Integrating Social Determinants of Health into Ethical Digital Simulations.
Integrating Social Determinants of Health into Ethical Digital Simulations.
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将健康的社会决定因素纳入道德数字模拟。
DOI：
10.1080/15265161.2023.2237443
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Mcguire,Amy
中科院分区：
文献类型：
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作者：
Kostick-Quenet,Kristin;Rahimzadeh,Vasiliki;Anandasabapathy,Sharmila;Hurley,Meghan;Sonig,Anika;Mcguire,Amy
在他们的文章中，Cho和Martinez-Martin（2023）认为，用于健康和疾病建模的数字仿真的开发人员和用户应该继续关注健康状态的因果关系，包括具有伦理和社会正义影响的流行病学因素。作者认为，这要求模型开发人员超越狭隘的性能指标，以便性能评估标准更好地反映患者，临床医生和社区的价值观和动态。作为研究人员，临床医生和法律的学者深入研究数字健康技术的伦理影响，包括通过数字表型和其他形式的计算机感知对患者的数字表示，我们同意Cho和Martinez-Martin的解决方案，并希望强调一些实际挑战，并向政府提供建议，开发人员和用户级别，以确认健康的社会决定因素（SDoH）在数字模拟中的关键作用。
In their article, Cho and Martinez-Martin (2023) argue that developers and users of digital simulacra for modelling health and disease should involve a continued focus on causality of health states, including epidemiological factors with ethical and social justice implications. The authors contend that this requires model developers to move beyond narrow performance metrics so that performance evaluation standards better reflect patient, clinician, and community values and dynamics. As researchers, clinicians and legal scholars deeply involved in examining the ethical implications of digital health technologies including digital representations of patients via digital phenotyping and other forms of computer perception, we agree with Cho and Martinez-Martin’s solutions and wish to highlight some practical challenges, as well as offer recommendations at government, developer and user levels for acknowledging the critical role of social determinants of health (SDoH) in digital simulations.