Rossmaier Leon W S
The University of Twente, Enschede, The Netherlands.
Public Health Ethics. 2022 Sep 2;15(3):277-288. doi: 10.1093/phe/phac016. eCollection 2022 Nov.
Mobile health (mHealth) apps for self-monitoring increasingly gain relevance for public health. As a mobile technology, they promote individual participation in health monitoring with the aim of disease prevention and the mitigation of health risks. In this paper, I argue that users of mHealth apps must engage in value trade-offs concerning their fundamental dimensions of well-being when using mobile health apps for the self-monitoring of health parameters. I particularly focus on trade-offs regarding the user's self-determination as well as their capacity to form personal attachments. Depending on the user's level of advantage or disadvantage, value trade-offs can pose a threat to the users' sufficient fulfillment of the dimensions of well-being. As such, value trade-offs can entrench existing structural injustices and prevent disadvantaged users to benefit from this technology. I argue that value trade-offs are, to some, a type of injustice that can drive disadvantaged users away from a sufficiency threshold of well-being, risk users to fall below the threshold, or have an accumulative effect on different dimensions of the user's well-being.
用于自我监测的移动健康（mHealth）应用程序对公共卫生的重要性日益凸显。作为一种移动技术，它们促进个人参与健康监测，以预防疾病和降低健康风险。在本文中，我认为移动健康应用程序的用户在使用这些应用程序进行健康参数自我监测时，必须在其幸福的基本维度上进行价值权衡。我特别关注用户自我决定权以及形成个人依恋能力方面的权衡。根据用户的优势或劣势程度，价值权衡可能对用户充分实现幸福维度构成威胁。因此，价值权衡可能会强化现有的结构性不公正，并阻止弱势用户从这项技术中受益。我认为，对某些人来说，价值权衡是一种不公正，它可能会使弱势用户远离幸福的充足阈值，使用户有低于该阈值的风险，或者对用户幸福的不同维度产生累积影响。
