Ethics and informatics in the age of COVID-19: challenges and recommendations for public health organization and public policy.
J Am Med Inform Assoc
; 28(1): 184-189, 2021 01 15.
Article
em En
| MEDLINE
| ID: mdl-32722749
ABSTRACT
The COVID-19 pandemic response in the United States has exposed significant gaps in information systems and processes that prevent timely clinical and public health decision-making. Specifically, the use of informatics to mitigate the spread of SARS-CoV-2, support COVID-19 care delivery, and accelerate knowledge discovery bring to the forefront issues of privacy, surveillance, limits of state powers, and interoperability between public health and clinical information systems. Using a consensus-building process, we critically analyze informatics-related ethical issues in light of the pandemic across 3 themes (1) public health reporting and data sharing, (2) contact tracing and tracking, and (3) clinical scoring tools for critical care. We provide context and rationale for ethical considerations and recommendations that are actionable during the pandemic and conclude with recommendations calling for longer-term, broader change (beyond the pandemic) for public health organization and policy reform.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Informática Médica
/
Saúde Pública
/
Busca de Comunicante
/
Temas Bioéticos
/
Vigilância em Saúde Pública
/
COVID-19
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Am Med Inform Assoc
Assunto da revista:
INFORMATICA MEDICA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos