Environments for ageing, assistive technology and self-determination: ethical perspectives

The development of information and communication technologies for design of environments for ageing is of great importance considering demographic trends in the future. There is a realistic hope for the preservation of self-determination and independence in the long term. However, some risks like a gradual lost of privacy should not be underestimated. The article discusses some ethical problems within this context. At the same time, the article demonstrates that the development and implementation of these technologies might be discussed for instance under some ethical assumptions of personal self-responsibility as well as social responsibility for the widest independence in advanced age.

[1]  T. Beauchamp.  Internal and external standards for medical morality. , 2001, The Journal of medicine and philosophy.

[2]  S. Koch,et al.  On Health-enabling and Ambient-assistive Technologies , 2009, Methods of Information in Medicine.

[3]  M. Marschollek,et al.  Health-enabling technologies for pervasive health care: on services and ICT architecture paradigms , 2008, Informatics for health & social care.

[4]  Marion Danis,et al.  Are physicians willing to ration health care? Conflicting findings in a systematic review of survey research. , 2009, Health policy.

[5]  P. J. Maddox.  Ethics and the brave new world of e-Health. , 2002, Online journal of issues in nursing.

[6]  Richard Schulz,et al.  Disability, Age, and Informational Privacy Attitudes in Quality of Life Technology Applications: Results from a National Web Survey , 2009, TACC.

[7]  Gavin Mooney,et al.  Just Health Care , 1986 .

[8]  Michael Marschollek,et al.  Recent progress in sensor-enhanced health information systems – slowly but sustainably , 2009, Informatics for health & social care.

[9]  Benedict Stanberry,et al.  Legal ethical and risk issues in telemedicine , 2001, Comput. Methods Programs Biomed..

[10]  Elske Ammenwerth,et al.  Health care in the information society. A prognosis for the year 2013 , 2002, Int. J. Medical Informatics.

[11]  James Q. Whitman.  The Two Western Cultures of Privacy: Dignity versus Liberty , 2004 .

[12]  J E Bardram,et al.  Pervasive Healthcare as a Scientific Discipline , 2008, Methods of Information in Medicine.

[13]  T. Rentsch.  Aging as becoming oneself: A philosophical ethics of late life , 1997 .

[14]  S. Pufendorf,et al.  De officio hominis et civis juxta legem naturalem libri duo , 1928 .

[15]  J. Moor.  The ethics of privacy protection , 1990 .

[16]  Z Hudson,et al.  Virtually exposed: privacy and e-health. , 2000, Health affairs.

[17]  Peter Gregor,et al.  Introduction to the Special Issue on Aging and Information Technology , 2009, TACC.

[18]  L Magnusson,et al.  Supporting family carers through the use of information and communication technology--the EU project ACTION. , 2002, International journal of nursing studies.

[19]  E. Heitman,et al.  Ethical Issues in Technology Assessment: Conceptual Categories and Procedural Considerations , 1998, International Journal of Technology Assessment in Health Care.

[20]  Lennart Magnusson,et al.  Ethical issues arising from a research, technology and development project to support frail older people and their family carers at home. , 2003, Health & social care in the community.

[21]  R Haux,et al.  On health-enabling and ambient-assistive technologies. What has been achieved and where do we have to go? , 2009, Methods of information in medicine.

[22]  Niilo Saranummi,et al.  IT Applications for Pervasive, Personal, and Personalized Health , 2008, IEEE Transactions on Information Technology in Biomedicine.

[23]  Hermann Habermann,et al.  Ethics, confidentiality, and data dissemination , 2006 .

[24]  A. Kruse.  [Independence, consciously accepted dependency, self-responsibility and shared responsibility as key categories of an ethical analysis of old age]. , 2005, Zeitschrift fur Gerontologie und Geriatrie.

[25]  T. Frieden,et al.  Ethics in public health research: privacy and public health at risk: public health confidentiality in the digital age. , 2008, American journal of public health.

[26]  K. Kipnis.  Seven Vulnerabilities in the Pediatric Research Subject , 2003, Theoretical medicine and bioethics.

[27]  G Tröster,et al.  Pervasive Healthcare , 2009, Methods of Information in Medicine.

[28]  A. Sen,et al.  Equality of What? Tanner Lecture on Human Values , 1979 .

[29]  J. Goldman,et al.  Perspective: Virtually Exposed: Privacy And E-Health , 2000 .

[30]  A Winter.  The future of medical informatics. Some perspectives of intra- and inter-institutional information systems. , 2009, Methods of information in medicine.

[31]  M. Synofzik,et al.  How physicians allocate scarce resources at the bedside: a systematic review of qualitative studies. , 2008, The Journal of medicine and philosophy.

[32]  Lucius Annaeus Seneca,et al.  Ad Lucilium epistulae morales , 2011 .

[33]  Jeremy Sugarman,et al.  A Response to Commentators on “The Limitations of ‘Vulnerability’ as a Protection for Human Research Participants” , 2004, The American journal of bioethics : AJOB.

[34]  C. L. Callahan,et al.  The quality of life. , 1970, Nursing outlook.