Ethical implications of the widespread use of informal mHealth methods in Ghana.
Ethical implications of the widespread use of informal mHealth methods in Ghana.
复制标题
加纳广泛使用非正式MHealth方法的道德含义。
DOI：
10.1136/medethics-2021-107920
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发表时间：
2024-07-23
影响因子：
4.1
通讯作者：
Owusu, Samuel Asiedu
中科院分区：
文献类型：
--
作者：
Owusu, Samuel Asiedu
加纳的社区卫生护士广泛使用非正规移动医疗服务，将医疗保健服务扩展到那些可能被排除在正规卫生系统之外或在寻求获得正规卫生服务时遇到重大障碍的客户。护士们使用他们的私人移动的电话或设备给他们的客户、健康志愿者、同事或上级打电话。这些电话本质上也是相互的。此外，各方还通过短信、图片、视频或语音片段交换或共享其他健康数据和信息。这些做法中固有的一些伦理方面应该受到生物伦理学家的严格审查。作者在本文中认为，在加纳大规模采用非正式mHealth与一些生物伦理挑战有关。本文主要基于对Kate Hampshire及其合作者于2021年发表的关于加纳使用非正式移动医疗方法的实证研究的分析。加纳广泛采用非正式移动医疗与护士及其客户的隐私侵犯有关，违反了当事人的保密性，怀疑知情同意程序的有效性，并可能使护士容易受到其他一些重大的综合伤害。提交人申明，他部分支持在加纳正式采用非正式移动健康程序，但重申，加纳目前与非正式移动健康相关的伦理挑战无法逃避所有削弱性的生物伦理挑战，即使它是正式的。
Informal mHealth is widely used by Community Health Nurses (CHNs) in Ghana to extend healthcare delivery services to clients who otherwise might have been excluded from formal health systems or would experience significant barriers in their quest to access formal health services. The nurses use their private mobile phones or devices to make calls to their clients, health volunteers, colleagues or superiors. These phone calls are also reciprocal in nature. Besides, the parties exchange or share other health data and information through text messages, pictures, videos or voice clips. There are some ethical dimensions that are inherent in these practices that ought to be critically scrutinized by bioethicists. The author has argued in this paper that informal mHealth at large scale adoption in Ghana is associated with some bioethical challenges. This essay was largely based on an analysis of an empirical study published by Kate Hampshire and her collaborators in 2021 on the use of informal mHealth methods in Ghana. Widespread adoption of Informal mHealth in Ghana is associated with privacy invasion of both the nurses and their clients, breaches confidentiality of the parties, discredits the validity of informed consent processes and may predispose the nurses to some other significant aggregated harms. The author affirms his partial support for a formalised adoption process of informal mHealth in Ghana but has reiterated that the current ethical challenges associated with informal mHealth in Ghana cannot escape all the debilitating bioethical challenges, even if it is formalised.
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影响因子：
6.9
作者：
Hampshire K;Mwase-Vuma T;Alemu K;Abane A;Munthali A;Awoke T;Mariwah S;Chamdimba E;Owusu SA;Robson E;Castelli M;Shkedy Z;Shawa N;Abel J;Kasim A
通讯作者：
Kasim A
DOI：
10.1162/itgg.2009.4.1.103
发表时间：
2009-01-01
期刊：
Innovations: Technology / Governance / Globalisation
影响因子：
--
作者：
Mechael, P. N.
通讯作者：
Mechael, P. N.
影响因子：
3.1
作者：
James J;Versteeg M
通讯作者：
Versteeg M
影响因子：
2.2
作者：
Atuire, Caesar A.;Kong, Camillia;Dunn, Michael
通讯作者：
Dunn, Michael
影响因子：
3.4
作者：
Dixit A;Bhan N;Benmarhnia T;Reed E;Kiene SM;Silverman J;Raj A
通讯作者：
Raj A