Health Wearables: Ensuring Fairness, Preventing Discrimination, and Promoting Equity in an Emerging Internet-of-Things Environment

Montgomery,; Chester,; Kopp,

doi:10.5325/jinfopoli.8.2018.0034

Cited by 43 publications

(37 citation statements)

References 18 publications

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“…A related concern is that data companies could tempt people to give up their privacy in return for medical care or financial reward. Such practices could create a privacy divide between rich and poor along the same lines as the digital divide that already separates different socio-economic groups 5 .…”

Section: Rubbish In Rubbish Outmentioning

confidence: 99%

A fairer way forward for AI in health care

Nordling¹

2019

Nature

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Section: Rubbish In Rubbish Outmentioning

confidence: 99%

A fairer way forward for AI in health care

Nordling¹

2019

Nature

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“…Data security issues are one of the main concerns for chronically ill people because they fear discrimination in different parts of their daily life [ 56 ]. Montgomery et al [ 57 ] supported this claim and demanded government regulation to enhance fairness and equity but also to protect personal data from the sale to third parties.…”

Section: Resultsmentioning

confidence: 99%

Potential Benefits and Risks Resulting From the Introduction of Health Apps and Wearables Into the German Statutory Health Care System: Scoping Review

Heidel¹,

Hagist²

2020

JMIR Mhealth Uhealth

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Background Germany is the first country worldwide that has introduced a digital care act as an incentive system to enhance the use of digital health devices, namely health apps and wearables, among its population. The act allows physicians to prescribe statutory financed and previously certified health apps and wearables to patients. This initiative has the potential to improve treatment quality through better disease management and monitoring. Objective The aim of this paper was to outline the key concepts related to the potential risks and benefits discussed in the current literature about health apps and wearables. Furthermore, this study aimed to answer the research question: Which risks and benefits may result from the implementation of the digital care act in Germany? Methods We conducted the scoping study by searching the databases PubMed, Google Scholar, and JMIR using the keywords health apps and wearables. We discussed 55 of 136 identified articles published in the English language from 2015 to March 2019 in this paper using a qualitative thematic analysis approach. Results We identified four key themes within the articles: Effectivity of health apps and wearables to improve health; users of health apps and wearables; the potential of bring-your-own, self-tracked data; and concerns and data privacy risks. Within these themes, we identified three main stages of benefits for the German health care system: Usage of health apps and wearables; continuing to use health apps and wearables; and sharing bring-your-own; self-tracked data with different agents in the health care sector. Conclusions The digital care act could lead to an improvement in treatment quality through better patient monitoring, disease management, personalized therapy, and better health education. However, physicians should play an active role in recommending and supervising health app use to reach digital-illiterate or health-illiterate people. Age must not be an exclusion criterion. Yet, concerns about data privacy and security are very strong in Germany. Transparency about data processing should be provided at all times for continuing success of the digital care act in Germany.

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“…Another ethical question regarding wearable healthcare technology is the use of the data collected by such devices. Montgomery et al [19] noted the technology's potential for "discriminatory profiling, manipulative marketing, and data breaches." By using analytical models, these companies can use the collected data to target advertising for additional medical expenditures, such as certain pharmaceutical products.…”

Section: Perceived Issues Of Wearable Healthcare Technologymentioning

confidence: 99%

The Adoption, Issues, and Challenges of Wearable Healthcare Technology for the Elderly

Zhang

Shahriar

2020

Proceedings of the 21st Annual Conference on Information Technology Education

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Wearable healthcare technology allows consumers to track their healthcare data for either personal or clinical use. As advancements in this technology continue to rise, the use of these wearable devices has become more widespread. This paper summarizes the factors that influence elderly consumers' adoption of wearable healthcare devices and perceived risks. This paper also reviews advancements for the wearable healthcare devices and examines the associated ethical questions. The use, issues, and future of wearable technology in healthcare need to be critically analyzed to best serve the interest of the elderly population. The suggestions for future studies may help companies interested in increasing the adoption of wearable devices.

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Health Wearables: Ensuring Fairness, Preventing Discrimination, and Promoting Equity in an Emerging Internet-of-Things Environment

Cited by 43 publications

References 18 publications

A fairer way forward for AI in health care

A fairer way forward for AI in health care

Potential Benefits and Risks Resulting From the Introduction of Health Apps and Wearables Into the German Statutory Health Care System: Scoping Review

The Adoption, Issues, and Challenges of Wearable Healthcare Technology for the Elderly

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