TY - JOUR AU - Predel, Christopher AU - Timmermann, Cristian AU - Ursin, Frank AU - Orzechowski, Marcin AU - Ropinski, Timo AU - Steger, Florian PY - 2022 DA - 2022/6/23 TI -智能传感器在老年康复应用中的目标与价值冲突:伦理分析JO - JMIR Mhealth Uhealth SP - e32910 VL - 10 IS - 6kw -个人数据KW -可穿戴KW -老年人KW -自主KW -康复KW -智能传感器KW -机器学习KW -伦理KW -获得医疗保健KW -正义AB -背景:智能传感器已被开发为康复的诊断工具，以覆盖越来越多的老年患者。它们有望对复杂的运动模式进行客观评估。目的:本研究旨在识别和分析与老年康复智能传感器相关的伦理价值冲突，并为所有利益相关者(包括技术开发人员、卫生专业人员、患者和卫生当局)提供最佳使用智能传感器的伦理指导。方法:在对科学数据库PubMed和ScienceDirect进行系统文献检索的基础上，我们进行了定性文献分析，以确定基于证据的伦理相关性的实际意义。我们纳入了33篇文章进行分析。归纳地提取了实际意义。最后，我们根据生物医学伦理的4个原则:自主、仁慈、无害和正义进行了伦理分析。结果是根据这4条原则分类报告的。结果:我们确定了使用智能传感器的8个相互冲突的目标。 Gains in autonomy come at the cost of patient privacy. Smart sensors at home increase the independence of patients but may reduce social interactions. Independent measurements performed by patients may result in lower diagnostic accuracy. Although smart sensors could provide cost-effective and high-quality diagnostics for most patients, minorities could end up with suboptimal treatment owing to their underrepresentation in training data and studies. This could lead to algorithmic biases that would not be recognized by medical professionals when treating patients. Conclusions: The application of smart sensors has the potential to improve the rehabilitation of geriatric patients in several ways. It is important that patients do not have to choose between autonomy and privacy and are well informed about the insights that can be gained from the data. Smart sensors should support and not replace interactions with medical professionals. Patients and medical professionals should be educated about the correct application and the limitations of smart sensors. Smart sensors should include an adequate representation of minorities in their training data and should be covered by health insurance to guarantee fair access. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/6/e32910 UR - https://doi.org/10.2196/32910 UR - http://www.ncbi.nlm.nih.gov/pubmed/35737429 DO - 10.2196/32910 ID - info:doi/10.2196/32910 ER -