数字时代的网络空间隐私:一个基于proxemics的框架,有一个医疗保健应用程序
Orhan Onder1,2, Ebubekir M Deniz3
1Department of History of Medicine and Ethics, Marmara University, School of Medicine, Istanbul, Türkiye. orhan.onder@marmara.edu.tr.
BMC medical ethics
|January 8, 2026
概括
数字医疗引入了新的隐私挑战. 本研究提出了一个新的框架,即网络空间隐私,用于评估物理和数字空间的风险,提高混合护理环境中的患者保密性.
科学领域:
- 数字健康伦理学 数字健康伦理学
- 医疗信息学 医疗信息学
- 隐私工程 隐私工程 隐私工程
背景情况:
- 医疗保健的数字化 (远程医疗,人工智能诊断,生物传感器) 挑战了传统的患者保密性.
- 现有的隐私理论对于不透明,持久的数字数据暴露是不够的.
- 数字临床环境中数据隐私的伦理考虑需要新的方法.
研究的目的:
- 为数字诊所开发一个多维的隐私框架.
- 为了解决医疗保健数据隐私的空间和技术复杂性.
- 在混合护理模式中加强对患者保密的伦理分析.
主要方法:
- 理论-概念方法集成proxemics和网络空间的概念.
- 在网络空间中重新解释人际空间区域.
- 引入"网络空间隐私"作为一个跨层隐私维度.
- 应用一个假设的案例研究 ("X患者") 用于框架验证.
主要成果:
- 隐私被重新概念化为一个动态连续体,受到空间接近和数字调解的影响.
- 一个框架将近距离区域和网络空间维度的隐私风险映射出来.
- 该模型根据类型和规范权重区分隐私侵犯,生物识别数据比公共元数据带来更高的风险.
- 该框架允许对区域敏感的脆弱性,暴露和对数字医疗保健的信任进行评估.
结论:
- 该框架为数字健康隐私提供了细分,关系和上下文意识的方法.
- 它帮助临床医生,设计师和政策制定者制定量身定制的隐私保护措施.
- 将隐私重新定义为关系上的共同存在,而不仅仅是同意,促进了网络增强医学的伦理设计和治理.
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