헬스케어서비스 활성화를 위한 법정책 과제- 빅데이터에 기반한 개인의료정보의 활용을 중심으로 -

Abstract

Healthcare service is essential for insurance companies to manage and keep a policyholder’s health and for the efficient treatment. It should be guaranteed properly in order to increase insurance usefulness. Unfortunately, insurance companies face some limitations in providing enough healthcare service for a policyholder in a practical level. The main limitations are interpretation of medical behavior according to Medical Service Act and sharing of health records. With regard to the legal issues, Ministry of Health and Welfare and other relevant government departments have a variety of discussion. However, any visible effect has yet to be produced. It is still unclear that forward-looking authoritative interpretation and legal revision will be made, due to the opposition of the medical circle. Nevertheless, given the three acts of big data economy to be revised and the government’s announcement of MyData industry, the big data based industries, including the insurance industry that urgently need the use of personal information, are expected to achieve visible development. Ultimately, for efficient treatment, it is necessary to find a plan that helps the medical staff or information objects access and use medical records. In other words, it is necessary to establish a health data integration and management system in the national dimension, and to make a data management system that helps information objects use health records for treatment. Accordingly, it is necessary to establish the act of integrated big data which embraces the three acts of big data economy in order to address legal issues. In particular, if an information management, access, and utilization system interacts with the insurance information integration system in the insurance industry in order for insurance companies to apply personal health records to their healthcare service advancement, better service will be provided. Although the information management system of the insurance industry can technically combine with the personal health records managed by National Health Insurance Corporation, it is less likely to be implemented due to abuse of information. Therefore, the proper plan for utilizing healthcare service is to let information objects directly receive their sensitive data from an information manager through mobile app and then agree on the use of their data.