International comparisons of health system performance among OECD countries: Opportunities and data privacy protection challenges
| Autor: | Niek Klazinga, Jillian Oderkirk, Elettra Ronchi |
|---|---|
| Přispěvatelé: | Amsterdam Public Health, Public and occupational health |
| Rok vydání: | 2013 |
| Předmět: |
Information privacy
HRHIS Public economics business.industry International studies Developed Countries International comparisons Health Policy Data linkage Data sharing Health Information Management Health Records Personal Personal health data Environmental health Health Care Surveys Health system performance Data Protection Act 1998 business Delivery of Health Care Data privacy Risk management Confidentiality Health care quality Data protection |
| Zdroj: | Health policy (Amsterdam, Netherlands), 112(1-2), 9-18. Elsevier Ireland Ltd |
| ISSN: | 0168-8510 |
| DOI: | 10.1016/j.healthpol.2013.06.006 |
| Popis: | Objective Health data constitute a significant resource in most OECD countries that could be used to improve health system performance. Well-intended policies to allay concerns about breaches of confidentiality and to reduce potential misuse of personal health information may be limiting data use. A survey of 20 OECD countries explored the extent to which countries have developed and use personal health data and the reasons why data use may be problematic in some. Results Countries are divided, with one-half engaged regularly in national data linkage studies to monitor health care quality. Country variation is linked to risk management in granting an exemption to patient consent requirements; in sharing identifiable data among government authorities; and in project approvals and granting access to data. The resources required to comply with data protection requirements is a secondary problem. The sharing of person-level data across borders for international comparisons is rarely reported and there were few examples of studies of health system performance. Discussion Laws and policies enabling data sharing and data linkage are needed to strengthen national information infrastructure. To develop international studies comparing health care quality and health system performance, actions are needed to address heterogeneity in data protection practices. |
| Databáze: | OpenAIRE |
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