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Background: The collection, storage and exchange of medical information are becoming increasingly complex. More parties are involved in this process, and the data are expected to serve many different purposes beside patient care. This raises several ethical questions regarding privacy, data ownership, security and confidentiality. It is vital to consider patients' moral attitudes and preferences in this digital information exchange. The voice of vulnerable patients is rarely heard in research addressing these questions. This study aims to address this void. Method: Fourteen vulnerable patients without prior experience with patient portal systems were interviewed for this study. First, participants were introduced to the portal and given time to read their personal medical data. Afterwards, semi‐structured interviews were conducted and analysed thematically to explore participants' first experience with the portal and their views on sharing medical information with care providers and other parties. Results: Data analysis resulted in four themes: barriers to and benefits of portal access, emotional responses to reading medical information, diverging views on sharing information with third parties and balancing granular control and the best possible care. First, participants appreciated access to their health information in the portal despite experiencing obstacles. Second, reading medical information online could evoke emotional responses. Third, patients were generally unaware of the meaning and value of medical data to third parties, resulting in inconsistent views on data sharing. Finally, although patients generally supported granular control, they were willing to give up on their autonomy if that would ensure them to receive the best possible care. Conclusions: Patient portal design should take into consideration the obstacles that discourage vulnerable patients' access and hamper meaningful use. There is a need for more transparency on secondary use of medical data by third parties. Patients should be better informed about the potential consequences of sharing data with them. [ABSTRACT FROM AUTHOR]

For a few decades now, philosophy of sport has been an acknowledged area of philosophy. Several journals exist, and organizations and conferences are organized to discuss the numerous topics. Philosophy of sport is a lively discipline that debates a wide range of topics, including practical ethical questions such as doping and enhancement and questions regarding sport practices in society, as well as more abstract questions regarding internal values of sport, and the nature of sport itself. Although internationally oriented, sport philosophical debates do sometimes differ from country to country, from region to region, depending on local embedding of issues and favorite sports. In the Low Countries-Belgium and the Netherlands- some specific themes have dominated the discussions, sometimes with far-reaching consequences for sport. It was, for instance, the arrest of the Belgian football player Bosman (in 1995), which set the world of football upside down. The Netherlands and Belgium have many commonalities. As good neighbors, both Belgians and the Dutch are fond of cycling and football ("soccer" for North Americans). The Dutch are an acclaimed football nation ever since the 70's and, being a "country of water," have a long, dominating, and culturally important, tradition in skating, as well as swimming and sailing. In this paper, we sketch the outlines of the development and debate in sport philosophy in the Low Countries over the last two decades: what is at stake, what are the main topics and publications and what is currently dominating the landscape of philosophy of sport? Since the Netherlands have a more active philosophy of sport community than Belgium, and since the former has more inspired the latter than the other way around, the recent history of philosophy of sport in the Netherlands makes up the bulk of this paper. The developments in Belgium will be described in general terms. We will conclude with an attempt to pin down the specific contribution of philosophy of sport in the Netherlands and Belgium to the international forum. [ABSTRACT FROM AUTHOR]