Preserving Patient Stories: Bioethical and Legal Implications Related to the Shift from Traditional to Digital Anamnesis.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Clinics and Practice Pub Date : 2024-06-21 DOI:10.3390/clinpract14040095
Filippo Gibelli, Paolo Bailo, Giuliano Pesel, Giovanna Ricci
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Abstract

It is since the beginning of the so-called 'digital revolution' in the 1950s that technological tools have been developed to simplify and optimise traditional, time-consuming, and laborious anamnestic collection for many physicians. In recent years, more and more sophisticated 'automated' anamnestic collection systems have been developed, to the extent that they can actually enter daily clinical practice. This article not only provides a historical overview of the evolution of such tools, but also explores the ethical and medico-legal implications of the transition from traditional to digital anamnesis, including the protection of data confidentiality, the preservation of the communicative effectiveness of the doctor-patient dialogue and the safety of care in patients with poor digital and health literacy.

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保存病人的故事:从传统病历到数字病历的转变所涉及的生物伦理和法律问题。
自 20 世纪 50 年代所谓的 "数字革命 "开始以来,技术工具不断发展,为许多医生简化和优化了传统、耗时和费力的病历收集工作。近年来,越来越多先进的 "自动化 "病历收集系统被开发出来,甚至可以进入日常临床实践。本文不仅从历史角度概述了此类工具的发展历程,还探讨了从传统肛门指诊向数字肛门指诊过渡所涉及的伦理和医学法律问题,包括数据保密性的保护、医患对话交流效果的维护以及对数字和健康知识欠缺的患者的护理安全问题。
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来源期刊
Clinics and Practice
Clinics and Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
4.30%
发文量
91
审稿时长
10 weeks
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