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By experimentally evaluating the re-identification risk of a de-identified sample of Vanderbilt's patient records involved in a genome-wide association study and measuring the level of protection from re-identification and data utility provided by suppression and generalization, the study (Loukides, Denny and Malin 2010) concluded that popular privacy protection methods were inadequate to deliver a sufficiently protected and useful result when sharing data derived from complex clinical systems

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Secondly, the intervention required a change in health worker skills and relationships to ensure patient-centred communication for behaviour change