在结构中赋权. 德国技术辅助痴呆症护理的先决条件的实用伦理考虑,基于专家采访研究
Johannes Welsch1, Silke Schicktanz1
1Department of Medical Ethics and History of Medicine, University Medical Center Göttingen, Göttingen, Germany.
Frontiers in psychiatry
|January 27, 2025
概括
痴呆症护理中的智能辅助技术 (IAT) 显示出不同的结果. 专家们发现,社会,政治和技术因素既加速又抑制了有效的使用,需要改变政策以获得更好的授权.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 技术社会学技术的社会学.
背景情况:
- 智能辅助技术 (IAT) 越来越多地用于痴呆症护理.
- 伦理讨论主要集中在个人和人际关系的影响上.
- 从赋权的角度来看,需要对痴呆症护理 (TADC) 中IAT的社会,政治,经济和技术先决条件进行更广泛的分析.
研究的目的:
- 在德国背景下探索TADC的先决条件.
- 分析加速或抑制技术开发,实施和使用的因素.
- 在TADC中为更为赋权敏感的结构做出贡献.
主要方法:
- 与20位德语专家进行半结构化采访.
- 来自医疗保健,卫生政策和IAT相关领域 (如计算机科学,工程) 的专家.
- 面试数据的主题内容分析.
主要成果:
- 对德国当前TADC预先条件的矛盾的专家评估.
- 加速器包括数字化,改变心态,人口变化,公共资源,私人财富和监管进步.
- 抑制因素包括数字素养差距,误导性的看法,不清楚的融资,不确定的市场,数据保护,道德挑战,缺乏基础设施和缺乏用户参与.
结论:
- 通过加强自决权和社会参与,TADC有潜力赋予痴呆症患者权力.
- 社会,政治,经济和技术环境显著影响通过TADC授权的成功.
- 通过政策干预,提出了巩固加速器和减轻抑制器的建议.
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