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实施电子健康服务时伦理方面的重要性:讨论文件。

The importance of ethical aspects when implementing eHealth services in healthcare: A discussion paper.

机构信息

Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.

Department of Nursing Sciences, Mid Sweden University, Östersund, Sweden.

出版信息

J Adv Nurs. 2018 May;74(5):1043-1050. doi: 10.1111/jan.13493. Epub 2017 Nov 29.

Abstract

AIM

The aim of this paper was to discuss the importance of ethical aspects when implementing eHealth services in health care.

BACKGROUND

Challenges in healthcare today include a growing older population and, as a consequence, an increased need for healthcare services. One possible solution is the use of eHealth services.

DESIGN

Discussion paper.

DATA SOURCES

Research literature published from 2000-2017 in CINAHL, PubMed and Scopus.

IMPLICATIONS FOR NURSING

Implementing eHealth services in health care involves ethical challenges where different technologies can solve different problems in different ways. eHealth services should therefore be developed and implemented based on the patient's specific needs and conditions for use and in accordance with the healthcare professionals' presumption to provide high-quality care.

CONCLUSION

To preserve patients' integrity, dignity and autonomy, healthcare professionals must include ethical aspects when implementing and using eHealth services in health care. Healthcare professionals have to take responsibility for the eHealth services introduced, explaining why and how they are implemented based on a person-centred approach. More knowledge is needed about ethical aspects when implementing eHealth services to improve the quality of care.

摘要

目的

本文旨在讨论在医疗保健中实施电子健康服务时伦理方面的重要性。

背景

当今医疗保健面临的挑战包括人口老龄化以及由此导致的对医疗保健服务需求的增加。一种可能的解决方案是使用电子健康服务。

设计

讨论文件。

资料来源

2000 年至 2017 年在 CINAHL、PubMed 和 Scopus 上发表的研究文献。

对护理的意义

在医疗保健中实施电子健康服务涉及伦理挑战,不同的技术可以以不同的方式解决不同的问题。因此,电子健康服务的开发和实施应基于患者的具体需求和使用条件,并符合医疗保健专业人员提供高质量护理的假设。

结论

为了保护患者的完整性、尊严和自主权,医疗保健专业人员在医疗保健中实施和使用电子健康服务时必须考虑伦理方面。医疗保健专业人员必须对引入的电子健康服务负责,根据以人为本的方法解释为什么以及如何实施这些服务。需要更多关于实施电子健康服务的伦理方面的知识,以提高护理质量。

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