The ethical challenges of ubiquitous healthcare

The ethical challenges of ubiquitous healthcare
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无处不在的医疗保健的伦理挑战

DOI:
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发表时间:
2007
期刊:
影响因子:
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通讯作者:
Ian Brown
Ian Brown
中科院分区:
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文献类型:
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作者:
A. Adams;Ian Brown

文献摘要

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普适医疗是一个新兴的技术领域,它使用大量的环境和患者传感器和执行器来监控和改善患者的身心状况。微小的传感器收集几乎所有可以用来诊断健康问题的生理特征的数据。这项技术面临着一些具有挑战性的伦理问题,从信任和功效的小规模个人问题,到与经济地位相关的健康和寿命差距等社会问题。它提出了将发展计算机/信息/媒体伦理与既定的医学伦理相结合的特殊问题。本文描述了一种以实践为基础的伦理方法,特别考虑了隐私、代理、公平和责任等领域。它提出了无处不在的医疗保健将迫使从业者在开发无处不在的医疗保健系统时面临的问题。医学是一个受控制的职业,其执业通常受到政府指定的当局的限制,而众所周知,在这种制度下,计算机软件和硬件开发是缺乏的。
Ubiquitous healthcare is an emerging area of technology that uses a large number of environmental and patient sensors and actuators to monitor and improve patients’ physical and mental condition. Tiny sensors gather data on almost any physiological characteristic that can be used to diagnose health problems. This technology faces some challenging ethical questions, ranging from the small-scale individual issues of trust and efficacy to the societal issues of health and longevity gaps related to economic status. It presents particular problems in combining developing computer/information/media ethics with established medical ethics. This article describes a practice-based ethics approach, considering in particular the areas of privacy, agency, equity and liability. It raises questions that ubiquitous healthcare will force practitioners to face as they develop ubiquitous healthcare systems. Medicine is a controlled profession whose practise is commonly restricted by government-appointed authorities, whereas computer software and hardware development is notoriously lacking in such regimes.