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植入不平等:可植入射频识别 (RFID) 装置的社会和伦理风险的实证证据。

Implanting inequality: empirical evidence of social and ethical risks of implantable radio-frequency identification (RFID) devices.

机构信息

Department of Human & Organizational Development, Vanderbilt University, Peabody #90, 230 Appleton Place, Nashville, Tennessee 37203-5721, USA.

出版信息

Int J Technol Assess Health Care. 2010 Oct;26(4):370-6. doi: 10.1017/S0266462310001133. Epub 2010 Oct 6.

DOI:10.1017/S0266462310001133
PMID:20923593
Abstract

OBJECTIVES

The aim of this study was to assess empirically the social and ethical risks associated with implantable radio-frequency identification (RFID) devices.

METHODS

Qualitative research included observational studies in twenty-three U.S. hospitals that have implemented new patient identification systems and eighty semi-structured interviews about the social and ethical implications of new patient identification systems, including RFID implants.

RESULTS

The study identified three primary social and ethical risks associated with RFID implants: (i) unfair prioritization of patients based on their participation in the system, (ii) diminished trust of patients by care providers, and (iii) endangerment of patients who misunderstand the capabilities of the systems.

CONCLUSIONS

RFID implants may aggravate inequalities in access to care without any clear health benefits. This research underscores the importance of critically evaluating new healthcare technologies from the perspective of both normative ethics and empirical ethics.

摘要

目的

本研究旨在从实证角度评估与可植入射频识别(RFID)设备相关的社会和伦理风险。

方法

定性研究包括对 23 家已实施新型患者识别系统的美国医院进行观察性研究,以及对新患者识别系统(包括 RFID 植入物)的社会和伦理影响进行 80 次半结构化访谈。

结果

研究确定了与 RFID 植入相关的三个主要社会和伦理风险:(i)基于患者对系统的参与程度对患者进行不公平的优先排序,(ii)护理提供者对患者的信任度降低,以及(iii)对系统功能理解有误的患者面临危险。

结论

RFID 植入物可能会在没有明显健康益处的情况下加剧获得医疗服务的不平等。这项研究强调了从规范伦理和经验伦理的角度批判性地评估新医疗技术的重要性。

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Int J Technol Assess Health Care. 2010 Oct;26(4):370-6. doi: 10.1017/S0266462310001133. Epub 2010 Oct 6.
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