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动态同意制应用的机遇与挑战:个性化选择实现个人健康数据的共享和利用。

Opportunities and challenges of a dynamic consent-based application: personalized options for personal health data sharing and utilization.

机构信息

Office of eHealth Research and Business, Seoul National University Bundang Hospital, 172, Dolma-ro, Seongnam-si, 13605, Gyeonggi-do, Republic of Korea.

Interdisciplinary Program in Bioengineering, Seoul National University, 1, Gwanak-ro, Seoul, 08826, Seoul, Republic of Korea.

出版信息

BMC Med Ethics. 2024 Aug 31;25(1):92. doi: 10.1186/s12910-024-01091-3.

Abstract

BACKGROUND

The principles of dynamic consent are based on the idea of safeguarding the autonomy of individuals by providing them with personalized options to choose from regarding the sharing and utilization of personal health data. To facilitate the widespread introduction of dynamic consent concepts in practice, individuals must perceive these procedures as useful and easy to use. This study examines the user experience of a dynamic consent-based application, in particular focusing on personalized options, and explores whether this approach may be useful in terms of ensuring the autonomy of data subjects in personal health data usage.

METHODS

This study investigated the user experience of MyHealthHub, a dynamic consent-based application, among adults aged 18 years or older living in South Korea. Eight tasks exploring the primary aspects of dynamic consent principles-including providing consent, monitoring consent history, and managing personalized options were provided to participants. Feedback on the experiences of testing MyHealthHub was gathered via multiple-choice and open-ended questionnaire items.

RESULTS

A total of 30 participants provided dynamic consent through the MyHealthHub application. Most participants successfully completed all the provided tasks without assistance and regarded the personalized options favourably. Concerns about the security and reliability of the digital-based consent system were raised, in contrast to positive responses elicited in other aspects, such as perceived usefulness and ease of use.

CONCLUSIONS

Dynamic consent is an ethically advantageous approach for the sharing and utilization of personal health data. Personalized options have the potential to serve as pragmatic safeguards for the autonomy of individuals in the sharing and utilization of personal health data. Incorporating the principles of dynamic consent into real-world scenarios requires remaining issues, such as the need for powerful authentication mechanisms that bolster privacy and security, to be addressed. This would enhance the trustworthiness of dynamic consent-based applications while preserving their ethical advantages.

摘要

背景

动态同意原则基于保护个人自主权的理念,为个人提供个性化选项,以便他们在个人健康数据的共享和使用方面进行选择。为了在实践中广泛引入动态同意概念,个人必须认为这些程序是有用且易于使用的。本研究考察了基于动态同意的应用程序的用户体验,特别是关注个性化选项,并探讨了这种方法在确保个人健康数据使用中数据主体的自主权方面是否有用。

方法

本研究调查了韩国 18 岁及以上成年人对基于动态同意的 MyHealthHub 应用程序的用户体验。参与者被提供了八项任务,以探索动态同意原则的主要方面,包括提供同意、监控同意历史和管理个性化选项。通过多项选择和开放式问卷项目收集了对测试 MyHealthHub 体验的反馈。

结果

共有 30 名参与者通过 MyHealthHub 应用程序提供了动态同意。大多数参与者无需帮助即可成功完成所有提供的任务,并对个性化选项表示赞赏。与其他方面(如感知有用性和易用性)的积极反应相比,参与者对基于数字的同意系统的安全性和可靠性表示担忧。

结论

动态同意是个人健康数据共享和使用的一种有利伦理方法。个性化选项有可能成为个人在个人健康数据共享和使用中自主权的实用保障。将动态同意原则纳入现实场景需要解决一些问题,例如需要强大的身份验证机制来增强隐私和安全性,以提高动态同意应用程序的可信度,同时保留其伦理优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/11365279/a11e17c22b47/12910_2024_1091_Fig1_HTML.jpg

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