Digital exposure tools: Design for privacy, efficacy, and equity

Digital exposure tools: Design for privacy, efficacy, and equity
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数字曝光工具:隐私、功效和公平的设计

DOI:
10.1126/science.abi9852
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发表时间:
2021
期刊:
影响因子:
56.9
通讯作者:
Landau, Susan
Landau, Susan
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Landau, Susan

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使用基于智能手机的数字联系人追踪应用程序在应对COVID-19疫情方面显示出前景。但这类应用程序可能会泄露非常私人的信息;因此,它们的使用引发了重要的社会问题,不仅在当前的大流行期间,而且在我们为未来不可避免的其他疫情做好准备时。这些应用程序的隐私保护版本能起作用吗?它们有效吗?因为这些应用程序会影响到谁被告知暴露,谁接受测试,可能还有治疗,我们需要在医疗公平的背景下考虑这些应用程序。暴露通知应用程序的假设是,如果有人被告知暴露,他们将按照指示进行隔离。这样的预期没有考虑到隔离有时甚至在生病时寻求照顾对某些人群来说比其他人更难。如果应用程序要为所有人服务,而不是让弱势群体的情况变得更糟,就需要有基本的社会基础设施来支持测试,接触者追踪和隔离。
Use of smartphone-based digital contact- tracing apps has shown promise in responding to the COVID-19 pandemic. But such apps can reveal very personal information; thus, their use raises important societal questions, not just during the current pandemic but as we learn and prepare for other inevitable outbreaks ahead. Can privacy-protective versions of such apps work? Are they efficacious? Because the apps influence who is notified of exposure and who gets tested—and possibly treated—we need to consider the apps in the context of health care equity. Exposure-notification apps are predicated on the assumption that if someone is informed of exposure, they will follow instructions to isolate. Such an expectation fails to take into account that isolation—and sometimes even seeking care when ill—is much harder for some populations than others. If apps are to work for all, and not make this worse for disadvantaged populations, there needs to be basic social infrastructure that supports testing, contact tracing, and isolation.
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发表时间: 2020-10-01
影响因子: 2.8
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期刊: John F. Kennedy School of Government Faculty Research Working Paper Series
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