Participated without consent: Mandatory authorization of government database for secondary use.

Abstract:

:Compared with data that is initially collected for research purposes, the mandatory authorization of a government database for secondary use deserves greater scrutiny because it consists of information that is collected initially for administrative purposes. Using the case of Taiwan's National Health Insurance (NHI) Database as an example, this paper analyzes the ethical issues that emerge when the research participants are "participated" in studies without their consent, according to the current policy. The proponents of secondary use for research purposes maintain that the authorized use of the NHI Database is necessary for public interests, while the opponents argue that the potential lack of democratic accountability and the infringement on people's rights to privacy and information autonomy is unwarranted. Drawing on the solidarity-based approach, this paper proposes a temporal solution as a possible reform direction for better ethical justification of the secondary use of the NHI Database.

journal_name

Dev World Bioeth

authors

Yeh MJ

doi

10.1111/dewb.12259

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

200-208

issue

4

eissn

1471-8731

issn

1471-8847

journal_volume

20

pub_type

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