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Posts By "Douglas S. McNair, MD, PhD" clear


April 17, 2012

Big data is not (yet) big enough - part two


By: Douglas S. McNair, MD, PhD

The value of more diverse communities’ using this data may be in the serendipitous opportunities that it creates. Not only will different communities look to new data sets with which to combine the primary data (research networks, and even social networks such as Facebook or Twitter), but they may also approach the problem from new angles.... Read full story


Category: Research, Technology

Comment(s): 0

Rating: 5/5

Tags: Big data


March 28, 2012

Big data is not (yet) big enough - part one


By: Douglas S. McNair, MD, PhD

The promise of timely and reliable evidence in sufficient quantities to statistically ‘power’ health care decisions depends on its quality, its interoperable ontological mapping of concepts (so that “apples” are really “apples”) and on the accessibility of the data on which to base discoveries and conclusions. These aspects are improving rapidly in health care Big Data recently, making that promise real. Detecting, identifying and doing analytical, descriptive-statistics procedures: there is no doubt that these must inform and define the best matches and optimal choices and improvement actions and predictive models.... Read full story


Category: Research, Technology

Comment(s): 0

Rating: 3.5/5

Tags: Big Data


December 19, 2011

The Sixth Estate in the cloud, intellectual property and the limits of collaboration


By: Douglas S. McNair, MD, PhD

There is a book (Justifying Intellectual Property) published last June by Robert Merges of Harvard and Cal-Berkeley law schools that you will want to read. It is exciting, beautifully written, and has strong relevance to discoveries and inventions that arise from observational research involving re-use of health data, including ‘panel’ or population-level data such as are stored in multi-institution EHR-derived data warehouses and HIE repositories. In the book, Merges defends the importance of strong intellectual property protections in the present populist, pervasively-interconnected, social-network-obsessed information age that is so enthralled with unfettered collaboration for collaboration’s sake.... Read full story


Category: Research, Technology

Comment(s): 0

Rating: 4.5/5

Tags: Research


October 20, 2011

Ethics and de-identified genomic plus phenotypic (health) data


By: Douglas S. McNair, MD, PhD

During the annual Cerner Health Conference last week, several clients came up to discuss my previous post and associated essay on de-identified health data. In my essay, I basically agree with Marc Lappé and others who have asserted that medical ethics as it exists and is practiced today is different from—and historically antagonistic toward—public health ethics (‘communitarian ethics’). This point of view is covered at some length in a paper by Eric Meslin and Ibrahim Garba in the September issue of Human Genetics.... Read full story


Category: Genomics, Research

Comment(s): 2

Rating: 5/5

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