Gilmartin Chris, Arbe-Barnes Edward H, Diamond Michael, Fretwell Sasha, McGivern Euan, Vlazaki Myrto, Zhu Limeng
Gonville and Caius College, University of Cambridge, Trinity Street, Cambridge, CB2 1TA, UK.
Magdalen College, University of Oxford, High Street, Oxford, OX1 4AU, UK.
Philos Ethics Humanit Med. 2018 Sep 3;13(1):12. doi: 10.1186/s13010-018-0065-0.
The 2018 Varsity Medical Ethics debate convened upon the motion: "This house believes that the constant monitoring of our health does more harm than good". This annual debate between students from the Universities of Oxford and Cambridge is now in its tenth year. This year's debate was hosted at the Oxford Union on 8th of February 2018, with Oxford winning for the Opposition, and was the catalyst for the collation and expansion of ideas in this paper.New technological devices have the potential to enhance patient autonomy, improve patient safety, simplify the management of chronic diseases, increase connectivity between patients and healthcare professionals and assist individuals to make lifestyle changes to improve their health. However, these are pitted against an encroachment of technology medicalising the individual and home, an exacerbation of health inequalities, a risk to the security of patient data, an alteration of the doctor-patient relationship dynamic and an infringement on individual self-identity. This paper will draw upon and develop these concepts, while contending arguments for and against constant health monitoring. This is not a review of medical devices and health monitoring, but a reflective development and more detailed elaboration of the main points highlighted in the 2018 Varsity Medical Ethics debate.
2018年大学医学伦理辩论赛围绕“本院认为持续监测我们的健康弊大于利”这一辩题展开。这场牛津大学和剑桥大学学生之间的年度辩论如今已进入第十个年头。今年的辩论于2018年2月8日在牛津大学辩论社举行，牛津大学代表反方获胜，此次辩论成为本文观点整理与拓展的催化剂。新技术设备有潜力增强患者自主权、提高患者安全性、简化慢性病管理、增进患者与医疗保健专业人员之间的联系，并帮助个人改变生活方式以改善健康状况。然而，这些却与技术对个人和家庭的医学化侵蚀、健康不平等加剧、患者数据安全风险、医患关系动态变化以及对个人自我认同的侵犯形成了对立。本文将借鉴并拓展这些概念，同时对支持和反对持续健康监测的论点进行论证。这并非对医疗设备和健康监测的综述，而是对2018年大学医学伦理辩论赛中所强调要点的反思性拓展及更详细阐述。
