scholarly journals Doctor 2.0 and i-Patient: information technology in medicine and its influence on the physician-patient relation

2018 ◽  
Vol 12 (1) ◽  
pp. 1
Author(s):  
Francesco D’Amore ◽  
Florindo Pirone

Not available

2017 ◽  
Vol 3 (2) ◽  
pp. 197-205
Author(s):  
Nanda Luthan

The need for information systems is a very important requirement for running business processes. As the development of technology is very necessary when an information technology really supports the information systems required form. Kano method can be used to determine the need for patient information systems. With the process of the Kano method used is based on the need for information systems. because the method aims to mengatagorikan canoe will need attribute information systems. ignorance of the service attributes can cause a negative for the company services. It therefore requires an information system that can meet the needs of patient information so users of patient information is needed to support the company's performance


Author(s):  
Евгений Николаевич Коровин ◽  
Екатерина Ивановна Новикова ◽  
Олег Валерьевич Родионов

В статье рассматриваются разработки методов интеллектуальной поддержки процесса диагностики сахарного диабета, а также определение его типа. В последние годы количество людей, страдающих данным заболеванием, неуклонно растет, а без своевременной диагностики эта патология может нанести огромный вред организму человека. Сахарный диабет 1 типа опасен тем, что в основном возникает у людей молодого возраста. Оперативное обнаружение диабета, а также определение его типа, поможет не только избежать возможных осложнений, но и в некоторых случаях предотвратить смерть пациента. Информационные технологии все чаще используются в различных сферах деятельности для разработки новых или совершенствования существующих методов обработки данных, особенно это можно заметить в сфере медицины. В настоящее время врач самостоятельно ставит диагноз, основываясь на результатах различных анализов, однако, для ускорения процесса принятия решения, можно воспользоваться методами математического моделирования, а именно: моделями диагностики диабета на основе нечеткой логики. Для наибольшего удобства данный способ распознавания заболевания впоследствии можно реализовать в информационно-программное обеспечение, которое сможет еще больше увеличить эффективность и скорость распознавания патологии The article discusses the issues of the incidence of diabetes in the population, in particular, the definition of its type. In recent years, the number of people suffering from this disease has been steadily growing, and without timely diagnosis, this pathology can cause enormous harm to the human body. Prompt detection of diabetes, as well as determination of its type, will help not only avoid possible complications, but also in some cases prevent the death of the patient. Information technology is increasingly being used in various fields of activity to develop new or improve existing methods of data processing, especially in the field of medicine. Currently, the doctor independently makes a diagnosis based on the results of various analyzes, however, to speed up the decision-making process, you can use the methods of mathematical modeling, namely, models of diabetes diagnostics based on fuzzy logic. For the greatest convenience, this method of disease recognition can subsequently be implemented in information software, which can further increase the efficiency and speed of pathology recognition


Author(s):  
Tieqiang HE

LANGUAGE NOTE | Document text in Chinese; abstract also in English.轉型社會條件下醫患之間常常充滿了道德困境和失序,但是對於醫患關係的意識狀態缺乏必要的刻畫和描述。本文試圖通過一個常見事例的解析,說明醫患關係在中國傳統文化背景下的特質,尤其是儒家文化的影響。另一方面,西學東漸以來,西方科學精神以及西方倫理制度對中國醫界觀念的作用和影響也有獨特的反映。那麼,其中的優劣互見最終要落實到循著本土的文化邏輯和價值觀衍生具有生機和活力的醫患關係的觀念格局。In describing the situation of physician-patient relationship in current China, some like to characterize it by adopting popular Western concepts, principles and theories. As a result, the concept of "patient rights" has been a cliché in such discussion. While this concept may be important to appeal to in laying out some relevant issues as well as working out proper solutions, it by no means constitutes an exhaustive intellectual and moral network of resources to deal with the Chinese situation regarding the physician-patient relation. Instead, the physician-patient relation in China has been shaped by the moral thought and practice of Confucian tradition in a long history, which continuously informs the interplays between Chinese physicians and patients in current transitional China. Instead of being led by any ideas of patient rights and individual contracts, Chinese physicians, families as well as patients themselves are closely engaged in a value system in which the Confucian virtues and relation models direct medical practice in general and the physician-patient relation in particular. Confucian values and cultural factors , such as "following your moral conscience", "looking for connections in solving difficulties" and "giving a face to a friend" , have been salient in reality. It is difficult to resolve any problems resulting from this practice by appealing to rights and contracts intertwined in Western individualistic culture. Chinese bioethicists, in order to provide feasible and ethical guidance to current Chinese practice, must carefully study the Confucian values and their operating mechanisms in biomedical reality. If they simply expect to sit and relax by introducing modern Western concepts and ideas such as "patient rights" and "contracts" , they will end up without offering any real assistance.DOWNLOAD HISTORY | This article has been downloaded 31 times in Digital Commons before migrating into this platform.


2009 ◽  
Vol 58 (1) ◽  
Author(s):  
Claudio Sartea ◽  
Stefano Anzilotti

Il presente lavoro costituisce un’analisi e un commento del Parere del Comitato Nazionale per la Bioetica (CNB) dal titolo “Rifiuto e rinuncia consapevole al trattamento sanitario nella relazione paziente-medico”, approvato il 24 ottobre 2008. La prima parte del contributo descrive sinteticamente la struttura e il contenuto del documento, il cui oggetto, secondo le parole dello stesso CNB, è così individuato: “rifiuto o rinuncia consapevole, totale o parziale, a trattamenti sanitari non iniziati o già intrapresi manifestata da un paziente informato e pienamente capace di intendere e di volere, e rivolta al medico (o all’équipe medica), titolare di fondamentali obblighi giuridici e deontologici e sotto la cui responsabilità il trattamento è in atto”. Operata questa prima delimitazione, la successiva importante distinzione che viene effettuata è tra un paziente autonomamente in grado di sottrarsi alla terapia indesiderata e un paziente che si trova in condizioni di dipendenza tali da rendere necessario l’intervento di un altro soggetto (il medico) per realizzare l’interruzione della cura. L’ultima parte del Parere presenta le “Conclusioni” che sintetizzano le riflessioni svolte ed espongono i profili di convergenza all’interno del Comitato. Gli Autori del contributo procedono quindi ad un’analisi critica del Parere a partire da queste “Conclusioni”, concentrando in particolare l’attenzione sulla distinzione, già messa in risalto, tra autonomia e dipendenza. Viene così evidenziato, da una parte, in relazione alla prima situazione, l’autentico fondamento dell’agire medico, anche in rapporto al consenso informato; dall’altra parte, riguardo alla situazione di dipendenza, si riafferma il valore giuridico del bene “vita” ed il ruolo dell’operatore sanitario per la tutela di essa. ---------- The present work constitutes of analysis and comment on the Advice of the Council on Bioethics entitled: “Conscious refusal and renunciation to medical care in the physician-patient relation”, approved on October 24th, 2008. The first part of this work describes synthetically the structure and the contents of the Advice, the object of which, according to the words of the same CNB, is: “The conscious refusal and renunciation, totally or partially, of medical care not started or already started by an informed and capable patient and directed to a physician, holder of fundamental legal obligation and medical ethics under whose responsibility the medical care is already in progress”. After this first delimitation, the succeeding important distinctions that come into effect between a patient who autonomously refuses the undesired therapy and a patient who is found in a state of dependence which requires the intervention of another subject (the doctor) to realize the interruption of the cure. The last part of the work presents the conclusions which synthesize the reflections made and the areas of overlap inside the Committee. The Authors proceed therefore to a critical analysis of the document apart from the conclusion, concentrating particular attention on the distinction already made between autonomy and dependence. They furthermore, in relation to the first situation, emphasize the authentic foundation of the medical act as it relates to informed consent; from another part, regarding the situation of dependence, they reaffirm the importance of life and the role of the physician in preserving it.


2011 ◽  
Vol 39 (4) ◽  
pp. 690-693 ◽  
Author(s):  
Mark A. Rothstein

Physicians' duties to their patients traditionally have been construed narrowly in time and scope to focus on the specific episode of care or clinical encounter. Physicians generally have had no ethical or legal duty to notify patients about new medical information discovered after a visit, notwithstanding the health care benefits to patients that might flow from receiving the information. The rule was based on the relatively high burdens that notification would impose on physicians compared with the likelihood of benefits to patients. This established view, however, no longer may be appropriate in light of new physician-patient relationships and the reduced burden of patient notification using new types of health information technology (HIT). This article explores the duty to inform patients and former patients about relevant, medical developments subsequent to their episode of care. It concludes by recommending the recognition in ethics and law of a limited, ongoing duty to notify patients of significant information relevant to their health.


Sociologija ◽  
2007 ◽  
Vol 49 (4) ◽  
pp. 369-380 ◽  
Author(s):  
Sandra Radenovic ◽  
Karel Turza

It is assumed that considerable ethnic distance is an empirical manifestation of the ethnonationalistic political pattern still dominant in contemporary Serbian society. The results of our research of ethnic distance on a non-representative sample of Medical School students (University in Belgrade) confirm this assumption. We discuss a specific sample -future medical professionals who are a priori expected to be free from all kind of prejudice, while the physician-patient relation implies a complete and unreserved engagement of the medical professional, disregarding patient?s race, nation, religion, sex/gender, age etc. Nevertheless, the findings indicate considerable distance among students toward certain ethnic, national and racial groups. The authors point to the importance of bioethics in the education of future medical doctors since, among other things, bioethics reflects various dimensions of specific interaction/communication in the physician-patient relation. Finally, the authors emphasize the significance of bioethics in critical reflexion of a priori and unquestionable authority of the "white coat".


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