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Who owns the data? Open data for healthcare

Abstract:
Research on large shared medical datasets and data-driven research are gaining fast momentum and provide major opportunities for improving health systems as well as individual care. Such open data can shed light on the causes of disease and effects of treatment, including adverse reactions side-effects of treatments, while also facilitating analyses tailored to an individual’s characteristics, known as personalized or “stratified medicine.” Developments, such as crowdsourcing, participatory surveillance, and individuals pledging to become “data donors” and the “quantified self” movement (where citizens share data through mobile device-connected technologies), have great potential to contribute to our knowledge of disease, improving diagnostics, and delivery of ­healthcare and treatment. There is not only a great potential but also major concerns over privacy, confidentiality, and control of data about individuals once it is shared. Issues, such as user trust, data privacy, transparency over the control of data ownership, and the implications of data analytics for personal privacy with potentially intrusive inferences, are becoming increasingly scrutinized at national and international levels. This can be seen in the recent backlash over the proposed implementation of care.data, which enables individuals’ NHS data to be linked, retained, and shared for other uses, such as research and, more controversially, with businesses for commercial exploitation. By way of contrast, through increasing popularity of social media, GPS-enabled mobile apps and tracking/wearable devices, the IT industry and MedTech giants are pursuing new projects without clear public and policy discussion about ownership and responsibility for user-generated data. In the absence of transparent regulation, this paper addresses the opportunities of Big Data in healthcare together with issues of responsibility and accountability. It also aims to pave the way for public policy to support a balanced agenda that safeguards personal information while enabling the use of data to improve public health.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.3389/fpubh.2016.00007

Authors


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Role:
Author
ORCID:
0000-0002-2281-3972
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Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0001-5613-6810
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Role:
Author
ORCID:
0000-0003-0518-7161
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Oxford college:
Jesus College
Role:
Author
ORCID:
0000-0002-5127-4728


Publisher:
Frontiers Media
Journal:
Frontiers in Public Health More from this journal
Volume:
4
Article number:
7
Publication date:
2016-02-17
Acceptance date:
2016-01-14
DOI:
EISSN:
2296-2565
Pmid:
26925395


Language:
English
Keywords:
Subtype:
Review
Pubs id:
609102
Local pid:
pubs:609102
Deposit date:
2024-06-05

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