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Published on: July 11, 2025
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Data privacy and protection in AI-driven healthcare
1Department of Jurisprudence, School of Law, University of South Africa, Pretoria, South Africa; admitted attorney of the High Court of South Africa.
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|December 11, 2025
Summary
Protecting health data privacy is crucial as biomedical big data (BD) expands. Strengthening ethico-legal frameworks and governance is essential to manage data misuse and prevent breaches in South Africa.
Area of Science:
- Health Informatics
- Data Science
- Bioethics
Background:
- The definition of health data has expanded to include genomic data, medical records, and converted non-health data, forming a biomedical big data (BD) ecosystem.
- Biomedical big data is pivotal for artificial intelligence (AI) advancement in health research, often likened to 'new oil'.
- The healthcare sector faces a significant rise in data breaches, highlighting vulnerabilities in current data protection measures.
Purpose of the Study:
- To address the growing challenges in health data privacy.
- To emphasize the need for translating ethical and legal guidelines into practical data protection measures.
- To explore the strengthening of systems and ethico-legal frameworks for data processing in South Africa (SA).
Main Methods:
- Review of the evolving landscape of health data and its sources.
- Analysis of the implications of biomedical big data for AI and health research.
- Examination of the rise in healthcare data breaches.
- Assessment of the ethico-legal framework governing data processing in SA.
Main Results:
- Biomedical big data presents unprecedented opportunities for AI-driven health research.
- Data breaches are increasing, particularly within the healthcare sector.
- Existing ethico-legal frameworks require strengthening to address data misuse effectively.
- There is an urgent need for context-specific governance and adaptable infrastructure in SA.
Conclusions:
- Strengthening the ethico-legal framework is paramount for safeguarding health data privacy.
- Ethically sound practices, adaptable infrastructure, and robust, context-specific governance are crucial for SA.
- Proactive measures are needed to prevent data misuse and mitigate the impact of breaches in the era of big data.
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