数字医学

Q4 Medicine Jahr Pub Date : 2019-06-28 DOI:10.21860/J.10.1.12
E. Grebenshchikova
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引用次数: 5

摘要

数字健康产业发展迅速:医学领域涉及许多新学科;远程医疗服务、诊断、监测患者健康和进行医学研究的新机会正在出现;正在开发电子医疗文件,正在建立全球医疗信息数据库,等等。与此同时,医患关系的形式正在转变,新的问题和挑战出现,需要伦理评估。我确定了数字医学的三个领域,并分析了每个领域的保密性、知情同意、自主权和公平性问题。数字卫生技术对医学伦理背景的影响是不平衡的:远程医疗具有最小的革命性潜力,它改变了医患互动机制并实现了文化差异问题。移动医疗技术极大地影响了患者的自主权,并改变了共享医疗信息的方式。人工智能(AI)在医学上是多种多样的,它可以使医学中的关系去个人化,从根本上改变对医生和病人角色的看法,导致医疗保健系统的彻底重组,其中心将是病人与自动化医疗代理和系统互动的新模式。
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Digital medicine
The digital health industry is developing rapidly: many new subjects are involved in the field of medicine; new opportunities for distant medical services, diagnostics, monitoring of patients’ health, and conducting medical research are emerging; electronic medical documentation is being developed, global medical information databases are being formed, etc. At the same time, the format of doctor-patient relationships is being transformed and new issues and challenges arise that require ethical evaluation. I identified three areas of digital medicine and analyzed issues of confidentiality, informed consent, autonomy and equity in each case. The impact of digital health technologies on the ethical contexts of medicine is uneven: telemedicine possesses the smallest revolutionary potential, which changes the mechanisms of doctor-patient interaction and actualizes issues of cultural differences. mHealth technologies significantly affect patient autonomy and change ways of sharing medical information. Artificial Intelligence (AI) is diverse in medicine, it can depersonalize relationships in medicine, radically change ideas about the role of the doctor and patient, lead to a radical restructuring of the medical care system in the center of which will be the new model of patient interaction with automated medical agents and systems.
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来源期刊
Jahr
Jahr Medicine-Medicine (miscellaneous)
CiteScore
0.60
自引率
0.00%
发文量
11
审稿时长
20 weeks
期刊介绍: JAHR – EUROPEAN JOURNAL OF BIOETHICS is a journal that deals with a wide range of bioethical topics. The aim of the Editorial Board is to publish articles related to bioethics in social sciences (sociology, psychology, law, political science, information and communication sciences, pedagogy, education and rehabilitation sciences, speech-language pathology, kinesiology, demography, social activities, security and defence sciences, economics), humanities (philosophy, theology, philology, history, art history, archaeology, ethnology and anthropology, religious sciences), biomedical (medicine, public health, veterinary medicine, dentistry and pharmacology), but also in other sciences. The journal is published twice a year.
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