Opportunities for a national genomic data governance framework in Australia: a systematic review

Abstract Background As with other countries, Australia is seeking to make efficient use of genomic data for use in research, clinical medicine and population health. However, to enable cross jurisdictional consistency in the management of and access to data, it will first need to establish a nationa...

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Main Authors: Fabian Cannizzo, Miranda E. Vidgen, Rebekah McWhirter, Alan Petersen, Margaret Otlowski, Marco Rizzi, Jasmine Hensley, Ainsley J. Newson
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Medical Ethics
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Online Access:https://doi.org/10.1186/s12910-025-01273-7
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author Fabian Cannizzo
Miranda E. Vidgen
Rebekah McWhirter
Alan Petersen
Margaret Otlowski
Marco Rizzi
Jasmine Hensley
Ainsley J. Newson
author_facet Fabian Cannizzo
Miranda E. Vidgen
Rebekah McWhirter
Alan Petersen
Margaret Otlowski
Marco Rizzi
Jasmine Hensley
Ainsley J. Newson
author_sort Fabian Cannizzo
collection DOAJ
description Abstract Background As with other countries, Australia is seeking to make efficient use of genomic data for use in research, clinical medicine and population health. However, to enable cross jurisdictional consistency in the management of and access to data, it will first need to establish a national framework for governing genomic data. To this end, ethical, legal and social issues are often discussed. However, the literature offers little evidence-based support for such a framework. Methods To address this literature gap, we systematically reviewed two databases (Scopus and PubMed) for research articles that discussed issues and opportunities for enacting genomic data governance frameworks in the domains of research, genomic medicine and public (population) health in the Australian context. Results Thirty-one relevant articles were included and were analysed using inductive content analysis. Our findings identified that opportunities for implementing a national genomic data governance framework concerned defining roles for patients in data governance, data management processes and increasing the public acceptance of genomic data use in healthcare and research. Additionally, they highlight differences in the opportunities and priorities for clinical and research genomics that hinder further advancement of data governance. Conclusions Our synthesis of the current literature on genomic data governance suggests that the current focus on individual consent as the primary mechanism for protecting data subjects and different priorities in clinical and research governance need to be addressed. Given the significance of the role of consent procedures and differences in clinical and research data in generating a data governance framework, our findings hence reveal a critical gap in the research literature. Advancing a national genomic data governance framework will require greater consensus and clarity regarding the application of ethical principles across jurisdictions and institutions.
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spelling doaj-art-de563cd4b3714bcca26ccf21d362e83d2025-08-20T03:43:36ZengBMCBMC Medical Ethics1472-69392025-08-0126111510.1186/s12910-025-01273-7Opportunities for a national genomic data governance framework in Australia: a systematic reviewFabian Cannizzo0Miranda E. Vidgen1Rebekah McWhirter2Alan Petersen3Margaret Otlowski4Marco Rizzi5Jasmine Hensley6Ainsley J. Newson7School of Social Sciences, Faculty of Arts, Monash UniversityQIMR BerghoferANU College of Law, Governance and Policy, Australian National University, Australian Capital TerritorySchool of Social Sciences, Faculty of Arts, Monash UniversityCentre for Law and Genetics, School of Law, College of Arts, Law and Education, University of TasmaniaCentre for Health Law and Policy, UWA School of Law, University of Western AustraliaUWA School of Law, University of Western AustraliaSydney Health Ethics, Sydney School of Public Health, Faculty of Medicine and Health, University of SydneyAbstract Background As with other countries, Australia is seeking to make efficient use of genomic data for use in research, clinical medicine and population health. However, to enable cross jurisdictional consistency in the management of and access to data, it will first need to establish a national framework for governing genomic data. To this end, ethical, legal and social issues are often discussed. However, the literature offers little evidence-based support for such a framework. Methods To address this literature gap, we systematically reviewed two databases (Scopus and PubMed) for research articles that discussed issues and opportunities for enacting genomic data governance frameworks in the domains of research, genomic medicine and public (population) health in the Australian context. Results Thirty-one relevant articles were included and were analysed using inductive content analysis. Our findings identified that opportunities for implementing a national genomic data governance framework concerned defining roles for patients in data governance, data management processes and increasing the public acceptance of genomic data use in healthcare and research. Additionally, they highlight differences in the opportunities and priorities for clinical and research genomics that hinder further advancement of data governance. Conclusions Our synthesis of the current literature on genomic data governance suggests that the current focus on individual consent as the primary mechanism for protecting data subjects and different priorities in clinical and research governance need to be addressed. Given the significance of the role of consent procedures and differences in clinical and research data in generating a data governance framework, our findings hence reveal a critical gap in the research literature. Advancing a national genomic data governance framework will require greater consensus and clarity regarding the application of ethical principles across jurisdictions and institutions.https://doi.org/10.1186/s12910-025-01273-7ConsentDataEthical, legal and social issues (ELSI)GenomicGovernanceNational framework
spellingShingle Fabian Cannizzo
Miranda E. Vidgen
Rebekah McWhirter
Alan Petersen
Margaret Otlowski
Marco Rizzi
Jasmine Hensley
Ainsley J. Newson
Opportunities for a national genomic data governance framework in Australia: a systematic review
BMC Medical Ethics
Consent
Data
Ethical, legal and social issues (ELSI)
Genomic
Governance
National framework
title Opportunities for a national genomic data governance framework in Australia: a systematic review
title_full Opportunities for a national genomic data governance framework in Australia: a systematic review
title_fullStr Opportunities for a national genomic data governance framework in Australia: a systematic review
title_full_unstemmed Opportunities for a national genomic data governance framework in Australia: a systematic review
title_short Opportunities for a national genomic data governance framework in Australia: a systematic review
title_sort opportunities for a national genomic data governance framework in australia a systematic review
topic Consent
Data
Ethical, legal and social issues (ELSI)
Genomic
Governance
National framework
url https://doi.org/10.1186/s12910-025-01273-7
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