| 英文摘要 |
The integration and application of biomedical and healthcare data has a certain degree of public interest in medical and public health research. How to seek a balance between the secondary use of healthcare data and the protection of personal data and privacy is the core argument of the Constitutional Court Decision on the lawsuit regarding the secondary use of data in the National Health Insurance Database in Taiwan. In order to enable the effective integration of healthcare data to provide secondary use for purposes other than direct care, the Health and Social Care Act (HSCA) was passed in England in 2012, which provides a legal basis to establish the Health and Social Care Information Centre (HSCIC) in the NHS England. The HSCIC is the predecessor of NHS Digital, responsible for data integration and digital transformation of the NHS. The purpose of this paper is to analyze the integration, application, and data governance of biomedical and healthcare data in NHS England. The paper analyses NHS England’s legal basis of healthcare data integration, secondary use of data, data governance, and opt-out policies and exemptions, and possible externalities. It is with the hope that the experiences in the NHS England and its public engagement efforts to increase public trust can act as a reference for the like-minded discussions and the current endeavours to establish laws on the secondary use of national health insurance data in Taiwan. |
