j JMIR出版物传染性疾病数字检测监控系统的伦理、完整性和报应:卡塔尔世界杯8强波胆分析系统文献综述%A Zhao,Ivy Y %A Ma,Ye Xuan %A Yu,Man Wai Cecilia %A Liu,Jia %A Dong,Wei Nan %A Pang,Qin %A Lu,Xiao Qin %A Molassiotis,Alex %A Holroyd,Eleanor %A Wong,Chi Wai William %+香港大学李嘉诚医学院家庭医学及基础护理系,地址:中国香港特别行政区鸭脷洲正街161号鸭脷洲诊所3楼,邮编:86 2518 5657,wongwcw@hku.hk %K人工智能%K电子病历%K伦理%K传染病%K机器学习%D 2021 %7 20.10.2021 %9回顾%J J医学互联网Res %G背景:COVID-19大流行增加了部署数字检测监测系统的重要性,以支持传染病的早期预警和监测。这些机会形成了一把“双刃剑”,因为这类方法的道德治理往往落后于技术成就。目的:目的是调查利用人工智能增强监测或早期预警系统监测和发现常见或新型传染病暴发所发现的伦理问题。方法:在多个数据库中,根据PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses, Preferred Reporting Items for Systematic Reviews and Meta-Analyses)指南,搜索涉及使用人工智能、数字监测系统、预警系统和/或大数据分析技术检测、监测或追踪传染病的伦理问题的相关文章,并通过理论框架进一步识别和分析。结果:该系统综述确定了29篇文章,涵盖个人、组织和社会层面的6个主题,包括实施数字监控的意识、数字完整性、信任、隐私和保密、公民权利和治理。虽然在大流行期间,这些措施是可以理解的,但公众担心收到的信息不充分;治理框架不明确;在使用传染病数字监测时,缺乏隐私保护、数据完整性和自主权。 The barriers to engagement could widen existing health care disparities or digital divides by underrepresenting vulnerable and at-risk populations, and patients’ highly sensitive data, such as their movements and contacts, could be exposed to outside sources, impinging significantly upon basic human and civil rights. Conclusions: Our findings inform ethical considerations for service delivery models for medical practitioners and policymakers involved in the use of digital surveillance for infectious disease spread, and provide a basis for a global governance structure. Trial Registration: PROSPERO CRD42021259180; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=259180 %M 34543228 %R 10.2196/32328 %U //www.mybigtv.com/2021/10/e32328 %U https://doi.org/10.2196/32328 %U http://www.ncbi.nlm.nih.gov/pubmed/34543228
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