Faculty of Law and Centre for Medical Ethics and Law, The University of Hong Kong, Cheng Yu Tung Tower, Centennial Campus, Pokfulam Road, Hong Kong S.A.R., People's Republic of China.
Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Block MD11, Clinical Research Centre #02-03, 10 Medical Drive, 117597, Singapore.
J Bioeth Inq. 2020 Dec;17(4):657-661. doi: 10.1007/s11673-020-10050-7. Epub 2020 Nov 9.
Following the outbreak of what would become the COVID-19 pandemic, social distancing measures were quickly introduced across East Asia-including drastic shelter-in-place orders in some cities-drawing on experience with the outbreak of severe acute respiratory syndrome (SARS) almost two decades ago. "Smart City" technologies and other digital tools were quickly deployed for infection control purposes, ranging from conventional thermal scanning cameras to digital tracing in the surveillance of at-risk individuals. Chatbots endowed with artificial intelligence have also been deployed to shift part of healthcare provision away from hospitals and to support a number of programmes for self-management of chronic disease in the community. With the closure of schools and adults working from home, digital technologies have also sustained many aspects of both professional and social life at a pace and scale not considered to be practicable before the outbreak. This paper considers how these new experiences with digital technologies in public health surveillance are spurring digitalization in East Asian societies beyond the conventional public health context. It also considers some of the concerns and challenges that are likely to arise with rapid digitalization, particularly in healthcare.
随着 COVID-19 大流行的爆发,东亚地区迅速采取了社交距离措施,包括在一些城市实施严格的就地避难命令,借鉴了近二十年前严重急性呼吸系统综合症 (SARS) 爆发的经验。“智慧城市”技术和其他数字工具也被迅速用于感染控制,从传统的热扫描相机到对高危人群的数字追踪。具有人工智能的聊天机器人也被部署用于将部分医疗保健服务从医院转移出去,并支持社区中慢性病的自我管理计划。随着学校关闭和成年人在家工作,数字技术也在以爆发前认为不可行的速度和规模维持着专业和社会生活的许多方面。本文探讨了公共卫生监测中这些新的数字技术体验如何推动东亚社会超越传统公共卫生领域的数字化进程。它还考虑了快速数字化可能带来的一些关注和挑战,尤其是在医疗保健领域。