Authentication of Patients and Participants in Health Information Exchange and Consent for Medical Research: A Key Step for Privacy Protection, Respect for Autonomy, and Trustworthiness.
Authentication of Patients and Participants in Health Information Exchange and Consent for Medical Research: A Key Step for Privacy Protection, Respect for Autonomy, and Trustworthiness.
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DOI：
10.3389/fgene.2018.00167
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发表时间：
2018
影响因子：
3.7
通讯作者：
Kato K
中科院分区：
文献类型：
--
作者：
Kogetsu A;Ogishima S;Kato K
基因组和其他数据已经被用于癌症和罕见疾病等领域。数据共享和二次使用可能会变得更加广泛，因此，为这些新的数据使用获得适当的同意是一个重要问题。通过在线方法获得同意可能是克服一次性纸质知情同意相关问题的一种选择。当远程获取同意的过程发生时，必须确保身份验证。患者也可以选择在线存储自己的一些信息，例如遗传信息，并允许医疗保健专业人员访问这些数据。在这种健康信息传输和交换过程中，访问这些信息的任何人都必须经过正确的身份验证，以保护患者的隐私。在本文中，我们首先阐明了身份验证有两个角色：即，这不仅是为了防止冒名顶替，而且也是为了证明意图，这是确保医学研究和卫生信息交流以合乎道德的方式进行的重要步骤。然后，我们提出了认证方法。因此，我们能够就认证要求和为此目的可能的认证方法提出建议。我们考虑了生物识别技术的问题，并推荐了一种可行的解决方案，即不使用生物识别技术的双因素身份验证。然而，一旦生物识别技术变得更加普遍，包括生物识别技术在内的三因素认证似乎很可能会被使用。
Genome and other data are already being used in areas including cancer and rare diseases. Data-sharing and secondary uses are likely to become much broader and far more extensive; thus, obtaining proper consent for these new uses of data is an important issue. Obtaining consent through online methods may be an option to overcome the problems associated with one-off, paper-based informed consent. When the process of obtaining consent takes place remotely, authentication must be assured. Patients may also choose to store some of their own information online, such as genetic information, and allow healthcare professionals to access this data. In this health information transfer and exchange process, it is vital that anyone accessing this information be correctly authenticated to protect patients' privacy. In this article, we first clarified that authentication has two roles: i.e., not only to prevent impersonation but also to prove intent, which is a vital step to ensure that medical research and health information exchange are conducted ethically. We then set out methods of authentication. As a result, we were able to make suggestions about the requirements for authentication and a possible method of authentication for these purposes. We considered problems of biometrics and recommended two-factor authentication without biometrics as a workable solution. However, three-factor authentication including biometrics seems likely to be used once biometrics become more common.
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DOI：
10.1126/science.aaf6162
发表时间：
2016-06-10
期刊：
Science (New York, N.Y.)
影响因子：
--
作者：
通讯作者：
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DOI：
10.1038/ejhg.2017.106
发表时间：
2017-09
期刊：
European journal of human genetics : EJHG
影响因子：
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作者：
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Suematsu M
影响因子：
16.6
作者：
Biddle, Robert;Chiasson, Sonia;Van Oorschot, P. C.
通讯作者：
Van Oorschot, P. C.
影响因子：
2.7
作者：
Budin-Ljosne, Isabelle;Teare, Harriet J. A.;Mascalzoni, Deborah
通讯作者：
Mascalzoni, Deborah
DOI：
10.1038/ejhg.2017.57
发表时间：
2017-06
期刊：
European journal of human genetics : EJHG
影响因子：
--
作者：
Teare HJA;Hogg J;Kaye J;Luqmani R;Rush E;Turner A;Watts L;Williams M;Javaid MK
通讯作者：
Javaid MK