关键词: Human rights LMICs Southeast Asia data privacy mHealth scoping review

来  源:   DOI:10.1177/20552076241257058   PDF(Pubmed)

Abstract:
UNASSIGNED: Digital technology has the potential to support or infringe upon human rights. The ubiquity of mobile technology in low- and middle-income countries (LMICs) presents an opportunity to leverage mobile health (mHealth) interventions to reach remote populations and enable them to exercise human rights. Yet, simultaneously, the proliferation of mHealth results in expanding sensitive datasets and data processing, which risks endangering rights. The promotion of digital health often centers on its role in enhancing rights and health equity, particularly in LMICs. However, the interplay between mHealth in LMICs and digital rights is underexplored. The objective of this scoping review is to bridge this gap and identify digital rights topics in the 2022 literature on mHealth in Southeast Asian LMICs. Furthermore, it aims to highlight the importance of patient empowerment and data protection in mHealth and related policies in LMICs.
UNASSIGNED: This review follows Arksey and O\'Malley\'s framework for scoping reviews. Search results are reported using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist. Frequency and content analyses were applied to summarize and interpret the data.
UNASSIGNED: Three key findings emerge from this review. First, the digital rights topics covered in the literature are sparse, sporadic, and unsystematic. Second, despite significant concerns surrounding data privacy in Southeast Asian LMICs, no article in this review explores challenges to data privacy. Third, all included articles state or allude to the role of mHealth in advancing the right to health.
UNASSIGNED: Engagement in digital rights topics in the literature on mHealth in Southeast Asian mHealth is limited and irregular. Researchers and practitioners lack guidance, collective understanding, and shared language to proactively examine and communicate digital rights topics in mHealth in LMIC research. A systematic method for engaging with digital rights in this context is required going forward.
摘要:
数字技术有可能支持或侵犯人权。移动技术在低收入和中等收入国家(LMICs)的普及为利用移动医疗(mHealth)干预措施覆盖偏远人群并使他们能够行使人权提供了机会。然而,同时,mHealth的激增导致敏感数据集和数据处理的扩展,有可能危及权利。数字健康的推广通常集中在其在增强权利和健康公平方面的作用上,特别是在低收入国家。然而,LMICs中的mHealth与数字版权之间的相互作用未得到充分探索。本次范围审查的目的是弥合这一差距,并在2022年东南亚低收入国家的mHealth文献中确定数字权利主题。此外,它旨在强调患者赋权和数据保护在mHealth和LMIC相关政策中的重要性。
此评论遵循Arksey和O\'Malley的范围审查框架。使用PRISMA-ScR(系统审查的首选报告项目和范围审查的Meta分析扩展)清单报告搜索结果。频率和内容分析用于总结和解释数据。
这篇综述得出了三个关键发现。首先,文献中涉及的数字版权主题很少,零星的,和非系统的。第二,尽管东南亚LMIC对数据隐私存在重大担忧,这篇评论中没有一篇文章探讨数据隐私面临的挑战。第三,所有包括的文章都陈述或暗示了mHealth在促进健康权方面的作用。
在东南亚的mHealth文献中参与数字版权主题是有限且不规则的。研究人员和从业者缺乏指导,集体理解,和共享语言,以主动检查和交流LMIC研究中mHealth的数字权利主题。在这种情况下,需要一种用于参与数字权利的系统方法。
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