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本文引用的文献

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Unaddressed privacy risks in accredited health and wellness apps: a cross-sectional systematic assessment.经认证的健康与健身应用中未解决的隐私风险:一项横断面系统评估。
BMC Med. 2015 Sep 7;13:214. doi: 10.1186/s12916-015-0444-y.
2
Ethical implications of HIV self-testing.HIV自我检测的伦理问题。
J Med Ethics. 2015 Oct;41(10):809-13. doi: 10.1136/medethics-2014-102599. Epub 2015 Aug 14.
3
Responsible research and innovation: A manifesto for empirical ethics?负责任的研究与创新:实证伦理学宣言?
Clin Ethics. 2015 Mar;10(1-2):5-12. doi: 10.1177/1477750914567840.
4
Diagnostic point-of-care tests in resource-limited settings.在资源有限的环境下的即时诊断检测。
Lancet Infect Dis. 2014 Mar;14(3):239-49. doi: 10.1016/S1473-3099(13)70250-0. Epub 2013 Dec 10.
5
Acceptability of HIV self-testing: a systematic literature review.HIV 自我检测的可接受性:系统文献回顾。
BMC Public Health. 2013 Aug 8;13:735. doi: 10.1186/1471-2458-13-735.
6
How point-of-care testing could drive innovation in global health.即时检验如何推动全球健康领域的创新。
N Engl J Med. 2013 Jun 13;368(24):2319-24. doi: 10.1056/NEJMsb1214197.
7
Accuracy of rapid and point-of-care screening tests for hepatitis C: a systematic review and meta-analysis.快速即时检测丙型肝炎病毒的准确性:系统评价和荟萃分析。
Ann Intern Med. 2012 Oct 16;157(8):558-66. doi: 10.7326/0003-4819-157-8-201210160-00006.
8
A paper-based multiplexed transaminase test for low-cost, point-of-care liver function testing.基于纸张的多重转氨酶检测用于低成本、即时护理的肝功能检测。
Sci Transl Med. 2012 Sep 19;4(152):152ra129. doi: 10.1126/scitranslmed.3003981.
9
Point-of-care testing for infectious diseases: diversity, complexity, and barriers in low- and middle-income countries.即时检测在传染病中的应用:在中低收入国家的多样性、复杂性和障碍。
PLoS Med. 2012;9(9):e1001306. doi: 10.1371/journal.pmed.1001306. Epub 2012 Sep 4.
10
Toward methodological innovation in empirical ethics research.迈向实证伦理学研究的方法创新。
Camb Q Healthc Ethics. 2012 Oct;21(4):466-80. doi: 10.1017/S0963180112000242.

流感自我检测:一项实证伦理学调查。

Self-tests for influenza: an empirical ethics investigation.

作者信息

Rumbold Benedict, Wenham Clare, Wilson James

机构信息

Department of Philosophy, University College London, Gower Street, London, WC1E 6BT, UK.

LSE Health and Social Care, Cowdray House, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK.

出版信息

BMC Med Ethics. 2017 May 5;18(1):33. doi: 10.1186/s12910-017-0192-y.

DOI:10.1186/s12910-017-0192-y
PMID:28476115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5420160/
Abstract

BACKGROUND

In this article we aim to assess the ethical desirability of self-test diagnostic kits for influenza, focusing in particular on the potential benefits and challenges posed by a new, mobile phone-based tool currently being developed by i-sense, an interdisciplinary research collaboration based (primarily) at University College London and funded by the Engineering and Physical Sciences Research Council.

METHODS

Our study adopts an empirical ethics approach, supplementing an initial review into the ethical considerations posed by such technologies with qualitative data from three focus groups.

RESULTS

Overall, we map a range of possible considerations both for and against the use of such technologies, synthesizing evidence from a range of secondary literature, as well as identifying several new considerations previously overlooked.

CONCLUSIONS

We argue that no single consideration marks these technologies as either entirely permissible or impermissible but rather tools which have the potential to incur certain costs and benefits, and that context is important in determining these. In the latter stages of the article, we explain how developers of such technologies might seek to mitigate such costs and reflect on the possible limitations of the empirical ethics method brought out during the study.

TRIAL REGISTRATION

Not applicable.

摘要

背景

在本文中,我们旨在评估流感自我检测诊断试剂盒在伦理上的可取性,尤其关注一种新型的、基于手机的工具所带来的潜在益处和挑战。该工具目前由i-sense研发,i-sense是一个(主要)基于伦敦大学学院的跨学科研究合作项目,由工程和物理科学研究委员会资助。

方法

我们的研究采用实证伦理学方法,通过三个焦点小组的定性数据,对这类技术所引发的伦理考量进行初步审查。

结果

总体而言,我们梳理了一系列支持和反对使用这类技术的可能考量因素,综合了一系列二手文献中的证据,并识别出了一些之前被忽视的新考量因素。

结论

我们认为,没有单一的考量因素能将这些技术标记为完全可允许或完全不可允许,相反,它们是有可能产生特定成本和收益的工具,而背景在决定这些方面很重要。在本文的后半部分,我们解释了这类技术的开发者可能如何设法降低此类成本,并反思了研究过程中实证伦理学方法可能存在的局限性。

试验注册

不适用。