Which Framework to Use? A Systematic Review of Ethical Frameworks for the Screening or Evaluation of Health Technology Innovations

Vandemeulebroucke, Tijs; Denier, Yvonne; Mertens, Evelyne; Gastmans, Chris

doi:10.1007/s11948-022-00377-2

Cited by 10 publications

(10 citation statements)

References 85 publications

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“…A semi-structured interview approach was chosen because it facilitates in-depth exploration of a particular concept or experience, and therefore is well suited to gaining insight into this under-researched topic. An initial interview guide (supplementary material 1) was developed based on previously completed research (Howes et al, 2022 ; Howes & Gastmans, 2021 ; Vandemeulebroucke et al, 2022 ) and a pilot interview with an industrial engineer working in product development. The interview guide was abductively refined throughout data collection, integrating insights from completed interviews and early data analysis.…”

Section: Methodsmentioning

confidence: 99%

The Ethics of Electronic Tracking Devices in Dementia Care: An Interview Study with Developers

Howes,

Denier,

Vandemeulebroucke

et al. 2024

Sci Eng Ethics

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Wandering is a symptom of dementia that can have devastating consequences on the lives of persons living with dementia and their families and caregivers. Increasingly, caregivers are turning towards electronic tracking devices to help manage wandering. Ethical questions have been raised regarding these location-based technologies and although qualitative research has been conducted to gain better insight into various stakeholders' views on the topic, developers of these technologies have been largely excluded. No qualitative research has focused on developers’ perceptions of ethics related to electronic tracking devices. To address this, we performed a qualitative semi-structured interview study based on grounded theory. We interviewed 15 developers of electronic tracking devices to better understand how they perceive ethical issues surrounding the design, development, and use of these devices within dementia care. Our results reveal that developers are strongly motivated by moral considerations and believe that including stakeholders throughout the development process is critical for success. Developers felt a strong sense of moral obligation towards topics within their control and a weaker sense of moral obligation towards topics outside their control. This leads to a perceived moral boundary between development and use, where some moral responsibility is shifted to end-users.

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Section: Methodsmentioning

confidence: 99%

The Ethics of Electronic Tracking Devices in Dementia Care: An Interview Study with Developers

Howes,

Denier,

Vandemeulebroucke

et al. 2024

Sci Eng Ethics

Self Cite

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“…In general, however, the majority of RAI work has been highly theoretical, and more practical guidance is needed ( 46 ). This research has also primarily considered clinicians to be the end users, while patients are passive participants in the AI–they are considered recipients of the benefits and harms of AI, but not agents interacting directly with it ( 47–49 ).…”

Section: The Current Landscape Of Rai and Xaimentioning

confidence: 99%

Recentering responsible and explainable artificial intelligence research on patients: implications in perinatal psychiatry

Turchioe,

Hermann,

Benda

2024

Front. Psychiatry

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In the setting of underdiagnosed and undertreated perinatal depression (PD), Artificial intelligence (AI) solutions are poised to help predict and treat PD. In the near future, perinatal patients may interact with AI during clinical decision-making, in their patient portals, or through AI-powered chatbots delivering psychotherapy. The increase in potential AI applications has led to discussions regarding responsible AI and explainable AI (XAI). Current discussions of RAI, however, are limited in their consideration of the patient as an active participant with AI. Therefore, we propose a patient-centered, rather than a patient-adjacent, approach to RAI and XAI, that identifies autonomy, beneficence, justice, trust, privacy, and transparency as core concepts to uphold for health professionals and patients. We present empirical evidence that these principles are strongly valued by patients. We further suggest possible design solutions that uphold these principles and acknowledge the pressing need for further research about practical applications to uphold these principles.

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“…Ethical reflections should also govern the design, development, implementation, and use of health technology innovations. Recently, Vandemeulebroucke et al ( 62 ) systematically identified several ethical approaches to Health Technology Innovation. Their inclusion here is not to say they are to be endorsed or promoted but rather to acknowledge their influence within the disciplines of bioethics and medical ethics.…”

Section: The Philosophy Of Personalization and The Related Ethical Pr...mentioning

confidence: 99%

“…Wide Reflective Equilibrium (WRE) whose main goal is “to produce insight into the moral principles and viewpoints that stakeholders use to make their moral judgment about Health Technology Innovations” ( 62 ).…”

Section: The Philosophy Of Personalization and The Related Ethical Pr...mentioning

confidence: 99%

The ethical challenges of personalized digital health

et al. 2023

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Personalized digital health systems (pHealth) bring together in sharp juxtaposition very different yet hopefully complementary moral principles in the shared objectives of optimizing health care and the health status of individual citizens while maximizing the application of robust clinical evidence through harnessing powerful and often complex modern data-handling technologies. Principles brought together include respecting the confidentiality of the patient–clinician relationship, the need for controlled information sharing in teamwork and shared care, benefitting from healthcare knowledge obtained from real-world population-level outcomes, and the recognition of different cultures and care settings. This paper outlines the clinical process as enhanced through digital health, reports on the examination of the new issues raised by the computerization of health data, outlines initiatives and policies to balance the harnessing of innovation with control of adverse effects, and emphasizes the importance of the context of use and citizen and user acceptance. The importance of addressing ethical issues throughout the life cycle of design, provision, and use of a pHealth system is explained, and a variety of situation-relevant frameworks are presented to enable a philosophy of responsible innovation, matching the best use of enabling technology with the creation of a culture and context of trustworthiness.

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Which Framework to Use? A Systematic Review of Ethical Frameworks for the Screening or Evaluation of Health Technology Innovations

Cited by 10 publications

References 85 publications

The Ethics of Electronic Tracking Devices in Dementia Care: An Interview Study with Developers

The Ethics of Electronic Tracking Devices in Dementia Care: An Interview Study with Developers

Recentering responsible and explainable artificial intelligence research on patients: implications in perinatal psychiatry

The ethical challenges of personalized digital health

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