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The debate on data access and privacy is an ongoing one. It is kept alive by the never-ending changes/upgrades in (i) the shape of the data collected (in terms of size, diversity, sensitivity and quality), (ii) the laws governing data sharing, (iii) the amount of free public data available on individuals (social media, blogs, population-based databases, etc.), as well as (iv) the available privacy enhancing technologies. This paper identifies current directions, challenges and best practices in constructing a clinical data-sharing framework for research purposes. Specifically, we create a taxonomy for the framework, identify the design choices available within each taxon, and demonstrate thew choices using current legal frameworks. The purpose is to devise best practices for the implementation of an effective, safe and transparent research access framework.

Background: Biomedical research often requires large cohorts and necessitates the sharing of biomedical data with researchers around the world, which raises many privacy, ethical, and legal concerns. In the face of these concerns, privacy experts are trying to explore approaches to analyzing the distributed data while protecting its privacy. Many of these approaches are based on secure multiparty computations (SMCs). SMC is an attractive approach allowing multiple parties to collectively carry out calculations on their datasets without having to reveal their own raw data; however, it incurs heavy computation time and requires extensive communication between the involved parties. Objective: This study aimed to develop usable and efficient SMC applications that meet the needs of the potential end-users and to raise general awareness about SMC as a tool that supports data sharing. Methods: We have introduced distributed statistical computing (DSC) into the design of secure multiparty protocols, which allows us to conduct computations on each of the parties’ sites independently and then combine these computations to form 1 estimator for the collective dataset, thus limiting communication to the final step and reducing complexity. The effectiveness of our privacy-preserving model is demonstrated through a linear regression application. Results: Our secure linear regression algorithm was tested for accuracy and performance using real and synthetic datasets. The results showed no loss of accuracy (over nonsecure regression) and very good performance (20 min for 100 million records). Conclusions: We used DSC to securely calculate a linear regression model over multiple datasets. Our experiments showed very good performance (in terms of the number of records it can handle). We plan to extend our method to other estimators such as logistic regression.