McGrail Kimberlyn M, Teng Jack, Bentley Colene, O'Doherty Kieran C, Burgess Michael M
Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada.
School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Int J Popul Data Sci. 2024 Oct 14;9(1):2372. doi: 10.23889/ijpds.v9i1.2372. eCollection 2024.
Sources of public and private data and ways to link them continue to evolve. This offers new opportunities for research, and new reasons for data-holding organisations to form partnerships. While research using these data can be beneficial, there is also a potential for negative consequences for some individuals or groups, including unintended or unanticipated effects. It is important to consult the public on how we might achieve both opportunities to link different types of data for research purposes, and protections against the misuse of data and the possibility of negative consequences.
Combining data sources for research was the topic of four days of deliberation held in British Columbia, Canada in late 2019. Public deliberation events bring diverse groups of people together to give direct input to policy makers, through carefully structured in-depth discussion on issues that are controversial and/or a source of public concern. Participants discussed whether data from electronic medical records should be used for research purposes, whether it is acceptable to combine data from public and private sources, who should authorise its use in research, and how a public advisory group on data use might be structured.
Over four days, 29 residents of BC developed 17 deliberative conclusions that can be grouped into four broad topic areas: balancing benefit and potential harms when linking data; the protections that are expected to govern use of data; the type of authorisation required; and how the public should be involved in an ongoing way. Overall, the public is very supportive of research as long as oversight and controls are in place, including ongoing input from members of the public.
Deliberative conclusions from this event provide essential public input on the use of linked data for research, in particular when those data come from multiple sources. This is important information as policy-makers continue to develop legislation and practices around the use and linkage of both public and private sources of data.
公共和私人数据的来源以及将它们相链接的方式不断发展。这为研究提供了新机遇,也促使数据持有机构有了建立合作关系的新理由。虽然利用这些数据开展研究可能有益,但也可能给某些个人或群体带来负面后果,包括意外或未预料到的影响。就如何在为研究目的链接不同类型数据的同时,保护数据不被滥用以及防止出现负面后果征求公众意见非常重要。
2019年末在加拿大不列颠哥伦比亚省举行为期四天的研讨,主题是结合数据源用于研究。公众审议活动将不同群体的人聚集在一起,通过就有争议和/或公众关注的问题进行精心组织的深入讨论,直接向政策制定者提供意见。参与者讨论了电子病历数据是否应用于研究目的、合并公共和私人来源的数据是否可接受、谁应授权其用于研究,以及数据使用公共咨询小组应如何构建。
在四天时间里,不列颠哥伦比亚省的29名居民得出了17条审议结论,可归纳为四个广泛的主题领域:链接数据时平衡益处与潜在危害;预期用于管理数据使用的保护措施;所需授权的类型;以及公众应如何持续参与。总体而言,只要有监督和控制措施,包括公众成员的持续参与,公众非常支持研究。
此次活动的审议结论为将链接数据用于研究提供了重要的公众意见,特别是当这些数据来自多个来源时。在政策制定者继续围绕公共和私人数据源的使用与链接制定立法和实践时,这是重要信息。