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The need to develop health data transaction disclosure requirements to balance transparency, privacy, and progressive use.

Publication ,  Journal Article
Crowson, MG; Tan, JZH; Dunn, J; Bhatt, J; Schneider, Z; Forger, D; Celi, LA; Dorotic, M; Malin, B
Published in: The Lancet. Digital health
February 2026

This Viewpoint critically evaluates the impact of commodifying health data in the era of electronic health records and the ethical challenges this practice raises. Additionally, the Viewpoint explores the complex interplay between the advancement of health-care artificial intelligence (AI) and the imperative for transparency in data practices, scrutinising the insufficiency of existing regulations in addressing the nuances of health data transactions. The January, 2025 US executive order on AI further emphasises the need for stringent data management and privacy measures, supporting our call for a patient-centric approach to data handling. Moreover, we advocate for comprehensive regulatory frameworks that promote transparency, protect patient data, and maintain trust in health technologies. Such efforts contribute to a health-care environment where data stewardship is synonymous with integrity and respect for patient rights.

Duke Scholars

Published In

The Lancet. Digital health

DOI

EISSN

2589-7500

ISSN

2589-7500

Publication Date

February 2026

Volume

8

Issue

2

Start / End Page

100947

Related Subject Headings

  • Privacy
  • Humans
  • Electronic Health Records
  • Disclosure
  • Confidentiality
  • Artificial Intelligence
  • 4203 Health services and systems
 

Citation

APA
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ICMJE
MLA
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Crowson, M. G., Tan, J. Z. H., Dunn, J., Bhatt, J., Schneider, Z., Forger, D., … Malin, B. (2026). The need to develop health data transaction disclosure requirements to balance transparency, privacy, and progressive use. The Lancet. Digital Health, 8(2), 100947. https://doi.org/10.1016/j.landig.2025.100947
Crowson, Matthew G., Jade Z. H. Tan, Jessilyn Dunn, Jay Bhatt, Zachary Schneider, Daniel Forger, Leo A. Celi, Matilda Dorotic, and Bradley Malin. “The need to develop health data transaction disclosure requirements to balance transparency, privacy, and progressive use.The Lancet. Digital Health 8, no. 2 (February 2026): 100947. https://doi.org/10.1016/j.landig.2025.100947.
Crowson MG, Tan JZH, Dunn J, Bhatt J, Schneider Z, Forger D, et al. The need to develop health data transaction disclosure requirements to balance transparency, privacy, and progressive use. The Lancet Digital health. 2026 Feb;8(2):100947.
Crowson, Matthew G., et al. “The need to develop health data transaction disclosure requirements to balance transparency, privacy, and progressive use.The Lancet. Digital Health, vol. 8, no. 2, Feb. 2026, p. 100947. Epmc, doi:10.1016/j.landig.2025.100947.
Crowson MG, Tan JZH, Dunn J, Bhatt J, Schneider Z, Forger D, Celi LA, Dorotic M, Malin B. The need to develop health data transaction disclosure requirements to balance transparency, privacy, and progressive use. The Lancet Digital health. 2026 Feb;8(2):100947.
Journal cover image

Published In

The Lancet. Digital health

DOI

EISSN

2589-7500

ISSN

2589-7500

Publication Date

February 2026

Volume

8

Issue

2

Start / End Page

100947

Related Subject Headings

  • Privacy
  • Humans
  • Electronic Health Records
  • Disclosure
  • Confidentiality
  • Artificial Intelligence
  • 4203 Health services and systems