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社交媒体参与式健康的伦理考量:医疗保健工作者和政策制定者的观点。

Ethical Considerations for Participatory Health through Social Media: Healthcare Workforce and Policy Maker Perspectives.

机构信息

Computer Engineering School, Universidad de Sevilla, Seville, Spain.

University of Nottingham, Nottingham, UK.

出版信息

Yearb Med Inform. 2020 Aug;29(1):71-76. doi: 10.1055/s-0040-1701981. Epub 2020 Apr 17.

Abstract

OBJECTIVES

To identify the different ethical issues that should be considered in participatory health through social media from different stakeholder perspectives (i.e., patients/service users, health professionals, health information technology (If) professionals, and policy makers) in any healthcare context.

METHODS

We implemented a two-round survey composed of open ended questions in the first round, aggregated into a list of ethical issues rated for importance by participants in the second round, to generate a ranked list of possible ethical issues in participatory health based on healthcare professionals' and policy makers' opinions on both their own point of view and their beliefs for other stakeholders' perspectives.

RESULTS

Twenty-six individuals responded in the first round of the survey. Multiple ethical issues were identified for each perspective. Data privacy, data security, and digital literacy were common themes in all perspectives. Thirty-three individuals completed the second round of the survey. Data privacy and data security were ranked among the three most important ethical issues in all perspectives. Quality assurance was the most important issue from the healthcare professionals' perspective and the second most important issue from the patients' perspective. Data privacy was the most important consideration for patients/service users. Digital literacy was ranked as the fourth most important issue, except for policy makers' perspective.

CONCLUSIONS

Different stakeholders' opinions fairly agreed that there are common ethical issues that should be considered across the four groups (patients, healthcare professionals, health IT professionals, policy makers) such as data privacy, security, and quality assurance.

摘要

目的

从不同利益相关者的角度(即患者/服务使用者、卫生专业人员、卫生信息技术(If)专业人员和政策制定者)识别参与式健康通过社交媒体应考虑的不同伦理问题,任何医疗保健环境。

方法

我们实施了两轮调查,第一轮采用开放式问题,第二轮将问题汇总成一个伦理问题清单,由参与者根据重要性进行评分,根据卫生保健专业人员和政策制定者对自身观点以及对其他利益相关者观点的看法,生成一个基于参与式健康的可能伦理问题的排名列表。

结果

26 人在调查的第一轮做出了回应。每个视角都确定了多个伦理问题。数据隐私、数据安全和数字素养是所有视角的共同主题。33 人完成了第二轮调查。数据隐私和数据安全在所有视角中均被列为三个最重要的伦理问题之一。从医疗保健专业人员的角度来看,质量保证是最重要的问题,从患者的角度来看,质量保证是第二重要的问题。数据隐私是患者/服务使用者最重要的考虑因素。除了政策制定者的观点外,数字素养被列为第四重要的问题。

结论

不同利益相关者的意见相当一致,认为有一些共同的伦理问题需要在这四个群体(患者、卫生保健专业人员、卫生信息技术专业人员和政策制定者)之间考虑,例如数据隐私、安全和质量保证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22d/7442531/c42e83c8c8e6/10-1055-s-0040-1701981-iriveraromero-1.jpg

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