Jansky Bianca, Machleid Felix, Wild Verina
Medizinische Fakultät, Ethik der Medizin, Universität Augsburg, Universitätsstr. 2, 86159, Augsburg, Deutschland.
Institut für Soziologie, Ludwig-Maximilians-Universität, München, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Feb;66(2):168-175. doi: 10.1007/s00103-022-03650-8. Epub 2023 Jan 25.
Mobile health technologies (mHealth) promote the trend towards personal responsibility and self-management. By using the example of type 2 diabetes mellitus (T2DM), the article aims to deepen the discussion on mHealth, personal responsibility and justice-which has so far only been rudimentary-from a public health ethical perspective. It shows that in the field of T2DM, mHealth can on the one hand improve social health justice, but on the other hand can also exacerbate social health injustices. From a justice-focused, public health ethical perspective on T2DM mHealth, it is necessary to better understand whether and how vulnerable population groups are considered in mHealth development and implementation, how these groups experience the use of the technology, what social-epidemiological impacts the increasing use of mHealth can have, which health inequalities in the area of T2DM are unfair, to what extent personal responsibility should be placed in the hands of the users, and where the limits of personal responsibility lie. Considering social diversity and the social determinants of health is an ongoing process and must permeate all phases of mHealth development and implementation.
移动健康技术（mHealth）推动了个人责任和自我管理的趋势。本文以2型糖尿病（T2DM）为例，旨在从公共卫生伦理的角度，深化对mHealth、个人责任和正义的讨论——迄今为止，这方面的讨论还很初步。文章表明，在T2DM领域，mHealth一方面可以改善社会健康公平，但另一方面也可能加剧社会健康不公平。从以正义为重点的公共卫生伦理视角审视T2DM的mHealth，有必要更好地理解在mHealth的开发和实施过程中，弱势群体是否以及如何得到考虑，这些群体在使用该技术时有何体验，mHealth使用的增加可能产生哪些社会流行病学影响，T2DM领域的哪些健康不平等是不公平的，个人责任应在多大程度上由用户承担，以及个人责任的界限在哪里。考虑社会多样性和健康的社会决定因素是一个持续的过程，必须贯穿于mHealth开发和实施的各个阶段。
