보건의료 빅데이터의 윤리적 활용을 위한 방안모색: 동의가 아닌 합의 모델로의 전환*,**

Abstract

The purpose of this paper is to examine how biomedical big data might be used in an ethically appropriate way. Biomedical big data is currently expected to create tremendous economic value as well as social value. For this reason there is an active debate among biomedical ethicists about which model of consent is most appropriate and efficient in this context. At first glance, the model of dynamic consent seems to be both justifiable and feasible, not only because it is based on the spirit of informed consent, but also because it allows for an additional process of consent through on-line platforms. However, it is doubtful that this model could be used in the context of biomedical big data since it is vulnerable to privacy protection and insensitive to ownership issues. Therefore, I argue that the most appropriate model of consent is an agreement model, which can reflect a fair distribution of the benefits from the use of biomedical big data and the privacy risk management. This agreement model not only promotes the autonomy of information givers, but also facilitates the long-term sustainable use of biomedical big data.