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医疗公平视角下互联网医疗伦理治理路径初探OACSTPCD

Preliminary exploration on the ethical governance path of internet medicine from the perspective of medical equity

中文摘要英文摘要

经济发展推动内生需求增加,互联网医疗整合区域医疗资源,扩大了群众享受医疗卫生服务机会的公平性,但伴随着技术发展,伦理危机也产生了,需要不断规范和实践.以医疗公平原则为起点,分别从数据公平、成本公平、机会公平、教育公平维度梳理了互联网医疗发展中的主要优势特征,分析出互联网医疗存在的伦理问题包括:伦理审查机制保障不公平、科技主体数据采集不公平、利益与风险分配不公平、互联网医疗资源利用不公平.并提出压实主体责任,健全审查监管;完善共享机制,弥合数字鸿沟;强化风险预防,保障公民权益;加强教育引导,增加基层投入的治理路径.

Economic development drives the increase of endogenous demand,and Internet medicine integrates regional medical resources,expanding the fairness of the public's access to medical and health services.However,it is also accompanied an ethical crisis with the development of technology,which requires continuous standardization and practice.Starting from the principle of medical fairness,this paper sorted out the main advantaged characteristics of the development of Internet medicine from the aspects of data fairness,cost equity,opportunity equity,and educational equity.The existing ethical problems of Internet medicine were explored including unfair protection of ethical review mechanisms,unfair data collection of scientific and technological subjects,unfair distribution of benefits and risks,and unfair utilization of Internet medical resources.It also proposed the governance paths of compacting the subject responsibility,perfecting review and supervision,improving the sharing mechanism,bridging the digital divide,strengthening risk prevention,protecting the citizens'rights and interests,strengthening education and guidance,and increasing grassroots investment.

张瑞;卢奕汝;朱瑞轩;周罗晶

大连医科大学公共卫生学院,辽宁大连 116044||大连医科大学扬州临床医学院,江苏扬州 225001江苏省苏北人民医院科技处,江苏扬州 225001

互联网医疗医疗公平伦理治理伦理审查风险预防

internet medicinemedical equityethical governanceethical reviewrisk prevention

《中国医学伦理学》 2024 (001)

54-60 / 7

10.12026/j.issn.1001-8565.2024.01.07

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