Science and Engineering Ethics 26 (3):1159-1183 (2020)

Authors
Luciano Floridi
Oxford University
Abstract
This article highlights the limitations of the tendency to frame health- and wellbeing-related digital tools as empowering devices, especially as they play an increasingly important role in the National Health Service in the UK. It argues that mHealth technologies should instead be framed as digital companions. This shift from empowerment to companionship is advocated by showing the conceptual, ethical, and methodological issues challenging the narrative of empowerment, and by arguing that such challenges, as well as the risk of medical paternalism, can be overcome by focusing on the potential for mHealth tools to mediate the relationship between recipients of clinical advice and givers of clinical advice, in ways that allow for contextual flexibility in the balance between patiency and agency. The article concludes by stressing that reframing the narrative cannot be the only means for avoiding harm caused to the NHS as a healthcare system by the introduction of mHealth tools. Future discussion will be needed on the overarching role of responsible design.
Keywords Empowerment  Digital Health Technologies  Digital companions  Medical paternalism  mHealth  NHS
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DOI 10.1007/s11948-019-00115-1
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References found in this work BETA

Nudging and Informed Consent.Shlomo Cohen - 2013 - American Journal of Bioethics 13 (6):3-11.
Society-in-the-Loop: Programming the Algorithmic Social Contract.Iyad Rahwan - 2018 - Ethics and Information Technology 20 (1):5-14.

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