Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN)
Identifieur interne : 000914 ( Ncbi/Curation ); précédent : 000913; suivant : 000915Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN)
Auteurs : Mark Gaynor [États-Unis] ; Leslie Lenert [États-Unis] ; Kristin D. Wilson [États-Unis] ; Scott Bradner [États-Unis]Source :
- Journal of the American Medical Informatics Association : JAMIA [ 1067-5027 ] ; 2013.
Abstract
The Office of the National Coordinator will be defining the architecture of the Nationwide Health Information Network (NWHIN) together with the proposed HealtheWay public/private partnership as a development and funding strategy. There are a number of open questions—for example, what is the best way to realize the benefits of health information exchange? How valuable are regional health information organizations in comparison with a more direct approach? What is the role of the carriers in delivering this service? The NWHIN is to exist for the public good, and thus shares many traits of the common law notion of ‘common carriage’ or ‘public calling,’ the modern term for which is network neutrality. Recent policy debates in Congress and resulting potential regulation have implications for key stakeholders within healthcare that use or provide services, and for those who exchange information. To date, there has been little policy debate or discussion about the implications of a neutral NWHIN. This paper frames the discussion for future policy debate in healthcare by providing a brief education and summary of the modern version of common carriage, of the key stakeholder positions in healthcare, and of the potential implications of the network neutrality debate within healthcare.
Url:
DOI: 10.1136/amiajnl-2013-001719
PubMed: 23837992
PubMed Central: 3912707
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Wilson</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Health Management and Policy</addr-line>,<institution>Saint Louis University, College for Public Health and Social Justice</institution>,<addr-line>Saint Louis, Missouri</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bradner, Scott" sort="Bradner, Scott" uniqKey="Bradner S" first="Scott" last="Bradner">Scott Bradner</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>Office of the CTO, Harvard University</institution>,<addr-line>Cambridge, Massachusetts</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of the American Medical Informatics Association : JAMIA</title><idno type="ISSN">1067-5027</idno><idno type="eISSN">1527-974X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The Office of the National Coordinator will be defining the architecture of the Nationwide Health Information Network (NWHIN) together with the proposed HealtheWay public/private partnership as a development and funding strategy. There are a number of open questions—for example, what is the best way to realize the benefits of health information exchange? How valuable are regional health information organizations in comparison with a more direct approach? What is the role of the carriers in delivering this service? The NWHIN is to exist for the public good, and thus shares many traits of the common law notion of ‘common carriage’ or ‘public calling,’ the modern term for which is network neutrality. Recent policy debates in Congress and resulting potential regulation have implications for key stakeholders within healthcare that use or provide services, and for those who exchange information. To date, there has been little policy debate or discussion about the implications of a neutral NWHIN. This paper frames the discussion for future policy debate in healthcare by providing a brief education and summary of the modern version of common carriage, of the key stakeholder positions in healthcare, and of the potential implications of the network neutrality debate within healthcare.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wu, T" uniqKey="Wu T">T Wu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wyatt, E" uniqKey="Wyatt E">E Wyatt</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lee, T" uniqKey="Lee T">T Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, T" uniqKey="Wu T">T Wu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cheng, J" uniqKey="Cheng J">J 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