在息护理环境中的远程医疗:基于论证的伦理文献的系统审查
Leen Krieckemans1, Alice Cavolo1, Michael Casaer2
1Centre for Biomedical Ethics and Law, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Palliative medicine
|August 22, 2025
概括
远程缓解治疗可以改善医疗服务的获取,但也引发了有关患者自主权,隐私和医疗服务提供者关系的伦理问题. 谨慎实施对于维护息护理价值至关重要.
科学领域:
- 医学伦理
- 缓和护理
- 远程医疗
背景情况:
- 全球对息治疗的需求正在增加,超过目前的服务供应.
- 远程缓解治疗可能是弥合这一差距的解决方案.
- 伦理考虑对于成功整合远程息护理至关重要.
研究的目的:
- 系统地审查有关远程息护理的伦理概念和论点.
- 综合基于论证的关于该主题的文献发现.
主要方法:
- 根据PRISMA指南对基于论证的文献进行系统审查.
- 在12个多学科数据库中搜索相关出版物.
- 由两位研究人员进行的独立选,使用同行评审作为质量代理.
主要成果:
- 分析了26个出版物,揭示了两个主要的伦理框架:生物医学伦理原则和护理伦理.
- 远程缓解治疗影响自主性 (知情同意,隐私) 和益处性 (症状管理).
- 风险包括护理的非个性化,隐私的侵犯,以及正义问题 (获取,公平).
结论:
- 远程医疗提供了缓解护理的好处, 但对其核心价值观构成风险.
- 优先考虑道德考虑对于负责任的远程息护理实施至关重要.
- 技术进步与以患者为中心的伦理护理保持平衡至关重要.
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