This article examines whether the European Health Data Space (EHDS), the General Data Protection Regulation (GDPR), and the Artificial Intelligence Act adequately prevent discriminatory outcomes in DQUL-based health technology assessment. Focusing on the Data Quality and Utility Label (DQUL) and its interaction with Quality-Adjusted Life Year (QALY) cost-effectiveness models, the article argues that regulatory compliance does not eliminate the risk of structural disadvantage. It introduces the concept of numerical discrimination to describe inequality arising from threshold-based evaluative architectures that systematically undervalue underrepresented populations. Through doctrinal analysis of EU equality, data protection, and AI governance law, the article demonstrates that current frameworks struggle to capture distributive harms arising from hierarchical data governance and proposes reforms that integrate distributive impact assessment and population representativeness into health data architecture.
Do the EHDS, GDPR and AI Act Protect Against the Risk of Discrimination in DQUL-Based Health Technology Assessment?
Yilmaz S. S.Primo
;Parziale A.Secondo
2026-01-01
Abstract
This article examines whether the European Health Data Space (EHDS), the General Data Protection Regulation (GDPR), and the Artificial Intelligence Act adequately prevent discriminatory outcomes in DQUL-based health technology assessment. Focusing on the Data Quality and Utility Label (DQUL) and its interaction with Quality-Adjusted Life Year (QALY) cost-effectiveness models, the article argues that regulatory compliance does not eliminate the risk of structural disadvantage. It introduces the concept of numerical discrimination to describe inequality arising from threshold-based evaluative architectures that systematically undervalue underrepresented populations. Through doctrinal analysis of EU equality, data protection, and AI governance law, the article demonstrates that current frameworks struggle to capture distributive harms arising from hierarchical data governance and proposes reforms that integrate distributive impact assessment and population representativeness into health data architecture.| File | Dimensione | Formato | |
|---|---|---|---|
|
25+Yilmaz-Parziale+ok.pdf
accesso aperto
Tipologia:
Documento in Pre-print/Submitted manuscript
Licenza:
Creative commons (selezionare)
Dimensione
684.38 kB
Formato
Adobe PDF
|
684.38 kB | Adobe PDF | Visualizza/Apri |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

