Sharing whilst caring: solidarity and public trust in a data-driven healthcare system

BMC Medical Ethics

Angeliki Kerasidou¹  Ruth Horn¹ 

[1]The Ethox Centre and Wellcome Centre for Ethics and Humanities, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK

关键词: Solidarity;    Solidaristic healthcare system;    Public trust;    Data sharing;    Private companies;    Data-driven technologies;   

DOI  :  10.1186/s12910-020-00553-8

来源: Springer

【 摘 要 】

BackgroundIn the UK, the solidaristic character of the NHS makes it one of the most trusted public institutions. In recent years, the introduction of data-driven technologies in healthcare has opened up the space for collaborations with private digital companies seeking access to patient data. However, these collaborations appear to challenge the public’s trust in the.Main textIn this paper we explore how the opening of the healthcare sector to private digital companies challenges the existing social contract and the NHS’s solidaristic character, and impacts on public trust. We start by critically discussing different examples of partnerships between the NHS and private companies that collect and use data. We then analyse the relationship between trust and solidarity, and investigate how this relationship changes in the context of digital companies entering the healthcare system. Finally, we show ways for the NHS to maintain public trust by putting in place a solidarity grounded partnership model with companies seeking to access patient data. Such a model would need to serve collective interests through, for example, securing preferential access to goods and services, providing health benefits, and monitoring data access.ConclusionA solidarity grounded partnership model will help establish a social contract or licence that responds to the public’s expectations and to principles of asolidaristic healthcare system.

【 授权许可】

CC BY