Ethics and informatics in the age of COVID-19: challenges and recommendations for public health organization and public policy.
J Am Med Inform Assoc
; 28(1): 184-189, 2021 01 15.
Article
in English
| MEDLINE | ID: covidwho-1066359
ABSTRACT
The COVID-19 pandemic response in the United States has exposed significant gaps in information systems and processes that prevent timely clinical and public health decision-making. Specifically, the use of informatics to mitigate the spread of SARS-CoV-2, support COVID-19 care delivery, and accelerate knowledge discovery bring to the forefront issues of privacy, surveillance, limits of state powers, and interoperability between public health and clinical information systems. Using a consensus-building process, we critically analyze informatics-related ethical issues in light of the pandemic across 3 themes (1) public health reporting and data sharing, (2) contact tracing and tracking, and (3) clinical scoring tools for critical care. We provide context and rationale for ethical considerations and recommendations that are actionable during the pandemic and conclude with recommendations calling for longer-term, broader change (beyond the pandemic) for public health organization and policy reform.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Medical Informatics
/
Public Health
/
Contact Tracing
/
Bioethical Issues
/
Public Health Surveillance
/
COVID-19
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
J Am Med Inform Assoc
Journal subject:
Medical Informatics
Year:
2021
Document Type:
Article
Affiliation country:
Jamia
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