1. A concentric circles view of health data relations facilitates understanding of sociotechnical challenges for learning health systems and the role of federated data networks.
- Author
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Milne R, Sheehan M, Barnes B, Kapper J, Lea N, N'Dow J, Singh G, Martín-Uranga A, and Hughes N
- Abstract
The ability to use clinical and research data at scale is central to hopes for data-driven medicine. However, in using such data researchers often encounter hurdles-both technical, such as differing data security requirements, and social, such as the terms of informed consent, legal requirements and patient and public trust. Federated or distributed data networks have been proposed and adopted in response to these hurdles. However, to date there has been little consideration of how FDNs respond to both technical and social constraints on data use. In this Perspective we propose an approach to thinking about data in terms that make it easier to navigate the health data space and understand the value of differing approaches to data collection, storage and sharing. We set out a socio-technical model of data systems that we call the "Concentric Circles View" (CCV) of data-relationships. The aim is to enable a consistent understanding of the fit between the local relationships within which data are produced and the extended socio-technical systems that enable their use. The paper suggests this model can help understand and tackle challenges associated with the use of real-world data in the health setting. We use the model to understand not only how but why federated networks may be well placed to address emerging issues and adapt to the evolving needs of health research for patient benefit. We conclude that the CCV provides a useful model with broader application in mapping, understanding, and tackling the major challenges associated with using real world data in the health setting., Competing Interests: Author RM is an employee of Wellcome Connecting Science, part of Genome Research Limited, funded by the Wellcome Trust. Author BB is an employee of EFPIA, which is a representative organization of the pharmaceutical industry. Author AM-U is an employee of Farmaindustria, which is a representative organization of the pharmaceutical industry established in Spain. Authors GS and NH are employees of Janssen and own stock in Johnson & Johnson. Through their contribution, Janssen Research and Development, LLC was involved in the study design, collection, analysis, interpretation of data, the writing of this article or the decision to submit it for publication. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Milne, Sheehan, Barnes, Kapper, Lea, N'Dow, Singh, Martín-Uranga and Hughes.)
- Published
- 2022
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