Should I provide my health data for research? Citizens assessing the value of data provision

In March 2024, the European Parliament and Council agreed to implement the European Health Data Space (EHDS), the first domain-specific common EU data space. Next to improving healthcare delivery in national and cross-border settings, the EHDS aims to advance the reuse of health data in research, in...

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Main Authors: Susanne Oechsner, Robin Rae, Ulrike Felt
Format: Article
Language:English
Published: SAGE Publishing 2025-09-01
Series:Big Data & Society
Online Access:https://doi.org/10.1177/20539517251361117
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author Susanne Oechsner
Robin Rae
Ulrike Felt
author_facet Susanne Oechsner
Robin Rae
Ulrike Felt
author_sort Susanne Oechsner
collection DOAJ
description In March 2024, the European Parliament and Council agreed to implement the European Health Data Space (EHDS), the first domain-specific common EU data space. Next to improving healthcare delivery in national and cross-border settings, the EHDS aims to advance the reuse of health data in research, innovation, policy-making, and personalized medicine. However, to fully harness the potential of a data-driven approach to health research and care, citizens must be willing to provide their data for research. To understand the conditions under which citizens are prepared to do so, this article investigates the situated ways in which they reflect on and assess their (non)provision of digitally available health data for research. Our empirical work is situated within a large-scale EU-funded project that sought to develop a health data infrastructure for transborder healthcare and research. Using a diverse set of engagement methods, we investigated how citizens value the provision of their health (care) data for secondary use in research and examined the valuation constellations that shape their assessments. Our analysis shows that citizens’ valuations of a digital health infrastructure are by no means binary—defining it as either worth supporting or not—and that visions, positions, and decisions cannot be considered stable over time. Their willingness to share health data is shaped by dynamic evaluations grounded in mediated reciprocity, assessments of future data-use-related uncertainties, and the need for relational transparency. Realizing and maintaining the value of health data infrastructures thus requires continuous efforts, which must be reflected in both their material design and governance.
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spelling doaj-art-5a894045de534ccd92a5da4d132f24e32025-08-22T09:03:24ZengSAGE PublishingBig Data & Society2053-95172025-09-011210.1177/20539517251361117Should I provide my health data for research? Citizens assessing the value of data provisionSusanne Oechsner0Robin Rae1Ulrike Felt2 Center for Strategic Development in Education, , Vienna, Austria Department of Science and Technology Studies, , , Austria Department of Science and Technology Studies, , , AustriaIn March 2024, the European Parliament and Council agreed to implement the European Health Data Space (EHDS), the first domain-specific common EU data space. Next to improving healthcare delivery in national and cross-border settings, the EHDS aims to advance the reuse of health data in research, innovation, policy-making, and personalized medicine. However, to fully harness the potential of a data-driven approach to health research and care, citizens must be willing to provide their data for research. To understand the conditions under which citizens are prepared to do so, this article investigates the situated ways in which they reflect on and assess their (non)provision of digitally available health data for research. Our empirical work is situated within a large-scale EU-funded project that sought to develop a health data infrastructure for transborder healthcare and research. Using a diverse set of engagement methods, we investigated how citizens value the provision of their health (care) data for secondary use in research and examined the valuation constellations that shape their assessments. Our analysis shows that citizens’ valuations of a digital health infrastructure are by no means binary—defining it as either worth supporting or not—and that visions, positions, and decisions cannot be considered stable over time. Their willingness to share health data is shaped by dynamic evaluations grounded in mediated reciprocity, assessments of future data-use-related uncertainties, and the need for relational transparency. Realizing and maintaining the value of health data infrastructures thus requires continuous efforts, which must be reflected in both their material design and governance.https://doi.org/10.1177/20539517251361117
spellingShingle Susanne Oechsner
Robin Rae
Ulrike Felt
Should I provide my health data for research? Citizens assessing the value of data provision
Big Data & Society
title Should I provide my health data for research? Citizens assessing the value of data provision
title_full Should I provide my health data for research? Citizens assessing the value of data provision
title_fullStr Should I provide my health data for research? Citizens assessing the value of data provision
title_full_unstemmed Should I provide my health data for research? Citizens assessing the value of data provision
title_short Should I provide my health data for research? Citizens assessing the value of data provision
title_sort should i provide my health data for research citizens assessing the value of data provision
url https://doi.org/10.1177/20539517251361117
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