Medical Information Systems Ethics, 1st Edition by JérÃ'me Béranger

By JérÃ'me Béranger

The exponential digitization of clinical info has ended in a metamorphosis of the perform of drugs. this alteration particularly increases a brand new complexity of concerns surrounding healthiness IT. the correct use of those communique instruments, resembling telemedicine, e-health, m-health the large clinical facts, may still increase the standard of tracking and care of sufferers for a data method to "human face".

Faced with those demanding situations, the writer analyses in a moral perspective the patient-physician courting, sharing, transmission and garage of scientific info, environment pins to an ethic for the digitization of scientific info. Drawing on reliable perform suggestions heavily linked to values, this version is constructing instruments for mirrored image and current the keys to realizing the decision-making concerns that replicate either the technological constraints and the advanced nature of human truth in medication .

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This has resulted in the necessity of computerization for the sharing and exchange of data. This type of ethical debate applied to this information is an essential prerequisite for the comprehension, design and architecture of an HIS using it. Medical Information Systems Ethics, First Edition. Jérôme Béranger. © ISTE Ltd 2015. Published by ISTE Ltd and John Wiley & Sons, Inc. 2 Medical Information Systems Ethics Of the information handled by healthcare structures, medical information – the objective of which is to describe the state of health of patients and the acts and procedures practiced on them – constitutes the most important information quantitatively and the most relevant qualitatively, as it is on this information that descriptions of care activities and production are based.

Finally, tools to aid medical decision-making in the form of computer, reference and statistical databases are available to practitioners when seeking a diagnosis. These tools are unfortunately limited in their capacities to integrate, summarize or update large amounts of medical data. Now, Big Data technologies may be able to make up for this deficit by rapidly exploiting various types of data and medical information coming from multiple sources. On the basis of these observations, we can emphasize the fact that measuring a person’s state of health via smartphone applications may have the consequence of reducing travel and overcrowding of medical offices on the one hand and the “white shirt effect” on the other 3 .

For Lazare Benoroyo, “these ethical principles of bioethics – drawing their sources partly from outside the field of Hippocratic ethics – have tended to weaken the bonds uniting ethics and medicine and to call into question the legitimacy of the cardinal ethical aim that traditionally guided the production of care” [MON 11]. According to Beauchamp and Childress [BEA 01], consideration of a specific case makes it possible to confer a precise meaning on the principle, without which it is difficult to apply this principle correctly.

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