Do patients and research subjects have a right to receive their genomic raw data? An ethical and legal analysis

BMC Medical Ethics 21 (1):1-12 (2020)
  Copy   BIBTEX

Abstract

As Next Generation Sequencing technologies are increasingly implemented in biomedical research and care, the number of study participants and patients who ask for release of their genomic raw data is set to increase. This raises the question whether research participants and patients have a legal and moral right to receive their genomic raw data and, if so, how this right should be implemented into practice. In a first step we clarify some central concepts such as “raw data”; in a second step we sketch the international legal framework. The third step provides an extensive ethical analysis which comprehends two parts: an evaluation of whether there is a prima facie moral right to receive one’s raw data, and a contextualization and discussion of the right in light of potentially conflicting interests and rights of the data subject herself and third parties; in a last fourth step we emphasize the main practical consequences of the ethical analyses and propose recommendations for the release of raw data. In several legislations like the new European General Data Protection Regulation, patients do in principle have the right to receive their raw data. However, the procedural implementation of this right and whether it involves genetic counselling is at the discretion of the Member States. Even more questions remain with respect to the research context. The ethical analysis suggests that patients and research subjects have a moral right to receive their genomic raw data and addresses aspects which are also of relevance for the legal discussion such as the costs of release of raw data and its impact on academic freedom. Taking into account the specific nature and implications of genomic raw data and the contexts of research and health care, several concerns and potentially conflicting interests of the data subjects themselves and involved researchers, physicians, biomedical institutions and relatives arise. Instead of using them to argue in favor of restrictions of the data subjects’ legal and moral right to genomic raw data, the concerns should be addressed through provision of information and other measures. To this end, we propose relevant recommendations.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 91,386

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Genomic research data: open vs. restricted access.David B. Resnik - 2010 - IRB: Ethics & Human Research 32 (1):1.
Challenges of web-based personal genomic data sharing.Pascal Borry & Mahsa Shabani - 2015 - Life Sciences, Society and Policy 11 (1):1-13.
Big Data Ethics in Research.Nicolae Sfetcu - 2019 - Bucharest, Romania: MultiMedia Publishing.
Bodies of data: genomic data and bioscience data sharing.Pilar N. Ossorio - 2011 - Social Research: An International Quarterly 78 (3):907-932.
Bodies of Data: Genomic Data and Bioscience Data Sharing.Pilar Ossorio - 2011 - Social Research: An International Quarterly 78 (4):907-932.
Research or clinical care: what’s the difference?Nina Hallowell - 2018 - Journal of Medical Ethics 44 (6):359-360.

Analytics

Added to PP
2020-01-18

Downloads
14 (#965,243)

6 months
3 (#992,474)

Historical graph of downloads
How can I increase my downloads?