数字卫生技术对道德责任的影响:范围审查
E Meier1,2,3, T Rigter4,5, M P Schijven6,7
1Department of Ethics, Law & Humanities, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands. e.meier@amsterdamumc.nl.
Medicine, health care, and philosophy
|November 29, 2024
概括
数字健康技术在用户之间转移了角色和责任. 然而,道德责任往往不清楚,导致在医疗保健和人工智能应用中的潜在误解.
科学领域:
- 数字健康数字健康
- 医学伦理 医学伦理
- 人工智能的人工智能
背景情况:
- "负责任"使用的概念在数字健康技术方面经常被讨论.
- 在这种情况下,缺乏对责任的明确定义会造成模糊性和对医疗保健质量和安全的潜在风险.
研究的目的:
- 调查数字卫生技术使用中的责任解释,包括人工智能,远程监控,可穿戴设备和移动应用程序.
- 分析现有的责任框架如何适用于这些新兴技术.
主要方法:
- 进行了范围审查,通过对主要科学数据库 (PubMed,科学网,Embase,CINAHL,哲学家索引) 的系统搜索.
- 包括34篇文章,并使用责任方面的理论框架进行分析.
主要成果:
- 数字健康技术改变并扩大了护理人员,患者和技术本身的"角色责任".
- 道德责任往往与责任或问责制混为一谈,特别是在AI方面,这导致了关于"责任差距"的讨论.
- 移动健康 (m-Health) 技术可能会增加患者的问责制,尽管这一点的适当性尚未得到讨论.
结论:
- 需要更清晰的定义和理论框架来确定数字健康中的责任.
- 进一步的研究应该探讨集体和人工实体的责任,以及美德在数字健康中的作用.
- 解决责任的模糊性对于确保安全有效的数字医疗实施至关重要.
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