One app fits all? Ethical reflection of digital health applications in obesity care

被引:0
作者
Wellmann, Anouk [1 ]
Mueller, Regina [2 ]
Hansen, Solveig Lena [1 ]
机构
[1] Univ Bremen, Inst Publ Hlth & Pflegeforsch, Bremen, Germany
[2] Univ Bremen, Inst Philosophie, Bremen, Germany
关键词
eHealth; Digital health care; Obesity; Needs; Justice; Public health; NEEDS;
D O I
10.1007/s00481-024-00845-2
中图分类号
R-052 [医学伦理学];
学科分类号
0101 ; 120402 ;
摘要
Definition of the problem In Germany, there is currently a significant gap in the care of persons affected by obesity due to the absence of a standardized therapy path, regional variations in health services, and case-by-case decisions for approval. This situation prompts the discussion of integrating digital obesity applications into the existing care framework. Arguments The analysis presents an ethical reflection on the use of digital health applications for obesity treatment, examining their suitability for this complex chronic condition, which has multifactorial causes and a heterogeneous patient group. We evaluate the social, advisory, and organizational aspects required to meet the diverse needs of those affected. The study highlights key ethical challenges such as avoiding stigmatization and discrimination, acknowledging the diversity of patient groups, and integrating holistic therapeutic approaches. The article also emphasizes the importance of participatory research methods to incorporate the perspectives and experiences of patients systematically. Conclusion Digital health applications hold potential to significantly improve obesity care in Germany, especially in regions with limited access to traditional therapy options. Successful implementation, however, requires careful ethical reflection and empirical research. It is crucial that these applications address the diversity and complexity of the patient population and their specific needs, which will contribute to a reduction of the care gap.
引用
收藏
页码:49 / 68
页数:20
相关论文
共 76 条
[21]   Insights into the multifactorial causation of obesity by integrated genetic and epigenetic analysis [J].
Diels, Sara ;
Vanden Berghe, Wim ;
Van Hul, Wim .
OBESITY REVIEWS, 2020, 21 (07)
[22]  
Doyal L., 1991, THEORY HUMAN NEED, DOI DOI 10.1007/978-1-349-21500-3
[23]  
Eichinger T., 2013, PHILOSOPHIE ETHIK WU, DOI [10.1515/transcript.9783839425435, DOI 10.1515/TRANSCRIPT.9783839425435]
[24]   One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019 [J].
Farooqi, Aijaz ;
Hakansson, Stellan ;
Serenius, Fredrik ;
Kallen, Karin ;
Bjorklund, Lars ;
Normann, Erik ;
Domellof, Magnus ;
Aden, Ulrika ;
Abrahamsson, Thomas ;
Elfvin, Anders ;
Savman, Karin ;
Bergstrom, Petra Um ;
Stephansson, Olof ;
Ley, David ;
Hellstrom-Westas, Lena ;
Norman, Mikael .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2024, 109 (01) :10-17
[25]  
Frenzel SV., 2020, MED WOCHENSCHR, V145, P86, DOI [10.1055/a-1134-1896, DOI 10.1055/A-1134-1896]
[26]   Obesity: Risk factors, complications, and strategies for sustainable long-term weight management [J].
Fruh, Sharon M. .
JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS, 2017, 29 :S3-S14
[27]  
Galli S, 2019, ERFASSUNG PSYCHOSOZI
[28]  
Gemeinsamer Bundesausschuss (G-BA), 2023, BESCHLUSS GEMEINSAME
[29]  
GKV-Spitzenverband (GKV-SV), 2023, BERICHT GKV SPITZENV
[30]   Words matter: a qualitative investigation of which weight status terms are acceptable and motivate weight loss when used by health professionals [J].
Gray, Cindy M. ;
Hunt, Kate ;
Lorimer, Karen ;
Anderson, Annie S. ;
Benzeval, Michaela ;
Wyke, Sally .
BMC PUBLIC HEALTH, 2011, 11