Bigdata Convergence Open Sharing System, Seoul National University, Seoul, Korea.
Department of Medical Informatics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yonsei Med J. 2022 Jan;63(Suppl):S14-S21. doi: 10.3349/ymj.2022.63.S14.
Smart healthcare systems are being designed to provide medical services to and improve the daily lives of older adults. However, most research has been focused on technical issues, despite a need to conduct in-depth studies on related ethical issues. Therefore, this study aimed to examine ethical issues in smart healthcare for older adults. We reviewed published literature using PubMed. In total, 292 documents were analyzed by applying the scoping review method. Finally, 29 articles were selected from the 292 articles. Ethical issues in smart healthcare for older adults were analyzed in terms of the themes of responsibility/autonomy (n=10), privacy (n=9), and digital divide (n=10). Technical help provided by smart healthcare may infringe on the autonomy of tacit choice for older adults. This pose a potential ethical issue as the subject of responsibility here is unclear. Privacy is a concern as smart technology may intrude the personal life of the user. The digital divide is a challenge because of low responsiveness from older adults to technological changes. The future development and application of smart healthcare systems must take these ethical aspects into account to enable their efficient and effective use in supplementing healthcare for older adults. Critical discussions to identify ethical issues and customize ethical requirements for specific user needs are necessary among smart healthcare providers.
智能医疗保健系统旨在为老年人提供医疗服务并改善他们的日常生活。然而，尽管需要对相关的伦理问题进行深入研究，但大多数研究仍集中在技术问题上。因此，本研究旨在探讨智能医疗保健中的伦理问题。我们使用 PubMed 检索已发表的文献。通过应用范围综述方法，共分析了 292 篇文献，最终从 292 篇文章中选择了 29 篇。从责任/自主性（n=10）、隐私（n=9）和数字鸿沟（n=10）这三个主题分析了智能医疗保健对老年人的伦理问题。智能医疗保健提供的技术帮助可能会侵犯老年人隐性选择的自主权。这是一个潜在的伦理问题，因为责任主体不明确。隐私是一个关注点，因为智能技术可能会侵犯用户的个人生活。数字鸿沟是一个挑战，因为老年人对技术变化的反应能力较低。未来智能医疗保健系统的发展和应用必须考虑到这些伦理方面，以便在补充老年人医疗保健方面高效和有效地使用。智能医疗保健服务提供者之间有必要进行批判性讨论，以确定伦理问题并针对特定用户需求定制伦理要求。
