Anderson James G
Sociology and Anthropology Department, Purdue University, Room 353, Stone Hall-Office, 700 West State Street, West Lafayette, IN 47907-2059, USA.
Int J Med Inform. 2004 Mar 18;73(2):145-50. doi: 10.1016/j.ijmedinf.2003.11.015.
The purpose of this paper is to propose a case-based approach to instruction regarding ethical issues raised by the use of information technology (IT) in healthcare. These issues are rarely addressed in graduate degree and continuing professional education programs in health informatics. There are important reasons why ethical issues need to be addressed in informatics training. Ethical issues raised by the introduction of information technology affect practice and are ubiquitous. These issues are frequently among the most challenging to young practitioners who are ill prepared to deal with them in practice. First, the paper provides an overview of methods of moral reasoning that can be used to identify and analyze ethical problems in health informatics. Second, we provide a framework for defining cases that involve ethical issues and outline major issues raised by the use of information technology. Specific cases are used as examples of new dilemmas that are posed by the introduction of information technology in healthcare. These cases are used to illustrate how ethics can be integrated with the other elements of informatics training. The cases discussed here reflect day-to-day situations that arise in health settings that require decisions. Third, an approach that can be used to teach ethics in health informatics programs is outlined and illustrated.
本文旨在提出一种基于案例的教学方法，以应对医疗保健领域中使用信息技术（IT）所引发的伦理问题。在健康信息学的研究生学位课程和继续职业教育项目中，这些问题很少得到探讨。在信息学培训中探讨伦理问题有重要原因。信息技术引入所引发的伦理问题影响实践且普遍存在。对于那些在实践中准备不足、难以应对这些问题的年轻从业者而言，这些问题常常是最具挑战性的。首先，本文概述了可用于识别和分析健康信息学中伦理问题的道德推理方法。其次，我们提供了一个界定涉及伦理问题案例的框架，并概述了使用信息技术引发的主要问题。具体案例被用作信息技术引入医疗保健领域所带来的新困境的示例。这些案例用于说明伦理学如何与信息学培训的其他要素相结合。这里讨论的案例反映了健康环境中需要做出决策的日常情况。第三，概述并举例说明了一种可用于在健康信息学项目中教授伦理学的方法。
