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Sammanfattning

Computers and advanced information systems are an essential, ubiquitous part of medicine and public health. Biomedical big data play a crucial role at both hospitals and laboratories, to the extent that we can talk about a new form of medicine - informatics medicine - with its own practices of knowledge and development. Through these systems patient records can be utilized to improve our understanding of the normal and pathological body. But while informatics medicine thus builds knowledge through technologies of trust it simultaneously undermines the patient-doctor trust, created through the traditions of upholding ethical standards of confidentiality. The increasing importance of this new kind of medicine is particularly important in the shifting prioritization of medical ethics – between confidentiality and optimal candour and transparency. These modes of ideals, based on different forms of medicine and historical ontological origins, will unequivocally clash, leaving us to decide whom and what to trust.

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