Just data? Solidarity and justice in data-driven medicine.

IF 3.1 Q1 Arts and Humanities Life Sciences, Society and Policy Pub Date : 2020-08-25 DOI:10.1186/s40504-020-00101-7
Patrik Hummel, Matthias Braun
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Abstract

This paper argues that data-driven medicine gives rise to a particular normative challenge. Against the backdrop of a distinction between the good and the right, harnessing personal health data towards the development and refinement of data-driven medicine is to be welcomed from the perspective of the good. Enacting solidarity drives progress in research and clinical practice. At the same time, such acts of sharing could-especially considering current developments in big data and artificial intelligence-compromise the right by leading to injustices and affecting concrete modes of individual self-determination. In order to address this potential tension, two key elements for ethical reflection on data-driven medicine are proposed: the controllability of information flows, including technical infrastructures that are conducive towards controllability, and a paradigm shift towards output-orientation in governance and policy.

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公正的数据?数据驱动医学中的团结与正义。
本文认为,数据驱动型医学带来了一个特殊的规范性挑战。在区分善与权利的背景下,从善的角度来看,利用个人健康数据发展和完善数据驱动医学是值得欢迎的。团结一致的行动会推动研究和临床实践的进步。与此同时,这种共享行为--特别是考虑到当前大数据和人工智能的发展--可能会导致不公正并影响个人自决的具体模式,从而损害这一权利。为了解决这种潜在的紧张关系,我们提出了对数据驱动医学进行伦理反思的两个关键要素:信息流的可控性,包括有利于实现可控性的技术基础设施,以及治理和政策中以产出为导向的范式转变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Life Sciences, Society and Policy
Life Sciences, Society and Policy Arts and Humanities-Philosophy
自引率
0.00%
发文量
0
审稿时长
18 weeks
期刊介绍: The purpose of Life Sciences, Society and Policy (LSSP) is to analyse social, ethical and legal dimensions of the most dynamic branches of life sciences and technologies, and to discuss ways to foster responsible innovation, sustainable development and user-driven social policies. LSSP provides an academic forum for engaged scholarship at the intersection of life sciences, philosophy, bioethics, science studies and policy research, and covers a broad area of inquiry both in emerging research areas such as genomics, bioinformatics, biophysics, molecular engineering, nanotechnology and synthetic biology, and in more applied fields such as translational medicine, food science, environmental science, climate studies, research on animals, sustainability, science education and others. The goal is to produce insights, tools and recommendations that are relevant not only for academic researchers and teachers, but also for civil society, policy makers and industry, as well as for professionals in education, health care and the media, thus contributing to better research practices, better policies, and a more sustainable global society.
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