Department of Molecular, Cell, and Developmental Biology, University of California, Los Angeles, United States.
J Dent. 2018 Jul;74 Suppl 1:S15-S20. doi: 10.1016/j.jdent.2018.04.024.
There is great power and promise for mobile health (mHealth) technology in the realms of clinical practice and research. By offering the opportunity to reshape the interaction between clinician and patient or researcher and subject, the introduction of this technology allows clinicians and researchers access to larger quantities of more timely and reliable data. The potential developments are significant, and they are ethically relevant. With all technological developments, however, come new sets of ethical risks. In this paper, I assess the ethics of mHealth. I argue that while we have an ethical obligation to advance this work in order to further the quality and scope of care, the use of mHealth technology also presents challenges that must be addressed before and during the use of this technology. After describing the ethical landscape, I offer a pragmatic approach to meeting some of these challenges and minimizing ethical risk by switching from a privacy-centered frame to a consent-centered frame.
移动医疗（mHealth）技术在临床实践和研究领域具有巨大的力量和潜力。通过提供重塑医患或研究人员与研究对象之间互动的机会，这项技术使临床医生和研究人员能够获得更多、更及时和更可靠的数据。潜在的发展意义重大，而且与伦理相关。然而，与所有技术发展一样，也会带来新的一系列伦理风险。在本文中，我评估了 mHealth 的伦理问题。我认为，虽然我们有道德义务推进这项工作，以提高护理的质量和范围，但 mHealth 技术的使用也带来了挑战，在使用这项技术之前和期间必须解决这些挑战。在描述了伦理背景之后，我提供了一种实用的方法，通过从以隐私为中心的框架转换为以同意为中心的框架，来应对其中的一些挑战并最小化伦理风险。
