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      Ethical regulation of digital health applications in the COVID-19 pandemic

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Resumen

          Desde la pandemia por COVID-19, varios países han desarrollado aplicaciones digitales en salud para ayudar a las políticas de prevención y cuidado de la población. Pero utilizan datos personales y sensibles y pueden depender de una infraestructura inadecuada para el almacenamiento, el resguardo y la protección de los datos. Presentamos diez criterios que deben cumplir las aplicaciones digitales en salud para garantizar la protección del derecho a la intimidad, libertad, privacidad, igualdad y confidencialidad de todo ser humano. Deben establecerse formas adecuadas de gobernanza que impliquen a todas las partes interesadas en su uso para garantizar la transparencia y la responsabilidad en los procesos de generación y transferencia de conocimientos en el sector sanitario.

          Resum

          Des de la pandèmia per COVID-19, diversos països han desenvolupat aplicacions digitals en salut per a ajudar a les polítiques de prevenció i cura de la població. Però utilitzen dades personals i sensibles i poden dependre d’una infraestructura inadequada per a l’emmagatzematge, el resguard i la protecció de les dades. Presentem deu criteris que han de complir les aplicacions digitals en salut per a garantir la protecció del dret a la intimitat, llibertat, privacitat, igualtat i confidencialitat de tot ésser humà. Han d’establir-se formes adequades de governança que impliquin a totes les parts interessades en el seu ús per a garantir la transparència i la responsabilitat en els processos de generació i transferència de coneixements en el sector sanitari.

          Translated abstract

          Since the COVID-19 pandemic, several countries have developed digital health applications to assist prevention and population care policies. But they use personal and sensitive data and may rely on inadequate infrastructure for data storage, safeguarding and protection. We present ten criteria that digital health applications must meet to guarantee the protection of the right to privacy, freedom, equality and confidentiality of every human being. Appropriate forms of governance must be established that involve all stakeholders in their use to ensure transparency and accountability in the processes of knowledge generation and transfer in the health sector.

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          Most cited references13

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          Estimating the success of re-identifications in incomplete datasets using generative models

          While rich medical, behavioral, and socio-demographic data are key to modern data-driven research, their collection and use raise legitimate privacy concerns. Anonymizing datasets through de-identification and sampling before sharing them has been the main tool used to address those concerns. We here propose a generative copula-based method that can accurately estimate the likelihood of a specific person to be correctly re-identified, even in a heavily incomplete dataset. On 210 populations, our method obtains AUC scores for predicting individual uniqueness ranging from 0.84 to 0.97, with low false-discovery rate. Using our model, we find that 99.98% of Americans would be correctly re-identified in any dataset using 15 demographic attributes. Our results suggest that even heavily sampled anonymized datasets are unlikely to satisfy the modern standards for anonymization set forth by GDPR and seriously challenge the technical and legal adequacy of the de-identification release-and-forget model.
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            Alocución de apertura del director general de la OMS en la rueda de prensa sobre la COVID-19 celebrada el 11 de marzo de 2020

            (2025)
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              Proyecto de estrategia mundial sobre salud digital. 2020-2025

              (2020)
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                Author and article information

                Contributors
                Journal
                101762888
                50544
                Rev Bioet Derecho Perspect Bioet
                Rev Bioet Derecho Perspect Bioet
                Revista de bioetica y derecho & perspectivas bioeticas
                2545-6385
                1886-5887
                5 February 2024
                March 2023
                15 February 2023
                27 August 2024
                : 57
                : 181-191
                Affiliations
                FLACSO (Argentina)
                Sorbonne Université, Science Norms Democracy UMR 8011, Paris (Francia). Programa de Bioética, Facultad Latinoamericana de Ciencias Sociales (FLACSO), Buenos Aires (Argentina).
                Author notes
                Author information
                http://orcid.org/0000-0002-5777-8898
                http://orcid.org/0000-0003-1650-242X
                Article
                NIHMS1866966
                10.1344/rbd2023.57.39432
                11349317
                39193068
                903c2ea9-90ba-41ae-81e2-9f05b00a8c75

                Esta obra está bajo una licencia de Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 4.0 Internacional

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                Article

                aplicaciones digitales en salud,pandemia,salud digital,infraestructura digital,datos personales y sensibles,protección,aplicacions digitals en salut,pandèmia,salut digital,dades personals i sensibles,digital health applications,pandemic,digital health,digital infrastructure,personal and sensitive data,protection

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