创建数字生活方式干预的基本伦理框架:叙述性审查
Nicolien D M Dinklo1, Maartje H N Schermer2, Ineke Bolt1
1Erasmus Medical Center, Department of Public Health, Rotterdam, Netherlands.
Mayo Clinic proceedings. Digital health
|November 28, 2025
概括
数字工具提供了可扩展的健康促进,但也引发了伦理方面的担忧. 伦理框架对于公平发展和部署这些生活方式干预措施至关重要,优先考虑健康公平和隐私.
科学领域:
- 数字健康数字健康
- 公共卫生道德 公共卫生道德
- 促进健康 促进健康
背景情况:
- 由于个性化和可扩展性,数字工具对促进健康的生活方式充满希望.
- 然而,关于公平获取,同意和弱势群体的结果的伦理问题是很重要的.
- 现有的伦理框架需要适应数字生活方式干预措施.
研究的目的:
- 审查公共卫生和生活方式干预的伦理原则.
- 确定特定于数字健康工具的伦理考虑.
- 为开发和部署数字生活方式干预措施提出道德框架.
主要方法:
- 在三个领域进行了叙事审查:一般公共卫生伦理,生活方式干预伦理和数字健康伦理.
- 综述中包括了16篇文章.
- 确定了核心的伦理主题和具体的数字干预考虑.
主要成果:
- 五个核心的伦理主题出现了:尊重自治,慈善,避免伤害,公平,责任/可持续性/问责制.
- 卫生公平和隐私被确定为数字干预的关键伦理考虑因素.
- 数字工具可能会加剧现有的健康差异,不成比例地使受惠群体受益.
结论:
- 需要一个伦理框架来指导数字生活方式干预措施的开发和部署.
- 该框架解决了相互竞争的伦理原则之间的潜在紧张关系.
- 它帮助开发人员在整个干预设计过程中优先考虑相关的伦理考虑.
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