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探索用户视角和与远程治疗应用程序的伦理经验:用户评论的定性分析
Eunkyung Jo1, Whitney-Jocelyn Kouaho1, Stephen M Schueller1,2
1Department of Informatics, University of California, Irvine, CA, United States.
JMIR mental health
|September 22, 2023
概括
用户评论显示,远程治疗应用程序改善了获得护理的机会,但也引起了对治疗师专业性,护理连续性和成本透明度的担忧. 需要改善伦理和高质量的远程治疗服务.
科学领域:
- 数字健康数字健康
- 心理健康保健技术 技术
- 远程医疗的伦理考虑
背景情况:
- 远程治疗应用程序提供可访问的心理健康护理,克服地理和社会障碍.
- 远程治疗的快速增长已经超过了监管和道德框架,引发了人们的担忧.
- 现有的面对面治疗的伦理准则与远程治疗应用程序的评估有关.
研究的目的:
- 分析商业远程治疗应用程序的用户评论.
- 了解用户对远程治疗中遵守道德原则的看法.
- 识别远程治疗应用程序使用中的伦理问题和机会.
主要方法:
- 确定了8个远程治疗应用程序,在主要应用商店有超过5000条评论.
- 使用Python脚本抓取了3268个用户评论.
- 进行了对审查的定性主题分析,使用精神卫生专业人员的伦理准则.
主要成果:
- 用户报告了对治疗师专业性的担忧,包括缺乏注意力和错过预约.
- 技术问题和治疗师不可用影响了护理的连续性.
- 关于负担能力的意见各不相同,对订阅模式和成本透明度表示担忧.
结论:
- 远程治疗应用程序被认为维护了一些伦理原则,但在专业性,连续性和成本公平性/透明性方面不足.
- 建议包括公平的治疗师补偿,透明的定价和改进的应用程序稳定性/可用性.
- 进一步发展远程治疗标准对于质量和可访问性至关重要.
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