EDITORIAL: Health insurance data need protection


The Constitutional Court on Friday dominated {that a} National Health Insurance Administration (NHIA) coverage of permitting different authorities businesses and researchers to entry its database is partly unconstitutional.

Taiwan’s single-payer well being insurance was launched in 1995, and by 2014 greater than 99.9 % of the inhabitants was enrolled. In 1998, the National Health Research Institute was commissioned to ascertain a database with info on insurance holders, and anonymized information turned accessible for researchers in 2000. In 2016, the database was returned to the Ministry of Health and Welfare and built-in with a devoted service middle that imposed tighter privateness protections, however continued to grant entry to the information.

However, seven human rights advocates in 2012 requested the NHIA to restrict entry to the database. As the company didn’t comply, they sued the NHIA. Their declare was rejected, however they appealed the preliminary resolution, in addition to ensuing selections in favor of the NHIA by greater courts. After the Supreme Administrative Court in 2017 rejected their declare, they filed for a constitutional interpretation, arguing that granting entry to extremely delicate private info with out individuals consenting to their information getting used breaches privateness rights and the precept of knowledge self-determination.

The NHIA mentioned that entities searching for entry to the information should endure an utility course of, which ensures privateness and that the aim for which the information are used have to be within the public curiosity. The ministry added that if people had been allowed to have their information deleted or stored secret, researchers would face a sampling bias, harming research which are within the public curiosity. It mentioned the database additionally helped the federal government implement profitable insurance policies to curb the unfold of COVID-19.

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However, the Constitutional Court dominated that Article 6 of the Personal Data Protection Act (個人資料保護法) — which requires the encryption of healthcare information, and units standards for his or her use by authorities businesses and tutorial establishments — lacks an unbiased governing mechanism. It additionally dominated that the National Health Insurance Act (全民健保法) is partly unconstitutional, because it doesn’t stipulate how the NHIA can save, course of and share healthcare information, and doesn’t outline necessities for entities accessing it. It requested the NHIA to replace its guidelines inside three years and so as to add an possibility for individuals to say no the usage of their information by third events.

The NHIA has typically touted Taiwan’s well being insurance system as a useful asset. The company mentioned database entry has considerably contributed to healthcare coverage planning, well being analysis, drug discovery and illness prevention, including that 6,550 tutorial papers utilizing the database had been revealed in worldwide journals from 1995 to March final 12 months.

The Constitutional Court’s ruling highlights the dilemma of sharing healthcare information, and the necessity for the federal government to discover a answer. If numerous individuals had been to say no third-party use of their information, it’d compromise healthcare decisionmaking, and decelerate scientific analysis and drug improvement.

The British authorities final 12 months sought to grant researchers and healthcare firms entry to its well being insurance database. It launched an opt-out course of, however after greater than 1 million individuals declined third-party use inside one month, it stopped this system’s rollout.

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In Taipei, the federal government can not conveniently use the ambiguous “public interest” declare to justify granting entry to its database. Instead it should persuade Taiwanese that the usage of their information is of their curiosity. It should reassess the applying standards for information entry, deal with privateness issues and clearly talk the way it ensures that the information are solely used for the best functions.

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