Vayena Effy, Haeusermann Tobias, Adjekum Afua, Blasimme Alessandro
Health Ethics and Policy Lab, Department of Health Sciences and Technology (D-HEST), ETH Zurich, Switzerland.
Department of Sociology, University of Cambridge, UK.
Swiss Med Wkly. 2018 Jan 16;148:w14571. doi: 10.4414/smw.2018.14571. eCollection 2018.
Digital health encompasses a wide range of novel digital technologies related to health and medicine. Such technologies rely on recent advances in the collection and analysis of ever increasing amounts of data from both patients and healthy citizens. Along with new opportunities, however, come new ethical and policy challenges. These range from the need to adapt current evidence-based standards, to issues of privacy, oversight, accountability and public trust as well as national and international data governance and management. This review illustrates key issues and challenges facing the rapidly unfolding digital health paradigm and reflects on the impact of big data in medical research and clinical practice both internationally and in Switzerland. It concludes by emphasising five conditions that will be crucial to fulfil in order to foster innovation and fair benefit sharing in digital health.
数字健康涵盖了与健康和医学相关的一系列新型数字技术。此类技术依赖于在收集和分析来自患者及健康人群的海量数据方面取得的最新进展。然而,新机遇也带来了新的伦理和政策挑战。这些挑战包括需要调整当前基于证据的标准,以及隐私、监督、问责和公众信任等问题,还有国家和国际数据治理与管理。本综述阐述了快速发展的数字健康范式所面临的关键问题和挑战,并思考了大数据在国际及瑞士医学研究和临床实践中的影响。最后强调了为促进数字健康领域的创新和公平利益分享而必须满足的五个关键条件。