On Quasi-Commodification and Quasi-Recycling of Personal Health Records

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Other Title
  • 診療記録の資源化
  • 診療記録の資源化 : 医療情報の電子化と次世代基盤法
  • シンリョウ キロク ノ シゲンカ : イリョウ ジョウホウ ノ デンシカ ト ジセダイ キバンホウ
  • Reflection on the So-Called Medical Big-Data Analysis Act 2018 under the Era of Degitalisation of Patient Records
  • 医療情報の電子化と次世代基盤法

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Abstract

<p> This article explores the prospective social impact of a law that enacts in 2018. The law lets Japan implement a system that allows researchers to use a huge set of anonymised personal health records (PHR) for research, big data analysis in particular. PHR had basically used for clinical practice by the end of the last century but the emergence of electronic health records (EHR) changes its story. EHR enables researches to use accumulated PHR for various research including big-data analysis. Behind this backdrop, the aforementioned law was established. This paper thus discusses how not only the nature of PHR but also the relation amongst medical practitioners, patients, health researchers, and IT specialists who handle collected EHR would be transformed in tandem with such secondary usage of EPR. To do so, the author draws on the theory of (gift) exchanges from sociology and economics as it facilitates illuminating the change in the value of PHR through its exchange process including the process of its sale. This study is hence intended to offer a case study of the ongoing quasi-commodification and quasirecycling of PHR in Japan.</p>

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