de Dombal F T
University of Leeds.
J Med Ethics. 1987 Dec;13(4):179-84. doi: 10.1136/jme.13.4.179.
The advent of information technology and computers in medicine two decades ago posed a new set of ethical problems. In recent years, these problems have been compounded by the increasing use of computers for supporting clinical decisions as well as administration and record keeping. This presentation considers some of the problems which are raised by the use of computers to support clinical decisions, under the various headings of beneficence, non-maleficence, autonomy and justice. For each aspect the problems raised are described and the implications discussed.
二十年前信息技术和计算机在医学领域的出现带来了一系列新的伦理问题。近年来,计算机在支持临床决策以及管理和记录保存方面的使用日益增加,这些问题变得更加复杂。本报告在善行、不伤害、自主和公正等不同标题下,探讨了使用计算机支持临床决策所引发的一些问题。针对每个方面,阐述了所引发的问题并讨论了其影响。