital tokenliquidityexchange rate
Type
Chapter
Information
AI in eHealth
Human Autonomy, Data Governance and Privacy in Healthcare
 , pp. 87 - 122
Publisher: Cambridge University Press
Print publication year: 2022

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References

American Hospital Association, ‘Sharing Data, Saving Lives: The Hospital Agenda for Interoperability’ (2019), www.aha.org/system/files/2019-01/Report01_18_19-Sharing-Data-Saving-Lives_FINAL.pdf, accessed 10 February 2020.Google Scholar
Barabási, AL and Albert, R, ‘Emergence of Scaling in Random Networks’ (1999) 286(5439) Science 509.CrossRefGoogle ScholarPubMed
Furukawa, K and Arai, H, ‘Earthquake in Japan’ (2011) 377(9778) The Lancet 1652.Google ScholarPubMed
‘Iryō Jōhō Netto no Riyō Teimei Shōhi Zōzei, Yūkō Katsuyō sarezu’ (Stagnation in Use, Consumption Tax Increase and Ineffective Utilization of Healthcare Information Network) Nippon Keizai Shinbun (28 October 2019), www.nikkei.com/article/DGXMZO51505040Y9A021C1CR8000/, accessed 10 February 2020.Google Scholar
Japan Medical Association Emergency and Disaster Medicine Management Committee, ‘Program of the Activities of the Japan Medical Association Team (JMAT)’ (2013) 56(3) Japan Medical Association Journal 143.Google Scholar
Kobayashi, K, ‘Role Sharing between DMAT and JMAT’ (2013) 56(1) Japan Medical Association Journal 25.Google Scholar
Matsumoto, K, ‘Mental Health of Disaster Relief Supporters’ (2013) 56(2) Japan Medical Association Journal 70.Google Scholar
McGhin, T and others, ‘Blockchain in Healthcare Application: Research Challenges and Opportunities’ (2019) 135 Journal of Network Computer Applications 62.Google Scholar
Ministry of Health, Labour and Welfare, ‘Chiiki Iryō Renkei no Fukyū ni Muketa Kenkō Jōhō Katsuyō Kiban Jisshō Jigyō’ (Electronic Health Records Infrastructure Program for diffusion of regional medical cooperation) (2015), www.mhlw.go.jp/file/06-Seisakujouhou-10800000-Iseikyoku/0000102029.pdf, accessed 10 February 2020.Google Scholar
Ministry of Health, Labour and Welfare, ‘PHR ni Kansuru Kore Made no keii to Kentō no Susumekata Nitsuite’ (The History of PHR and How to Proceed with the Studies) (2019), www.mhlw.go.jp/content/10904750/000546635.pdf, accessed 10 February 2020.Google Scholar
Ministry of Internal Affairs and Communication, ‘Kenkō Iryō Kaigo no Dēta Kiban no Kōchiku ni Muketa Sōmu-shō no Torikumi (PHR Kanren)’ (Ministry of Internal Affairs and Communications (PHR Related) Efforts to Build a Database for Health, Health Care and Nursing Care) (2019), www.kantei.go.jp/jp/singi/keizaisaisei/miraitoshikaigi/suishinkaigo2018/health/dai6/siryou2.pdf, accessed 10 February 2020.Google Scholar
Perez, and others, ‘Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation’ (2019) 381 The New England Journal of Medicine 1909.Google Scholar
Prell, C, Social Networks Analysis: History, Theory and Methodology (SAGE 2011).Google Scholar
Reisman, M, ‘EHRs: The Challenge of Making Electronic Data Usable and Interoperable’ (2017) 42(9) Pharmacy and Therapeutics 572.Google Scholar
Scott, J, Social Networks Analysis (4th ed. SAGE 2017).Google Scholar
Starkey, J and Maeda, S, ‘Earthquake in Japan’ (2011) 377(9778) The Lancet 1653.Google Scholar
Teramoto, S, ‘How Industrial Policy Affects the Nurturing of Innovation: From the Perspective of Intellectual Property Rights’ in Basedow, J and Kono, T (eds), Special Economic Zones: Law and Policy Perspectives (Mohr Siebeck 2016).Google Scholar
Teramoto, S, ‘Iryō, Kenkō Bun’ya ni Okeru Kyurēshon Saito no Yakuwari to Un’yō no Muzukashisa (The Role of Curation Sites in the Medical Care and Health Fields and the Difficulty of Operation) (2018) 78 Law and Technology 10.Google Scholar
Teramoto, S and Fukazu, T, ‘Cloud Computing for Medical Data: A Legal Perspective’ (2012) 25 It Vision 38.Google Scholar
Teramoto, S and Haga, Y, ‘Informed Consent in Building Big Data in Healthcare: The Essential Role of Hubs in Curating and Disseminating Knowledge’ (2017) 4(2) RANGSIT Journal of Social Sciences and Humanities 69.Google Scholar
Teramoto, S and Jurčys, P, ‘Allocation of Public Resources for Scientific Research: The Role of Governments and the Law’ (2018) 85(1) Hosei Kenkyu 362.Google Scholar
Teramoto, S and Sugimura, K, ‘Shakai ni Kakusan Sareru Iryō Kenkō Jōhō no Kenzen-sei o Iji Suru Tame ni Obujekushon no Katsuyō’ (The Diffusion of Soundness of Medical Care and Health Information to Society: Objection Application) (2019) 84 Law and Technology 66.Google Scholar
Yamamoto, R, ‘Kokunaigai Ni Okeru Iryō Jōhō no Hyōjunka no Genjō to Tenbō: Sōgo Un’yōsei no Kōjō o Mezashite’ (Situation and Prospects of Standardization of Health Information in Japan: For Improvement of Interoperability) (2017) 60(9) Joho Kanri 619.Google Scholar

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