移动健康驱动赋权的信息,控制和价值模型
Jesse Gray1, Seppe Segers1, Heidi Mertes1
1Department of Philosophy and Moral Sciences, Bioethics Institute Ghent & Metamedica, Ghent University, Ghent, Belgium.
Bioethics
|April 25, 2024
概括
移动医疗工具可能不会像预期的那样赋予用户权力,可能会削弱医生与患者的关系和共享决策. 目前的数字健康技术可能不足或自我破坏,以实现真正的用户赋权和改善健康结果.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 生物伦理学生物伦理学
背景情况:
- 移动健康 (mHealth) 工具经常因其赋予用户健康信息和控制的能力而受到推广.
- 通过移动健康赋权的概念需要仔细研究,以了解其对用户自主权和医疗保健动态的真正影响.
研究的目的:
- 通过探索授权和自主之间的关系,批判性地分析移动健康工具赋予用户权力的说法.
- 识别和描述在移动健康言论及其相关挑战中的不同授权模式.
主要方法:
- 在移动卫生中赋权言论的概念分析.
- 确定三种不同的模式:赋权作为信息,控制和价值.
- 检查每个模型所产生的问题:解释,价值调整和优先级.
主要成果:
- 在mHealth中确定了三种赋权模式:信息,控制和价值观.
- 每个模型都存在独特的问题:解释问题,价值调整问题和优先级问题.
- 当前的移动健康工具可能不足以赋权,甚至是反作用,培养个性化的自主权,可能会损害医生与患者的关系.
结论:
- 移动卫生工具,以目前的形式,可能无法实现赋权的承诺.
- 这些技术可以促进个性化的自治,破坏共享决策,并可能削弱医生与患者的关系.
- 移动健康在改善健康结果,特别是对弱势群体的有效性需要进一步研究.
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