Technical, Ethical, Legal, and Societal Challenges With Digital Twin Systems for the Management of Chronic Diseases in Children and Young People.
J Med Internet Res
; 24(10): e39698, 2022 10 31.
Article
em En
| MEDLINE
| ID: mdl-36315239
ABSTRACT
Advances in digital medicine now make it possible to use digital twin systems (DTS), which combine (1) extensive patient monitoring through the use of multiple sensors and (2) personalized adaptation of patient care through the use of software. After the artificial pancreas system already operational in children with type 1 diabetes, new DTS could be developed for real-time monitoring and management of children with chronic diseases. Just as providing care for children is a specific discipline-pediatrics-because of their particular characteristics and needs, providing digital care for children also presents particular challenges. This article reviews the technical challenges, mainly related to the problem of data collection in children; the ethical challenges, including the need to preserve the child's place in their care when using DTS; the legal challenges and the dual need to guarantee the safety of DTS for children and to ensure their access to DTS; and the societal challenges, including the needs to maintain human contact and trust between the child and the pediatrician and to limit DTS to specific uses to avoid contributing to a surveillance society and, at another level, to climate change. .
Palavras-chave
artificial intelligence; child; children; chronic disease; cyber-physical; data collection; digital health; digital medicine; digital twin; eHealth; ethical; ethics; law; legal; medical cyber-physical systems; medical system; monitor; paediatric; paediatrician; pediatrician; pediatrics; personalized; privacy; sensor; young people; youth
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Confiança
/
Diabetes Mellitus Tipo 1
Limite:
Adolescent
/
Child
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article