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满怀希望与担忧:公众对构建可靠医学信息共享空间的意见。

Hopeful and Concerned: Public Input on Building a Trustworthy Medical Information Commons.

机构信息

Patricia A. Deverka, M.D., M.S., M.B.E., is Director, Value Evidence and Outcomes at Geisinger National Precision Health, where she focuses on demonstrating the value of genomic sequencing for health systems and policymakers. Dierdre Gilmore, M.A., is a Senior Researcher at the American Institutes for Research. Gilmore earned a MA in Medical Anthropology at the University of London. Jennifer Richmond, M.S.P.H., is a Research Associate at the American Institutes for Research and a doctoral student in the Department of Health Behavior at the University of North Carolina at Chapel Hill (UNC-CH) Gillings School of Global Public Health. Zachary Smith is a Research Assistant at the American Institutes for Research. Rikki Mangrum, M.L.S., is a Senior Research Scientist at the American Institutes for Research. Barbara A. Koenig, Ph.D., is Professor of Bioethics and Medical Anthropology, based at the Institute for Health & Aging, University of California, San Francisco. She serves as Director of the UCSF Program in Bioethics. Robert Cook-Deegan, M.D., is a Professor in the School for the Future of Innovation in Society at Arizona State University. He is a physician and molecular biologist who turned to policy and then entered academe through Georgetown, Stanford, and Duke Universities before joining ASU. Angela G. Villanueva, M.P.H., is a Research Associate at the Center for Medical Ethics and Health Policy at Baylor College of Medicine. Mary A. Majumder, J.D., Ph.D., is an Associate Professor of Medicine at the Center for Medical Ethics and Health Policy, Baylor College of Medicine. Amy L. McGuire, J.D., Ph.D., is the Leon Jaworski Professor of Biomedical Ethics and Director of the Center for Medical Ethics and Health Policy at Baylor College of Medicine. Dr. McGuire serves on the program committee for the Greenwall Foundation Faculty Scholars Program in Bioethics and is immediate past president of the Association of Bioethics Program Directors.

出版信息

J Law Med Ethics. 2019 Mar;47(1):70-87. doi: 10.1177/1073110519840486.

DOI:10.1177/1073110519840486
PMID:30994071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6730638/
Abstract

A medical information commons (MIC) is a networked data environment utilized for research and clinical applications. At three deliberations across the U.S., we engaged 75 adults in two-day facilitated discussions on the ethical and social issues inherent to sharing data with an MIC. Deliberants made recommendations regarding opt-in consent, transparent data policies, public representation on MIC governing boards, and strict data security and privacy protection. Community engagement is critical to earning the public's trust.

摘要

医疗信息共享(MIC)是一个用于研究和临床应用的网络数据环境。在美国的三次研讨会上,我们邀请了 75 名成年人进行了为期两天的有针对性的讨论,讨论了与 MIC 共享数据所固有的伦理和社会问题。与会者就以下方面提出了建议:选择加入的同意、透明的数据政策、MIC 管理委员会中的公众代表、以及严格的数据安全和隐私保护。社区参与对于赢得公众信任至关重要。

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本文引用的文献

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The Role of Participants in a Medical Information Commons.参与者在医学信息共通体中的角色。
J Law Med Ethics. 2019 Mar;47(1):51-61. doi: 10.1177/1073110519840484.
2
Characterizing the Biomedical Data-Sharing Landscape.描述生物医学数据共享领域。
J Law Med Ethics. 2019 Mar;47(1):21-30. doi: 10.1177/1073110519840481.
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Blockchain Technology for Healthcare: Facilitating the Transition to Patient-Driven Interoperability.用于医疗保健的区块链技术:助力向患者驱动的互操作性转变。
关于为公众共同生产数据科学和人工智能资源过程的参与式评估。
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Patient Perspectives and Preferences for Consent in the Digital Health Context: State-of-the-art Literature Review.患者在数字健康背景下对知情同意的观点和偏好:最新文献综述。
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Am J Med Genet C Semin Med Genet. 2023 Sep;193(3):e32035. doi: 10.1002/ajmg.c.32035. Epub 2023 Feb 7.
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Genome Med. 2021 May 25;13(1):92. doi: 10.1186/s13073-021-00903-0.
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J Law Med Ethics. 2019 Mar;47(1):12-20. doi: 10.1177/1073110519840480.
Comput Struct Biotechnol J. 2018 Jun 30;16:224-230. doi: 10.1016/j.csbj.2018.06.003. eCollection 2018.
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Biobanking in British Columbia: discussions of the future of personalized medicine through deliberative public engagement.不列颠哥伦比亚省的生物样本库:通过公众参与协商讨论个性化医疗的未来。
Per Med. 2008 May;5(3):285-296. doi: 10.2217/17410541.5.3.285.
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What Is Trust? Ethics and Risk Governance in Precision Medicine and Predictive Analytics.信任是什么?精准医学和预测分析中的伦理与风险治理。
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