Evidence map›Paper›PMID 38041034›Full record

ArticleBMC medical ethics2023

Identifying facilitators of and barriers to the adoption of dynamic consent in digital health ecosystems: a scoping review.

Ah Ra Lee, Dongjun Koo, Il Kon Kim, Eunjoo Lee, Hyun Ho Kim, Sooyoung Yoo, Jeong-Hyun Kim, Eun Kyung Choi, Ho-Young Lee

Abstract readScoping Review
In one paragraph

Article in BMC medical ethics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Informed Consent for Pediatric Lyme Meningitis Study: In-Person Versus Remote Approach.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ah Ra LeeOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Dongjun KooOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Il Kon KimSchool of Computer Science & Engineering, College of IT Engineering, Kyungpook National University, Daegu, Republic of Korea.
Eunjoo LeeCollege of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, Republic of Korea.
Hyun Ho KimDepartment of Pediatrics, Research Institute of Clinical Medicine, Jeonbuk National University, Jeonju, Republic of Korea.
Sooyoung YooOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Jeong-Hyun KimDepartment of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Eun Kyung ChoiDepartment of Medical Humanities and Medical Education, Kyungpook National University School of Medicine, Daegu, Republic of Korea.
Ho-Young LeeOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. debobkr@snubh.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional consent practices face ethical challenges in continuously evolving digital health environments due to their static, one-time nature. Dynamic consent offers a promising solution, providing adaptability and flexibility to address these ethical concerns. However, due to the immaturity of the concept and accompanying technology, dynamic consent has not yet been widely used in practice. This study aims to identify the facilitators of and barriers to adopting dynamic consent in real-world scenarios.

methodsThis scoping review, conducted in December 2022, adhered to the PRISMA Extension for Scoping Reviews guidelines, focusing on dynamic consent within the health domain. A comprehensive search across Web of Science, PubMed, and Scopus yielded 22 selected articles based on predefined inclusion and exclusion criteria.

resultsThe facilitators for the adoption of dynamic consent in digital health ecosystems were the provision of multiple consent modalities, personalized alternatives, continuous communication, and the dissemination of up-to-date information. Nevertheless, several barriers, such as consent fatigue, the digital divide, complexities in system implementation, and privacy and security concerns, needed to be addressed. This study also investigated current technological advancements and suggested considerations for further research aimed at resolving the remaining challenges surrounding dynamic consent.

conclusionsDynamic consent emerges as an ethically advantageous method for digital health ecosystems, driven by its adaptability and support for continuous, two-way communication between data subjects and consumers. Ethical implementation in real-world settings requires the development of a robust technical framework capable of accommodating the diverse needs of stakeholders, thereby ensuring ethical integrity and data privacy in the evolving digital health landscape.

Indexed as

CommunicationEcosystemHumansInformed ConsentPrivacyTechnologyBlockchainConsent systemsData sovereigntyDigital healthDynamic consent

Identifiers

PMID38041034
PMCPMC10693132

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.