关于权力剥夺和移动健康
1Department of Philosophy and Moral Sciences, Bioethics Institute Ghent, and Metamedica, Ghent University, Ghent, Belgium. Jesse.gray@ugent.be.
Medicine, health care, and philosophy
|June 9, 2025
概括
移动健康工具可能不会仅仅通过提供知识来真正赋予用户权力. 真正的赋权需要对控制和实际能力的信念,以及问责制,以避免权力滥用.
科学领域:
- 医疗信息学 医疗信息学
- 行为科学 行为科学
- 卫生社会学 卫生社会学
背景情况:
- 移动健康 (mHealth) 工具往往承诺通过知识传播来赋予用户权力.
- 当前的'知识控制范式'提供了对赋权的肤浅理解.
- 现有的框架忽视了健康领域用户赋权的多面性质.
研究的目的:
- 在移动健康的背景下,批判性地研究赋权的概念.
- 要区分心理和关系赋权.
- 分析mHealth中的知识控制范式的局限性.
主要方法:
- 赋权理论的概念分析.
- 在mHealth文献中批评知识控制范式.
- 确定真正赋予用户权力的关键组成部分.
主要成果:
- 赋权涉及心理 (对控制的信念) 和关系 (实际能力和问责制) 的两个维度.
- 在mHealth中的知识控制范式主要针对心理赋权.
- 过度强调没有手段或动机的知识,可能导致"权力不充分".
结论:
- 专注于知识的mHealth工具可能会创造一种错误的控制感,导致权力丧失.
- 真正的赋权需要将用户的信念与其实际能力和寻求问责的能力相协调.
- 错误授权可能会导致个人承担不当的责任,并降低挑战权力结构的能力.
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