Ethical issues in consent for the re-use of data in health data platforms
Data platforms represent a new paradigm for carrying out health research. In the platform model, datasets are pooled for remote access and analysis, so novel insights for developing better stratified and / or personalised medicine approaches can be derived from their integration. If the integration...
| Main Authors: | , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Springer
2021
|
| _version_ | 1797087257246564352 |
|---|---|
| author | McKeown, AJ Mourby, M Harrison, P Walker, S Sheehan, M Singh, I |
| author_facet | McKeown, AJ Mourby, M Harrison, P Walker, S Sheehan, M Singh, I |
| author_sort | McKeown, AJ |
| collection | OXFORD |
| description | Data platforms represent a new paradigm for carrying out health research. In the platform model, datasets are pooled for remote access and analysis, so novel insights for developing better stratified and / or personalised medicine approaches can be derived from their integration. If the integration of diverse datasets enables development of more accurate risk indicators, prognostic factors, or better treatments and interventions, this obviates the need for the sharing and reuse of data; and a platform-based approach is an appropriate model for facilitating this. Platform-based approaches thus require new thinking about consent. Here we defend an approach to meeting this challenge within the data platform model, grounded in: the notion of ‘reasonable expectations’ for the reuse of data; Waldron’s account of ‘integrity’ as a heuristic for managing disagreement about the ethical permissibility of the approach; and the element of the social contract that emphasises the importance of public engagement in embedding new norms of research consistent with changing technological realities. While a social contract approach may sound appealing, however, it is incoherent in the context at hand. We defend a way forward guided by that part of the social contract which requires public approval for the proposal and argue that we have moral reasons to endorse a wider presumption of data reuse. However, we show that the relationship in question is not recognisably contractual and that the social contract approach is therefore misleading in this context. We conclude stating four requirements on which the legitimacy of our proposal rests. |
| first_indexed | 2024-03-07T02:33:15Z |
| format | Journal article |
| id | oxford-uuid:a7f10ca7-6897-48c4-9d8d-63407fd226aa |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T02:33:15Z |
| publishDate | 2021 |
| publisher | Springer |
| record_format | dspace |
| spelling | oxford-uuid:a7f10ca7-6897-48c4-9d8d-63407fd226aa2022-03-27T02:57:59ZEthical issues in consent for the re-use of data in health data platformsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a7f10ca7-6897-48c4-9d8d-63407fd226aaEnglishSymplectic ElementsSpringer2021McKeown, AJMourby, MHarrison, PWalker, SSheehan, MSingh, IData platforms represent a new paradigm for carrying out health research. In the platform model, datasets are pooled for remote access and analysis, so novel insights for developing better stratified and / or personalised medicine approaches can be derived from their integration. If the integration of diverse datasets enables development of more accurate risk indicators, prognostic factors, or better treatments and interventions, this obviates the need for the sharing and reuse of data; and a platform-based approach is an appropriate model for facilitating this. Platform-based approaches thus require new thinking about consent. Here we defend an approach to meeting this challenge within the data platform model, grounded in: the notion of ‘reasonable expectations’ for the reuse of data; Waldron’s account of ‘integrity’ as a heuristic for managing disagreement about the ethical permissibility of the approach; and the element of the social contract that emphasises the importance of public engagement in embedding new norms of research consistent with changing technological realities. While a social contract approach may sound appealing, however, it is incoherent in the context at hand. We defend a way forward guided by that part of the social contract which requires public approval for the proposal and argue that we have moral reasons to endorse a wider presumption of data reuse. However, we show that the relationship in question is not recognisably contractual and that the social contract approach is therefore misleading in this context. We conclude stating four requirements on which the legitimacy of our proposal rests. |
| spellingShingle | McKeown, AJ Mourby, M Harrison, P Walker, S Sheehan, M Singh, I Ethical issues in consent for the re-use of data in health data platforms |
| title | Ethical issues in consent for the re-use of data in health data platforms |
| title_full | Ethical issues in consent for the re-use of data in health data platforms |
| title_fullStr | Ethical issues in consent for the re-use of data in health data platforms |
| title_full_unstemmed | Ethical issues in consent for the re-use of data in health data platforms |
| title_short | Ethical issues in consent for the re-use of data in health data platforms |
| title_sort | ethical issues in consent for the re use of data in health data platforms |
| work_keys_str_mv | AT mckeownaj ethicalissuesinconsentforthereuseofdatainhealthdataplatforms AT mourbym ethicalissuesinconsentforthereuseofdatainhealthdataplatforms AT harrisonp ethicalissuesinconsentforthereuseofdatainhealthdataplatforms AT walkers ethicalissuesinconsentforthereuseofdatainhealthdataplatforms AT sheehanm ethicalissuesinconsentforthereuseofdatainhealthdataplatforms AT singhi ethicalissuesinconsentforthereuseofdatainhealthdataplatforms |