Assuntos
Confidencialidade/legislação & jurisprudência , Conjuntos de Dados como Assunto/legislação & jurisprudência , Saúde Pública/legislação & jurisprudência , Health Insurance Portability and Accountability Act , Privacidade/legislação & jurisprudência , Saúde Pública/estatística & dados numéricos , Estados UnidosRESUMO
Big data holds big potential for comparative effectiveness research. The ability to quickly synthesize and use vast amounts of health data to compare medical interventions across settings of care, patient populations, payers and time will greatly inform efforts to improve quality, reduce costs and deliver more patient-centered care. However, the use of big data raises significant legal and ethical issues that may present barriers or limitations to the full potential of big data. This paper addresses the scope of some of these legal and ethical issues and how they may be managed effectively to fully realize the potential of big data.
Assuntos
Pesquisa Comparativa da Efetividade/ética , Pesquisa Comparativa da Efetividade/legislação & jurisprudência , Mineração de Dados , Ética em Pesquisa , Projetos de Pesquisa , Humanos , Participação do Paciente , Melhoria de QualidadeRESUMO
Big data is heralded as having the potential to revolutionize health care by making large amounts of data available to support care delivery, population health, and patient engagement. Critics argue that big data's transformative potential is inhibited by privacy requirements that restrict health information exchange. However, there are a variety of permissible activities involving use and disclosure of patient information that support care delivery and management. This article presents an overview of the legal framework governing health information, dispels misconceptions about privacy regulations, and highlights how ambulatory care providers in particular can maximize the utility of big data to improve care.