论文标题

反对COVID-19的数字工具:制定道德挑战以及如何解决这些挑战

Digital tools against COVID-19: Framing the ethical challenges and how to address them

论文作者

Gasser, Urs, Ienca, Marcello, Scheibner, James, Sleigh, Joanna, Vayena, Effy

论文摘要

通过数字公共卫生技术的数据收集和处理正在由政府和私人公司在全球范围内促进,以减轻COVID-19的大流行和放松锁定措施的战略补救措施。但是,为疾病监测和控制目的部署数字工具的道德和法律界限尚不清楚,并且围绕动员数字工具的公共卫生的承诺和风险,在全球范围内出现了迅速发展的辩论。为了帮助科学家和政策制定者应对技术和道德不确定性,我们提供了当前正在使用的主要数字公共卫生应用程序的类型。即:接近和接触跟踪,症状监测,隔离控制和流程建模。对于每个人,我们讨论了特定于上下文的风险,横断面问题和道德问题。最后,为了认识到需要实践指导的必要性,我们为决策者提供了一项导航援助,该决策者由十个步骤,用于道德使用数字公共卫生工具。

Data collection and processing via digital public health technologies are being promoted worldwide by governments and private companies as strategic remedies for mitigating the COVID-19 pandemic and loosening lockdown measures. However, the ethical and legal boundaries of deploying digital tools for disease surveillance and control purposes are unclear, and a rapidly evolving debate has emerged globally around the promises and risks of mobilizing digital tools for public health. To help scientists and policymakers navigate technological and ethical uncertainty, we present a typology of the primary digital public health applications currently in use. Namely: proximity and contact tracing, symptom monitoring, quarantine control, and flow modeling. For each, we discuss context-specific risks, cross-sectional issues, and ethical concerns. Finally, in recognition of the need for practical guidance, we propose a navigation aid for policymakers made up of ten steps for the ethical use of digital public health tools.

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