Big Data in health: a new paradigm to regulate, a challenge for social justice

e202110150

Authors

  • Soledad Cabezón Ruiz Hospital Universitario Virgen del Rocío. Sevilla. España.
  • Rubén Morilla Romero de la Osa Hospital Universitario Virgen del Rocío. Sevilla. España. / Departamento de Enfermería de la Universidad de Sevilla. Sevilla. España. / Instituto de Biomedicina de Sevilla. Sevilla. España. / Consejo Superior de Investigaciones Científicas (CSIC) - Universidad de Sevilla. Sevilla. España.

Keywords:

Big Data, Clinical ethics, Principle-based ethics, Social justice, Data anonymization, Health disparities

Abstract

In addition to the opportunities posed by the use of Big Data in health, it also generates important challenges in the field of research, especially from the point of view of its management and ethical considerations.

The European Union has been promoting different initiatives that allow the exploitation of this data in the context of the knowledge economy. The UNESCO Ethics Committee has identified three ethical principles to take into account regarding the application of Big Data in Health: independence, privacy and justice.

The protection of privacy and patient safety is questioned in a context where cybersecurity is far to be complete. In addition, an imbalance in the exploitation of these data by the public and private sectors could generate inequalities that would represent a significant problem of social justice.

This article follows a qualitative methodology based on the documentary analysis of current legislative texts, especially the recently approved General Data Protection Regulation (GDPR), as well as non-legislative documents of projects and parliamentary communications throughout the last two legislatures, with the aim of analyzing them and evaluating how they conform to the principles outlined by UNESCO, especially with respect to the principle of social justice. The most representative national projects that have started to be adopted are also reviewed.

Downloads

Download data is not yet available.

References

Luo J, Wu M, Gopukumar D, Zhao Y. Data Application in Biomedical Research and Health Care: A Literature Review. Biomed Inform Insigths. 2016.19;8:1-10. doi: 10.4137/BII.S31559. eCollection 2016.

Kruse CS, Goswamy R, Raval Y, Marawi Y. Challenges and Opportunities of Big Data in Health Care: A Systematic Review. JMIR Med Inform. 2016.21;4(4):e38.

Communication from the commission to the European parliament, the council, the European economic and social committee and the committee of the regions. Open data: An engine for innovation, growth and transparent governance. COM (2011) 882 final. Disponible en: http://www.europarl.europa.eu/RegData/docs_autres_institutions/commission_europeenne/com/2011/0882/COM_COM(2011)0882_EN.pdf

Document of conclusions of the European Council (25 October 2013). European Council. 2013. Disponible en: http://data.consilium.europa.eu/doc/document/ST-169-2013-INIT/en/pdf

Innovative Medicine Initiatives: Harmony. Healthcare Alliance for resourceful medicines offensive against neoplasm in hematology. Innovative Medicines Inicitavies (European Commission). Disponible en: https://www.imi.europa.eu/projects-results/project-factsheets/harmony

Report of the IBC on Big Data and health. United Nations Educational, Scientific and Cultural Organization (UNESCO). International Bioethics Committee. 2017. Disponible en: http://unesdoc.unesco.org/images/0024/002487/248724e.pdf

Christie A. Creating the new European Parliamentary Research Service (EPRS). Paper for 30th Pre-Conference of IFLA Section on Library and Research Services for Parliaments, 2014. Disponible en: https://www.ifla.org/wp-content/uploads/2019/05/assets/services-for-parliaments/preconference/2014/eprs_eu.pdf

Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) (Text with EEA relevance). (DO L 119 of 4.5.2016, p. 1). Council of the European Union , European Parliament. 2016. Disponible en: https://publications.europa.eu/en/publication-detail/-/publication/3e485e15-11bd-11e6-ba9a-01aa75ed71a1/language-en

https://eur-lex.europa.eu/homepage.html?locale=es

NHS England sets out the next steps of public awareness about care data. NHS England. News. 2013, 16. Disponible en: https://www.england.nhs.uk/2013/10/care-data/

Mira JJ, Pérez-Jover V, Lorenzo S, Aranaz J, Vitaller J. Qualitative Research Is a Valid Alternative Too. Aten Primaria. 2004.15;34(4):161-6. doi: 0.1016/s0212-6567(04)78902-7

De Lecuona I, Villalobos-Quesada M. European perspectives on Big Data applied to health: The case of biobanks and human databases. Dev World Bioeth. 2018. 3:291-298. doi: 10.1111/dewb.12208

Morrison M, Bell J, George C, Harmon S, Munsie M, Kaye J. The European General Data Protection Regulation: challenges and considerations for iPSC researchers and biobanks. Regen Med. 2017. 12(6):693-703. doi: 10.2217/rme-2017-0068

Rumbold JM, Pierscionek B. The Effect of the General Data Protection Regulation on Medical Research. J Med Internet Res. 2017. 19(2):e47. doi: 10.2196/jmir.7108

Code of practice on secondary use of medical data in scientific research projects. Innovative Medicine Initiatives. Research Projects. 2014. Disponible en: https://www.imi.europa.eu/sites/default/files/uploads/documents/reference-documents/CodeofPractice_SecondaryUseDRAFT.pdf

Universal Declaration on Bioethics and Human Rights. United Nations Educational, Scientific and Cultural Organization (UNESCO). 2005. Disponible en: http://www.unesco.org/new/en/social-and-human-sciences/themes/bioethics/bioethics-and-human-rights/

Charter of Fundamental Rights of the European Union. European Parliament, the Council and the Commission. 2012. Disponible en: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:12012P/TXT

Lamas E, Barh L, Brown D, Jaulent MC. Ethical, legal and Social Issues related to the health data-warehouses: reusing health data in the research and the public health research. Stud Health Technol Inform. 2015. 210:719-23.

De Lecuona I. Review of the methodological, ethical, legal and social issues of research projects in healthcare with Big Data. Gac Sanit. 2018;32(6):576-578. doi: 10.1016/j.gaceta.2018.02.007

Ibero-American Summit of November, 2018. Disponible en: https://www.cumbresiberoamericanas.com/ibero-american-summit-2018-focused-on-sustainable-development-group/

International Covenant on economic, social and cultural rights. Council of Europe. 2012. Disponible en: https://www.coe.int/en/web/compass/international-covenant-on-economic-social-and-cultural-rights

Cordes JJ. Using cost-benefit analysis ans social return on investment to evaluate the impact of social enterprise: Promises, implementation, and limitations. Eval Program Plann. 2017. 64:98-104. Doi: 10.1016/j.evalprograplan.2016.11.008. Epub 2016 Nov21.

Panteli D,Edwards S, Richardson E, Palm W, Mossialos E.

Ensuring access to medicines: How to stimulate innovation to meet patients’ needs? European Observatory on Health Systems and Policies.2018. Bookshelf ID: NBK526400. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK526400/

Mouton Dorey C, Baumann H & Biller-Andorno N. Patient data and patient rights: Swiss healthcare stakeholders’ ethical awareness regarding large patient data sets - a qualitative study. BMC Med Ethics. 2018. 7;19(1):20. doi: 10.1186/s12910-018-0261-x

Cabezón S. Report: on the assessment of Horizon 2020 implementation in view of its interim evaluation and the Framework Programme 9 proposal (2016/2147(INI)). Committee on Industry, Research and Energy of the European Parliament. 2017. http://www.europarl.europa.eu/doceo/document/A-8-2017-0209_EN.html

Nica D. Report: on the proposal for a regulation of the European Parliament and of the Council establishing Horizon Europe – the Framework Programme for Research and Innovation, laying down its rules for participation and dissemination (COM(2018)0435 – C8‑0252/2018 – 2018/0224(COD)). Committee on Industry, Research and Energy of the European Parliament 2018. Disponible en: http://www.europarl.europa.eu/doceo/document/A-8-2018-0401_EN.html

Hohlmeier M, Viotti D. Working document: on Pilot projects and Preparatory actions in budget 2019 and 2020. Committee on Budgets of the European Parliament. 2019. http://www.europarl.europa.eu/doceo/document/BUDG-DT-634494_EN.pdf?redirect

Communication from the Commission to the European Parliament, the European Council, the Council, the European Economic and Social Committee and the Committee of the Regions on enabling the digital transformation of health and care in the Digital Single Market; empowering citizens and building a healthier society. European Commission. 2018. Disponible en: https://ec.europa.eu/digital-single-market/en/news/communication-enabling-digital-transformation-health-and-care-digital-single-market-empowering

Consolidated version of the Treaty on the Functioning of the European Union, 2008/C 115/01. Disponible en: https://www.refworld.org/docid/4b17a07e2.html

Proposal for a regulation of the European Parliament and of the council on health technology assessment and amending Directive 2011/24/EU. European Commission. 2018. https://ec.europa.eu/health/sites/health/files/technology_assessment/docs/com2018_51_en.pdf

Proposal for a Regulation of the European Parliament and of the Council amending Regulation (EC) No 469/2009 concerning the supplementary protection certificate for medicinal products. COM/2018/317 final - 2018/0161 (COD). European Commission. 2018. http://www.europarl.europa.eu/RegData/docs_autres_institutions/commission_europeenne/com/2018/0317/COM_COM(2018)0317_EN.pdf

Regulation (EC) No 45/2001 of the European Parliament and of the Council of 18 December 2000 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. Council of the European Union , European Parliament OJ L 8, 12.1.2001, p1-. 2018. Disponible en. https://publications.europa.eu/en/publication-detail/-/publication/0177e751-7cb7-404b-98d8-79a564ddc629/language-en

Taylor L. The ethics of Big Data as a public good: which public? Whose goods? Philos Trans A Math Phys Eng Sci. 2016. 28;374(2083):20160126. doi: 10.1098/rsta.2016.0126

Recommendation of the Council on Health Data Governance, OECD/LEGAL/0433. OECD, 2019. Disponible en: https://www.oecd.org/health/health-systems/Recommendation-of-OECD-Council-on-Health-Data-Governance-Booklet.pdf

Parra Calderón CL. Big data in health in Spain: now is the time for a national strategy. DOI: 10.1016/j.gaceta.2015.10.005

Sortso C, Thygesen LC, Bronnum-Hansen H. Database on Danish population-based registers for public health and welfare research. Scand J Public Health. 2011. 7 Suppl:17-9.

Ley Orgánica 3/2018, 5 de Diciembre, sobre Protección de datos y garantía de los derechos digitales. BOE nº294. A-2018-16673, December 6, 2018. Disponible en: https://www.boe.es/boe/dias/2018/12/06/pdfs/BOE-A-2018-16673.pdf

Published

2021-10-07

How to Cite

1.
Cabezón Ruiz S, Morilla Romero de la Osa R. Big Data in health: a new paradigm to regulate, a challenge for social justice: e202110150. Rev Esp Salud Pública [Internet]. 2021 Oct. 7 [cited 2024 Nov. 22];95:13 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/457

Issue

Section

Colaboraciones especiales

Categories