<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">EST</journal-id><journal-title-group><journal-title>Educational Science Theory</journal-title></journal-title-group><issn>2995-4835</issn><eissn>2995-4843</eissn><publisher><publisher-name>Art and Technology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/EST.2026070042</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>面向健康医疗大数据应用的批判性数据素养内涵研究</title><url>https://artdesignp.com/journal/EST/4/7/10.61369/EST.2026070042</url><author>宋月丽,吴莉莉,陈贵梅,王筱婷,柴静</author><pub-date pub-type="publication-year"><year>2026</year></pub-date><volume>4</volume><issue>7</issue><history><date date-type="pub"><published-time>2026-07-20</published-time></date></history><abstract>健康医疗大数据的快速发展为疾病预测、个性化治疗、药物研发等医学应用场景带来新的可能，但也由此引发诸如算法歧视、隐私泄露、伦理失范等系统性风险。传统数据素养侧重于数据分析与利用的技术能力，难以应对数据化背景下日益凸显的权力不对称与伦理困境等问题。为此，本文聚焦批判性数据素养，研究其在健康医疗应用场景下的内涵结构，构建了涵盖&amp;ldquo;数据情境意识、算法批判能力、数据解释能力、伦理法律意识与行动参与能力&amp;rdquo;的五维框架。研究表明，健康医疗领域的批判性数据素养不仅关乎数据技能，更是一种涉及权力识别、伦理判断及公共参与的复合素养。本文所提出的批判性数据素养内涵框架可为医学院校的课程设计、医疗机构的伦理培训及公共卫生领域的数据治理提供理论参考。</abstract><keywords>健康医疗大数据,批判性数据素养,数据伦理,算法偏见,数据治理</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]Ahmed, M. M., Okesanya, O. J., Oweidat, M., Othman, Z. K., Musa, S. S., &amp;amp; Lucero-Prisno III, D. E. (2025). The ethics of data mining in healthcare: challenges, frameworks,and future directions. BioData Mining, 18(47), 1-16.[2]Ferretti A, Ienca M, Sheehan M, et al (2021). Ethics review of big data research: What should stay and what should be reformed?[J]. BMC Medical Ethics, 22(1):51.[3]Sander, I. (2024). Critical datafication literacy - a framework for educating about datafication. Information and Learning Sciences, 125(3/4), 270-292.[4]Dangol A, Dasgupta S. (2023). Constructionist approaches to critical data literacy: a review[C]//Proceedings of the 22nd Annual ACM Interaction Design and Children Conference (IDC &amp;lsquo;23). Chicago: ACM: 112-123.[5]Pangrazio L, Selwyn N. (2019).&amp;lsquo;Personal data literacies&amp;rsquo;: a critical literacies approach to enhancing understandings of personal digital data[J]. New Media &amp;amp; Society,21(2): 419-437.[6]Gal, I. (2002). Meanings , Literacy : Components , Responsibilities Statistical [J]. International Statistical Review, 70(1), 1&amp;ndash;25.[7]Louie, J. (2022). Critical data literacy: Creating a more just world with data. National Academy of Sciences Workshop on Foundations of Data Science for Students in Grades K&amp;ndash;12 (September 13&amp;ndash;14, 2022). Education Development Center.[8]L&amp;uuml;dorf V, Mainz A, Meister S, et al. Learning objectives matrix in DIM.RUHR: a didactic concept for the interprofessional teaching of data literacy in outpatient health care[J]. Healthcare, 2025, 13(6): 662.[9]Pangrazio, L., &amp;amp; Selwyn, N. (2018).&amp;lsquo;Personal data literacies&amp;rsquo;: A critical literacies approach to enhancing understandings of personal digital data. New Media &amp;amp; Society, 24(1), 1-19.[10]Tygel, A. F., &amp;amp; Kirsch, R. (2016). Contributions of Paulo Freire to a critical data literacy: a popular education approach. The Journal of Community Informatics, 12(3),108-121.[11]Atenas J, Havemann L, Kuhn C, et al. Critical data literacy in higher education: teaching and research for data ethics and justice[M]//Raffaghelli J E, Sangr&amp;agrave; A. Data Cultures in Higher Education: Emergent Practices and the Challenge Ahead. Cham: Springer, 2023b: 293-311.[12]Atenas J, Havemann L, Timmermann C. Reframing data ethics in research methods education: a pathway to critical data literacy[J]. International Journal of Educational Technology in Higher Education, 2023a, 20(1): 11.[13]Stahl, B. C. (2022). From computer ethics and the ethics of AI towards an ethics of digital ecosystems. AI and Ethics, 2(1), 65&amp;ndash;77.[14]Nguyen, D., &amp;amp; Beijnon, B. (2024). The data subject and the myth of the &amp;lsquo;black box&amp;rsquo;: Data communication and critical data literacy as a resistant practice to platform exploitation. Information, Communication &amp;amp; Society, 27(2), 333&amp;ndash;349.[15]Sander I. What is critical big data literacy and how can it be implemented?[J]. Internet Policy Review, 2020, 9(2):1-22.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
