Safran C
Yearb Med Inform. 2017 Aug;26(1):24-27. doi: 10.15265/IY-2017-013. Epub 2017 Sep 11.
Reuse of clinical data has broad use in clinical, research, governmental, and business settings. This summary provides an update on the benefits, barriers to use with large clinical databases, policy frameworks that have been formulated, and challenges. This report highlights some recent publications on the diverse uses of clinical data and some policy initiatives to promote reuse. It also contains the opinions of the author. Although many examples of the benefits of data reuse have been documented, this summary also reviews why the quality of clinical data needs to be the focus of future informatics work. The promise of reusing data outweighs potential risks, but concerns about privacy and the need to modernize our legal framework will be necessary to realize the full benefits of real-world evidence.
临床数据的再利用在临床、研究、政府和商业环境中有着广泛的应用。本综述提供了关于其益处、在大型临床数据库中使用的障碍、已制定的政策框架以及挑战的最新情况。本报告重点介绍了一些关于临床数据多样化用途的近期出版物以及一些促进再利用的政策举措。它还包含了作者的观点。尽管已经记录了许多数据再利用益处的例子，但本综述也探讨了为何临床数据质量需要成为未来信息学工作的重点。数据再利用的前景大于潜在风险，但要实现真实世界证据的全部益处，对隐私的担忧以及更新我们法律框架的必要性将是必不可少的。
