关键词: anamnesis bioethics digitalisation electronic health records health informatics healthcare technology information privacy medical ethics medicolegal patient narratives

来  源:   DOI:10.3390/clinpract14040095   PDF(Pubmed)

Abstract:
It is since the beginning of the so-called \'digital revolution\' in the 1950s that technological tools have been developed to simplify and optimise traditional, time-consuming, and laborious anamnestic collection for many physicians. In recent years, more and more sophisticated \'automated\' anamnestic collection systems have been developed, to the extent that they can actually enter daily clinical practice. This article not only provides a historical overview of the evolution of such tools, but also explores the ethical and medico-legal implications of the transition from traditional to digital anamnesis, including the protection of data confidentiality, the preservation of the communicative effectiveness of the doctor-patient dialogue and the safety of care in patients with poor digital and health literacy.
摘要:
自20世纪50年代所谓的“数字革命”开始以来,技术工具已经被开发出来,以简化和优化传统技术,耗时,和许多医生费力的收藏。近年来,已经开发了越来越复杂的“自动收集”系统,他们实际上可以进入日常临床实践。本文不仅提供了此类工具演变的历史概述,而且还探讨了从传统到数字回忆的过渡的道德和医学法律影响,包括保护数据机密性,在数字和健康素养较差的患者中,保持医患对话的沟通有效性和护理安全性。
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