在数字医学中推进多样性,公平性和包容性的社会伦理挑战和机会
Ivana Paccoud1,2, Anja K Leist3, Isabel Schwaninger1,2
1Digital Medicine Group, Department of Population Health, Luxembourg Institute of Health (LIH), Strassen, Luxembourg.
Digital health
|October 7, 2024
概括
数字医学转型需要解决社会伦理问题,以实现公平的数字化包容. 确保公平的访问,公正的算法和数据隐私对于数字医疗器械 (DMD) 有利于所有患者至关重要.
科学领域:
- 数字健康数字健康
- 医学伦理 医学伦理
- 健康 公平 卫生 公平
背景情况:
- 医学的数字化通过新的数字工具和服务为个性化医疗保健提供了机会.
- 数字医疗器械 (DMD) 的广泛采用需要解决重要的社会伦理考虑,以获得公平的患者和提供者利益.
研究的目的:
- 审查和概述数字医学的五个核心社会伦理考虑,重点关注公平和数字包容.
- 通过整合多学科文献来确定DMD的开发和采用中的挑战和机会.
主要方法:
- 这是一篇基于PubMed,Web of Science和Google Scholar的综合文献搜索的叙事评论.
- 整合来自社会,医学和计算机科学的文献,以分析社会伦理方面的影响.
主要成果:
- 确定了五个关键的社会伦理考虑: (i) 访问,使用和参与DMD; (ii) 在DMD临床试验中的包容性; (iii) 算法公平性; (iv) 监控和数据化;以及 (v) 数据隐私和信任.
- 审查强调了这些考虑在DMDs的背景下与公平性和数字包容性的交叉点.
结论:
- 解决社会伦理问题对于成功和公平地将DMD纳入医疗保健至关重要.
- 提供基于证据的多层次建议,以促进包容性数字格局,确保DMDs减轻,而不是加剧,健康不平等.
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