印度社区卫生工作中的m-Health应用中的伦理问题 - - 范围审查
Vijayaprasad Gopichandran1, Sudharshini Subramaniam2, Rajeswaran Thiagesan3
1Assistant Professor, Department of Community Medicine, ESIC Medical College and PGIMSR, KK Nagar, Chennai 600078, INDIA.
Indian journal of medical ethics
|June 13, 2023
概括
印度的移动健康 (mHealth) 干预措施提供了改善护理等好处,但也带来了隐私侵犯和不公平访问等伦理风险. 对社区卫生工作中的这些伦理问题需要进行进一步的研究.
科学领域:
- 公共卫生 公共卫生
- 数字健康伦理学 数字健康伦理学
- 医疗信息学 医疗信息学
背景情况:
- 基于手机的干预措施 (mHealth) 在印度社区卫生工作中越来越多地被采用.
- 在这种情况下,移动健康的广泛使用引发了重大的伦理问题.
- 本综述确定并分析了与印度社区卫生环境中的mHealth应用相关的伦理问题.
研究的目的:
- 对印度社区卫生工作中使用的mHealth应用程序中关于道德问题的文献进行范围审查.
- 在这种环境中确定与mHealth干预相关的好处和风险.
- 突出需要具体上下文和公平实施的需要.
主要方法:
- 对PubMed和谷歌学者数据库进行了全面的范围审查.
- 包括2011年至2021年间发表的研究,重点关注社区健康的印度移动健康干预中的伦理问题.
- 数据综合使用一个概念框架进行,经过三位作者严格选和提取后进行.
主要成果:
- 该审查包括58项研究,确定了诸如提高护理质量和改进数据管理等好处.
- 确定的风险包括非个人性沟通,工作量增加,侵犯隐私和潜在的污名化.
- 基于性别和阶级的手机接入不平等性将弱势群体排除在外,从而限制了移动健康的好处.
结论:
- 在研究社区卫生工作中mHealth的伦理维度的经验研究中存在一个显著的差距.
- 将移动健康干预与社区参与联系起来,对于农村环境中获得公平结果至关重要.
- 解决伦理挑战对于在公共卫生中负责任和有效地部署移动健康至关重要.
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