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Trust and The Acquisition and Use of Public Health Information

Holland, Stephen; Cawthra, Jamie; Schloemer, Tamara; Schröder-Bäck, Peter; (2022) Trust and The Acquisition and Use of Public Health Information. Health Care Analysis , 30 (1) pp. 1-17. 10.1007/s10728-021-00436-y. Green open access

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Abstract

Information is clearly vital to public health, but the acquisition and use of public health data elicit serious privacy concerns. One strategy for navigating this dilemma is to build 'trust' in institutions responsible for health information, thereby reducing privacy concerns and increasing willingness to contribute personal data. This strategy, as currently presented in public health literature, has serious shortcomings. But it can be augmented by appealing to the philosophical analysis of the concept of trust. Philosophers distinguish trust and trustworthiness from cognate attitudes, such as confident reliance. Central to this is value congruence: trust is grounded in the perception of shared values. So, the way to build trust in institutions responsible for health data is for those institutions to develop and display values shared by the public. We defend this approach from objections, such as that trust is an interpersonal attitude inappropriate to the way people relate to organisations. The paper then moves on to the practical application of our strategy. Trust and trustworthiness can reduce privacy concerns and increase willingness to share health data, notably, in the context of internal and external threats to data privacy. We end by appealing for the sort of empirical work our proposal requires.

Type: Article
Title: Trust and The Acquisition and Use of Public Health Information
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10728-021-00436-y
Publisher version: https://doi.org/10.1007/s10728-021-00436-y
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Health data management, Public health information, Trust, Privacy, Value congruence
UCL classification: UCL
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10187672
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