智能时代数字医疗的伦理进路--基于“道德物化”理论的思考  

An Ethical Approach to Digital Medicine in the Era of Intelligence--Reflection on the Theory of“Moral Objectification”

作　　者：叶少芳 刘婵娟[2] Ye Shaofang;Liu Chanjuan(Research Institute of Medical Humanities,Wenzhou Medical University,Wenzhou 325000)

机构地区：[1]杭州师范大学经亨颐教育学院 [2]浙江省哲学社会科学重点研究基地温州医科大学医学人文研究院,杭州311121

出　　处：《浙江社会科学》2023年第9期114-120,160,共8页Zhejiang Social Sciences

基　　金：国家社科基金重点项目:医学伦理委员会及其伦理审查能力建设研究(批准号:19AZX014);温州市瓯江青年社科学者专项课题“数字医疗先行的伦理建构”(项目编号:21QN04)。

摘　　要：智能时代的数字医疗正在快速改变着传统的就医模式,由此产生的伦理问题和伦理冲突集聚并超越人类的想象,如何理性地对待数字医疗的发展?数字医疗能否“道德物化”?我们该如何构建数字医疗伦理?本文基于维贝克“道德物化”理论,在解析数字医疗面临系列伦理困境的同时,试图将数字医疗作为一种信息技术和医疗活动融合的整体进行道德能动性的审视,以道德规范和价值嵌入人工物来启发数字医疗的“道德转向”,并对数字医疗的发展作负责任的理性思考,从而探析数字医疗伦理标准、原则和实现公共善的可行路径。The advent of digital healthcare in the era of intelligence is precipitating a swift transformation of conventional medical treatment practices,thereby giving rise to a multitude of ethical quandaries and conflicts that exceed the bounds of human imagination.Consequently,it becomes imperative to approach the progression of digital healthcare in a judicious manner.Can digital healthcare be subjected to moral objectification?Furthermore,how ought we to construct a framework for digital healthcare ethics?This article is grounded in Verbeke’s theory of“moral objectification.”It aims to analyze the ethical predicament encountered in the realm of digital healthcare.Meanwhile,it attempts to examine the“moral initiative”of digital healthcare as a whole that integrates information technology and medical activities.By employing the technique of imbuing value into artifacts,it elucidates the ethical characteristics of numbers and technology,thereby fostering the emergence of a“moral turn”in the realm of digital healthcare.Additionally,it offers a framework for responsible and rational deliberation in the advancement of digital healthcare,facilitating further exploration of ethical standards,principles,and norms.

关 键 词：数字医疗 伦理困境 道德物化 

分 类 号：R-052[医药卫生]