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[医疗保健中的移动技术:关于发展、应用、法律层面及伦理的思考 移动卫生技术:关于发展、应用、立法与伦理的思考]

[Mobile technologies in healthcare: reflections on development, application, legal aspects, and ethicsTecnologías sanitarias móviles: reflexiones sobre desarrollo, aplicación, legislación y ética].

作者信息

Marengo Lívia Luize, Kozyreff Alan Martinez, Moraes Fabio da Silva, Maricato Laura Inês Gomes, Barberato-Filho Silvio

机构信息

Universidade de Sorocaba (UNISO) Programa de Pós-Graduação em Ciências Farmacêuticas Sorocaba (SP) Brasil Universidade de Sorocaba (UNISO), Programa de Pós-Graduação em Ciências Farmacêuticas, Sorocaba (SP), Brasil.

出版信息

Rev Panam Salud Publica. 2022 May 24;46:e37. doi: 10.26633/RPSP.2022.37. eCollection 2022.

Abstract

The association between fast-growing mobile technologies and increasingly more mobile devices has allowed the introduction of virtual environments into daily activities. That includes the health care domain, where concepts such telemedicine, telehealth, eHealth, and mHealth have emerged. In addition to presenting these new concepts, this article aims to discuss the advancements and challenges of mobile health technologies stemming from considerations regarding development, application, legal aspects, and ethics. Because of their innovative nature, mobile health technologies entail the engagement of many actors in the journey to reach end users, covering conception, technical development, sanitary regulations, and design of clinical guidelines, having raised a great deal or interest in terms of monitoring and care across a variety of clinical conditions. However, assessment of the effectiveness and safety of mobile health technologies does not seem to involve the same methodological rigor imposed for clinical trials of drugs and other health products; still, the enthusiasm produced by this innovation counters some of the regulatory and ethics concerns relating to data protection, privacy, access to mobile devices, and technological or social inequality. Despite possible limitations, mobile technologies, as well as other telehealth resources, have produced promising results. Digital healthcare has great potential for expansion and represents an opportunity for the review of traditional practices with selection of mobile technologies for incorporation into the health care system whenever evidence-based benefits are verified.

摘要

快速发展的移动技术与越来越多的移动设备之间的关联,使得虚拟环境得以融入日常活动。这其中包括医疗保健领域,远程医疗、远程健康、电子健康和移动健康等概念应运而生。除了介绍这些新概念之外,本文旨在探讨移动健康技术在发展、应用、法律层面和伦理方面的进展与挑战。由于其创新性,移动健康技术在面向终端用户的过程中需要众多参与者的参与,涵盖概念构思、技术开发、卫生法规以及临床指南设计等方面,在各种临床情况下的监测和护理方面引发了极大的关注。然而,对移动健康技术有效性和安全性的评估似乎并未采用与药品及其他健康产品临床试验相同严格的方法;尽管如此,这项创新所带来的热情抵消了一些与数据保护、隐私、移动设备获取以及技术或社会不平等相关的监管和伦理担忧。尽管可能存在局限性,但移动技术以及其他远程健康资源已经产生了令人期待的结果。数字医疗具有巨大的扩展潜力,并且代表着一个机会,即只要基于证据的益处得到验证,就可以通过选择移动技术来审视传统做法,以便将其纳入医疗保健系统。

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