Martinez-Martin Nicole, Dasgupta Ishan, Carter Adrian, Chandler Jennifer A, Kellmeyer Philipp, Kreitmair Karola, Weiss Anthony, Cabrera Laura Y
Department of Pediatrics, Center for Biomedical Ethics, School of Medicine, Stanford University, Stanford, CA, United States.
Department of Philosophy, University of Washington, Seattle, WA, United States.
JMIR Ment Health. 2020 Dec 22;7(12):e23776. doi: 10.2196/23776.
Social distancing measures due to the COVID-19 pandemic have accelerated the adoption and implementation of digital mental health tools. Psychiatry and therapy sessions are being conducted via videoconferencing platforms, and the use of digital mental health tools for monitoring and treatment has grown. This rapid shift to telehealth during the pandemic has given added urgency to the ethical challenges presented by digital mental health tools. Regulatory standards have been relaxed to allow this shift to socially distanced mental health care. It is imperative to ensure that the implementation of digital mental health tools, especially in the context of this crisis, is guided by ethical principles and abides by professional codes of conduct. This paper examines key areas for an ethical path forward in this digital mental health revolution: privacy and data protection, safety and accountability, and access and fairness.
由于新冠疫情而采取的社交 distancing 措施加速了数字心理健康工具的采用和实施。精神病学和治疗课程正在通过视频会议平台进行,并且用于监测和治疗的数字心理健康工具的使用也有所增加。疫情期间向远程医疗的这种迅速转变,使得数字心理健康工具所带来的伦理挑战更加紧迫。监管标准已放宽,以允许向保持社交距离的心理健康护理转变。必须确保数字心理健康工具的实施,尤其是在这场危机的背景下,以伦理原则为指导并遵守专业行为准则。本文探讨了在这场数字心理健康革命中迈向符合伦理的前进道路的关键领域:隐私和数据保护、安全和问责制以及获取和公平性。