Developing an ethical framework-guided instrument for assessing bias in EHR-based Big Data studies: a research protocol.

Developing an ethical framework-guided instrument for assessing bias in EHR-based Big Data studies: a research protocol.
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DOI:
10.1136/bmjopen-2022-070870
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发表时间:
2023-08-17
期刊:
影响因子:
2.9
通讯作者:
Olatosi, Bankole
Olatosi, Bankole
中科院分区:
医学3区
文献类型:
--
作者:
Qiao, Shan;Khushf, George;Li, Xiaoming;Zhang, Jiajia;Olatosi, Bankole

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大数据健康研究的出现极大地推动了医学和公共卫生领域的发展,但也面临着许多伦理挑战。伦理问题中最令人担忧但研究不足的方面之一是数据集(例如电子健康记录(EHR)数据)以及数据管理和获取周期中的潜在偏见风险。本研究旨在开发、完善和试点测试一种伦理框架指导的工具,用于评估使用EHR数据集的大数据研究中的偏见。伦理分析和工具开发(即EHR偏差评估指南)将通过文献/政策审查,内容分析和跨学科对话和讨论组成的迭代过程来实施。伦理框架和EHR偏见评估指南将反复完善,并与结果的初步总结相结合,为后续研究提供信息。我们将在所有迭代周期中采用各种形式,包括对关键利益相关者的深入访谈,小组讨论和Charrette研讨会,让数据管理员,最终用户研究人员,医疗保健工作者和患者代表参与其中。开发的EHR偏差评估指南将在现有的美国国立卫生研究院(NIH)资助的大数据HIV项目(R 01 AI 164947)中进行试点测试。该研究已获得南卡罗来纳州机构审查委员会的批准(Pro 00122501)。参与者将在深入访谈中提供知情同意书。研究结果将向主要利益攸关方传播,在相关讲习班和学术会议上介绍,并在同行评审期刊上发表。
The emergence of Big Data health research has exponentially advanced the fields of medicine and public health but has also faced many ethical challenges. One of most worrying but still under-researched aspects of the ethical issues is the risk of potential biases in data sets (eg, electronic health records (EHR) data) as well as in the data curation and acquisition cycles. This study aims to develop, refine and pilot test an ethical framework-guided instrument for assessing bias in Big Data research using EHR data sets. Ethical analysis and instrument development (ie, the EHR bias assessment guideline) will be implemented through an iterative process composed of literature/policy review, content analysis and interdisciplinary dialogues and discussion. The ethical framework and EHR bias assessment guideline will be iteratively refined and integrated with preliminary summaries of results in a way that informs subsequent research. We will engage data curators, end-user researchers, healthcare workers and patient representatives throughout all iterative cycles using various formats including in-depth interviews of key stakeholders, panel discussions and charrette workshops. The developed EHR bias assessment guideline will be pilot tested in an existing National Institutes of Health (NIH) funded Big Data HIV project (R01AI164947). The study was approved by Institutional Review Boards at the University of South Carolina (Pro00122501). Informed consent will be provided by the participants in the in-depth interviews. Study findings will be disseminated with key stakeholders, presented at relevant workshops and academic conferences, and published in peer-reviewed journals.
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