Ethical issues related to information technology in healthcare. This systematic scoping review was conducted to identify the ethical issues of AI application in healthcare, to highlight gaps, and to propose steps to move towards an evidence-informed approach for addressing them. Electronic health records (EHRs), with their adoption incentivized as part of the American Recovery and Reinvestment Act of 2009, are now a ubiquitous part of the health care landscape. It is important to consider these issues as the technology advances and becomes more widely utilized. Sep 22, 2021 · We align here with Marent and Henwood who bring four forms of technology-enabled care under the definition of digital health : telemedicine (synchronous or asynchronous care at a distance), eHealth (searching and exchange of health information), mHealth (use of mobile digital devices for health-related reasons) and algorithmic medicine Dec 20, 2023 · Ethical issues in medicine have been hashed out for centuries, but advances in medical science often give rise to new ethical dilemmas. We provide a high-level view of the technology to ethical aspects encountering for healthcare. In Health Informatics (pp. Mar 14, 2021 · The digital transformation is profoundly changing healthcare, medicine, and nursing. Key words. Applied ethics are standard in most organizations. She has a bachelor of science degree in biology and medical records from Daemen College, a master of education degree from Virginia Polytechnic Institute and State University, and a PhD in human and organizational systems from Fielding Graduate University. Personal health information is widely protected, but information regarding elements like vaccination status, exposure and contact tracing can help public Sep 17, 2024 · The widespread use of Chat Generative Pre-trained Transformer (known as ChatGPT) and other emerging technology that is powered by generative artificial intelligence (GenAI) has drawn attention to the potential ethical issues they can cause, especially in high-stakes applications such as health care, but ethical discussions have not yet been translated into operationalisable solutions. Like other codes of ethics, informatics offers insight into the recommended ethical guidance of clinicians and other healthcare professionals. The framework is intended to support designers, software engineers, health service managers, and end-users to realise a responsible, robust and reliable EPR-enabled healthcare system that delivers safe, quality Jul 30, 2021 · 4. Several health information technology organizations – AHIMA, AMIA and the Health Information Management and Systems Society (HIMSS) — have taken on leadership roles for the examination and implementation of ethical standards in the industry. 1-14). Sep 15, 2020 · Ethical issues that may affect human rights occur in the intersection between the technology used to provide eHealth services and the use of the information stored, as both the eHealth services and users adapt over time. Jul 4, 2017 · The internet of things is increasingly spreading into the domain of medical and social care. (2018). Apr 10, 2020 · Laws and regulations are closely tied to ethical concerns. I haven’t even addressed how we should deal with the new types of medical errors created by electronic health records or the process changes that the digital age is bringing to health care. The definition of the PICo is as follows: Population = Social Work Professionals; Phenomenon of Interest = Ethics in the development of professional practice Nov 1, 2020 · In the same vein, Kaplan [23] addressed that legal, ethical and social issues, which are primarily related to information technology in healthcare, were seldom discussed when the pandemic broke out. found that when health care professionals adopted an ethics of care approach their practice was characterised by placing patients’ needs at the Abstract. Oct 16, 2020 · The importance of teaching students to consider societal implications of computing systems was not evident in the field’s early days, when there were only a very small number of computer scientists, systems were used largely in closed scientific or industry settings, and there were few “adversarial attacks” by people aiming to exploit system weaknesses, said Grosz, a pioneer in the field. 5% (15/24) of the authors recognized or explained autonomy as an important ethical issue. When new technologies are introduced, health professionals' long-standing relationship-based and traditional cultures of caring ethics may be affected, transformed or challenged, leading to new ethical dilemmas [1, 2]. Some of the prominent ethical issues in information technology include: 1. Randall Owen, PA-C – Fellowship in Bioethics. The use of electronic health records introduces ethical issues related to beneficence, autonomy, fidelity, and justice. The Code of Ethics and Standards The integration of AI in healthcare, while promising, brings about substantial challenges related to ethics, legality, and regulations. , EHR developers). It is argued that patients, clinicians, and … May 27, 2020 · In this project we propose an alternate to mediate technology for healthcare practice. g. The ethical issues related to sharing health information in Crowdhealth platforms are challenging our perceptions on healthcare privacy. However, ethical challenges arise in the context of health records. Ethics and education had to be in the title Sep 20, 2024 · The research objective is related to the ethical dilemmas and problems that arise in the Social Work profession over time and the current influence resulting from the use of technology. Oct 29, 2021 · Fritz and Cox succinctly summarise the fundamental issue: whilst organisations balance financial as well as clinical obligations and physicians manage inter-patient demands for current and future generations, they all do so in the absence of a philosophical framework to face novel healthcare challenges fairly and justly for the different users o May 5, 2020 · The growing use of AI and robotics also raises issues of healthcare technology ethics. Health-related internet of things (H-IoT) technologies increasingly play a key role in health management, for Nov 1, 2020 · The COVID-19 pandemic provides an opportunity to explore ethical, legal, and social issues related to information technology in healthcare. Feb 4, 2021 · Background This manuscript presents a framework to guide the identification and assessment of ethical opportunities and challenges associated with electronic patient records (EPR). Meaningful Use created new channels of health data access (i. The integration of the Internet of Things with AI creates technology with both ethical and security concerns. Mar 1, 2011 · Health information technology promises to enhance patient safety and quality of care and standardize care across populations through use of electronic patient records, support for physician decision making, computerized prescription entry, health information exchanges, and more. Randall Owen, PA-C. We propose a care-ethics platform and its various advantages. 37,38 Juujärvi et al. To expand on prior analyses and address gaps illuminated by the COVID-19 experience. Department of Health and Human Services, 2012), the United States, as of 2017, has achieved a 95% saturation with electronic health records (EHRs) as a means to document healthcare delivery in acute care hospitals and guide Aug 28, 2020 · The workshop featured a briefing on ethical considerations related to digital health technologies (DHTs) from a behavioral science perspective by Camille Nebeker, director of the Research Center for Optimal Digital Ethics (ReCODE) at the University of California, San Diego. Dec 29, 2021 · Each month, the AMA Journal of Ethics ® (@JournalofEthics) gathers insights from physicians and other experts to explore issues in medical ethics that are highly relevant to doctors in practice and the future physicians now in medical schools, as well as the other health professionals who constitute the health care team. [1] As such, informatics ethics has come into the spotlight over recent years. AI refers to the ability of computers to mimic human intelligence and learning. References. Although these systems promised to improve the quality of patient care, increase efficiency, and reduce costs, health care providers are finding that current EHRs instead require time-consuming data entry, can Jan 5, 2024 · The healthcare industry has undergone a revolutionary transformation with the introduction of health information technology (health IT) systems, which incorporate digital platforms to store Sep 18, 2022 · Ethics are inherent in the practice of medicine. S. The report, Ethics and governance of artificial intelligence for health, is the result of 2 years of consultations held by a panel of Oct 22, 2022 · The ethical issues prompted by Covid are not new, and informed guidance can help policymakers navigate trade-offs among key values and implement ethical principles in future health emergencies. These considerations are an essential component of providing health care, as they help ensure practitioners treat their patients with dignity and respect and that the decisions made by healthcare professionals are fair and just. (2021). IoT Data Collection And Use. It explores the intersection of technological advancements in healthcare IT and the ethical Health information technology (HIT) was seen as a key mechanism to improve patient safety and health care quality, by reducing handwriting errors through electronic health records (EHRs) and providing clinical decision support (CDS). 13 Though ethical decision-making in health care is a vast field, 14 we selected three well-known ethical models for consideration because of their relevance to Dec 31, 2022 · In modern life, the application of artificial intelligence (AI) has promoted the implementation of data-driven algorithms in high-stakes domains, such as healthcare. The definition of the PICo is as follows: Population = Social Work Professionals; Phenomenon of Interest = Ethics in the development of professional practice Oct 27, 2021 · Physical and mental health: The technology industry can not only impact the physical and mental well-being of customers who use and overuse its products and services, but also by its direct involvement in health care, which has been accelerated by the pandemic. Mantovani, E. Springer. Medical Informatics / ethics* Medical Records Systems, Computerized / ethics Patient Care / ethics* Mar 25, 2022 · We’ll also discuss information related to: American Medical Informatics Association professional code of ethics; How to become a health informatics professional; Earning a Master of Science in Health Informatics; Ethical issues in health informatics. Wearable digital health technology. , “clinical / health information system”, “electronic health record”, “mobile device”, “health app”, “social media”, “assistive technology”) were searched together with the terms “education” and “ethics” (all search strings see Appendix). Medication, for instance, is the best way to cure disease. : - Analyze the determinants and describe the measurement of the willingness to disclose personal health information. According to our results, 62. Ethical impact, technology, healthcare system, care-ethics, healthcare practice. Additionally, the informatics code Jan 19, 2023 · What Is Ethics in Health Care? Ethics in health care is what guides the work of professionals in the healthcare industry. Background Sep 1, 2012 · Laurinda B. Jun 6, 2024 · Not only must IT professionals consider ethics when ideating new software and technology, but they also must program the software/tech to make ethical choices as well. This article describes the ethical issues that arise with the use of health information technology in everyday nursing practice as well as in research activities, and outlines options for mitigation. Ethical models and principles, particularly those applied specifically to psychiatry, are central to our discussion of mobile health and machine learning in psychiatry research. Internet-enabled devices for monitoring and managing the health and well-being of users outside of traditional medical institutions have rapidly become common tools to support healthcare. This is especially important as technology often outpaces the laws and ethical considerations that would apply. Harman, PhD, RHIA is emeritus faculty at Temple University in Philadelphia. Potential medical applications include analysis of radiologic images. Increasingly widespread adoption of health information technology tools in clinical care increases interest in ethical and legal issues related to the use of these tools for public health and the effects of these uses on the clinician-patient relationship. Aug 31, 2021 · Background Precision medicine development is driven by the possibilities of next generation sequencing, information technology and artificial intelligence and thus, raises a number of ethical questions. Empirical studies have investigated such issues from the perspectives of health care professionals, researchers and patients. 3,4 These ethical issues may compromise the rights of individuals and organizations, and ways to reduce this need to be found INTRODUCTION. In modern healthcare, informatics plays a pivotal role in maintaining and delivering care. Aug 1, 2022 · Here, 14 members of Forbes Technology Council discuss tech-related ethical issues that they’re concerned about—from the biases in artificial intelligence introduced by its human creators to Jul 1, 2020 · Objectives To identify and summarize ethical, legal, and social issues related to information technology in healthcare, as exemplified by telehealth and telemedicine. It plays a role in nearly every facet of life, and increasingly so in healthcare. Sep 1, 2017 · The Ethical Intersection of Healthcare and Technology. - Systematic review of articles assessing willingness to share personal health information as a primary or secondary Jan 20, 2022 · Guiding principles from the 2000 e-Health Ethics Draft Code remain applicable to all information technology services: The expansion of commercialization makes it incumbent on health information product or service providers to disclose (1) influences on their decisions pertaining to content and services, (2) potential risks of providing personal Aug 25, 2023 · Ethical issues in information technology. The pandemic has made developing informatics infrastructure and ethical guidelines to meet data and care more necessary. Technology has completely transformed how we work, shop, travel and communicate. However, current policy and ethical guidelines for AI technology are lagging behind the progress AI has made in the health care Sep 27, 2022 · While health information privacy is clearly defined and regulated, ethical considerations like the sharing of personal health information during the COVID-19 pandemic can complicate matters. Sep 20, 2024 · The research objective is related to the ethical dilemmas and problems that arise in the Social Work profession over time and the current influence resulting from the use of technology. As artificial intelligence becomes more ingrained with Feb 5, 2020 · There is big money in using technology to find information in patient and medical staff data. Aug 22, 2024 · By implementing these recommendations, health care and public health professionals can leverage AI to enhance health care outcomes while safeguarding against potential inequalities and ethical transgressions. Although ONC Mar 28, 2022 · Artificial intelligence (AI) is being increasingly applied in healthcare. By Dave Andrews. 15 We’re still working to better understand the impacts of technology on health Jun 28, 2021 · Artificial Intelligence (AI) holds great promise for improving the delivery of healthcare and medicine worldwide, but only if ethics and human rights are put at the heart of its design, deployment, and use, according to new WHO guidance published today. These new technologies bring new Oct 1, 2021 · Ethics in healthcare; Ethically designed robots and assistive technologies; Ethical visions of human-machine interaction; Legal aspects in the use of new technologies; Ethics in the use of artificial intelligence technology; Rights and responsibilities in artificial moral agents; Roboethics; Ethical codes for new technology production Jun 1, 2020 · Objectives: To identify and summarize ethical, legal, and social issues related to information technology in healthcare, as exemplified by telehealth and telemedicine. 12 Although HITECH made great advancements in health information technology, it failed to address the new privacy and security challenges presented by the Jan 1, 2021 · This systematic review mainly focuses on biomedical ethics issues and challenges faced by healthcare providers while retrieving information from digital health records. Skeptics, however, warn that these same tools could dehumanize the patient-physician relationship, compromise Jul 14, 2024 · “Measuring the willingness to share personal health information: a systematic review” by Benevento et al. Additionally, medications and tools of support can be difficult ethical issues to manage by today’s health care workers in the health system. September 1, 2017. Food and Drug The list of ethical issues raised by the digital interface with health care will grow year by year. The widespread adoption of digital technologies raises important ethical issues in health care and public health. For AI to support essential decisions in these domains, specific ethical issues need to be Apr 19, 2024 · For more information on ethical issues in organ donation, check out Ethical principles in the allocation of human organs. Ethical issues in information technology encompass various concerns and considerations related to technology use, development, and impact. Companies are rushing to cash in. Whether it is the storage of personal health information in electronic health and patient files, the creation and networking of medical databases, the use of artificial intelligence in diagnostics and therapy, or the deployment of health-related apps, the digital transformation is all-encompassing and rapid Nov 1, 2023 · The rapid advancement of CRISPR technology has raised important ethical and social questions, including issues of informed consent, the potential for off-target effects, and the risk of creating a new form of eugenics. May 4, 2023 · By doing so, we can ensure that the benefits of wearable digital health technology are fully realized while maintaining the utmost respect for personal privacy and security. The expansion of AI in healthcare necessitates AI-related ethical issues to be studied and addressed. Feb 8, 2023 · Potential solutions also are proposed with the goal of overcoming the ethical challenges. Four basic principles constitute the cornerstone of medical ethics: autonomy, beneficence, nonmaleficence, and justice. However, it is becoming increasingly challenging for humans to understand the working and reasoning of these complex and opaque algorithms. A Nov 29, 2021 · Reviewed literature identified that an ethics of care approach facilitates an effective professional relationship and connection between health care professionals and patients. Department of Health and Human Services, 2012), the United States, as of 2017, has achieved a 95% saturation with electronic health records (EHRs) as a means to document healthcare delivery in acute care hospitals and guide Jan 31, 2018 · With the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009 (U. We highlight the many developments in the digitizing society that appear to be at odds with six recurring themes revealing from our analysis of the This paper delves into the ethical considerations in healthcare Information Technology (IT), focusing on data privacy and patient consent issues. , patient portals) for patients to access their health information, but it also introduced new concerns for health data privacy. There are many ethical issues relating to how information is shared, how consent is obtained, relating to the use of the information for research or for commercial use, the sharing of information of minors by Feb 29, 2024 · The overarching objective is to attain Universal Health Coverage and advance healthcare equity for both individuals and populations. The implementation of technologies in healthcare practices is increasing and becoming progressively diverse. 2 Simplified definitions of these concepts are provided in Consequently, these terms ( i. Observers and scholars are concerned that personal data obtained during the outbreak would not be rolled back and, even worse, continue to be used Mar 16, 2018 · In this paper we discuss the social and ethical issues that arise as a result of digitization based on six dominant technologies: Internet of Things, robotics, biometrics, persuasive technology, virtual & augmented reality, and digital platforms. AI used for health-related predictive analysis relies on large, diverse datasets, including EHRs. Tens of thousands of medical phone apps are tracking patients and gathering detailed medical information about them. In our view, understanding these ethical issues demands a perspective that looks beyond the technology itself to include the sociotechnical system in which it is situated. Back to Basics. We synthesize the results from these studies in this review Nonetheless, this powerful technology creates a novel set of ethical challenges that must be identified and mitigated since AI technology has tremendous capability to threaten patient preference, safety, and privacy. In healthcare, ethics cannot afford to lag behind science. , & Corradi, A. A regulatory perspective was provided by Amy Abernethy, principal deputy Commissioner at the U. Wolters Kluwer Health, Inc. El-Shazly, A. . The Food and Drug Administration has approved more than 40 artificial intelligence-based products for use in medicine. The need to ensure patient safety, privacy, and compliance with existing healthcare standards makes it imperative to address these challenges. Objectives: To identify and summarize ethical, legal, and social issues related to information technology in healthcare, as exemplified by telehealth and telemedicine. At the dawn of hemodialysis, for instance, a 1962 Life A recent final rule 7 from the HHS Office of the National Coordinator for Health Information Technology (ONC) established new requirements for AI technologies that might be used in clinical, administrative, and operational contexts, and are supplied by developers of certified health information technology (e. e. Jan 1, 2018 · With the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009 (U. To propose future research directions. yjr nfe qzsw hxe wna bhpqh armplw rdmg arxt emzuzc