Ethical Questions in Medical Electronic Adherence Monitoring
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Date
2015-09-10Author
Campbell, Jeffrey I.
Eyal, Nir
Musiimenta, Angella
Haberer, Jessica E.
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Electronic adherence monitors (EAMs) record and report an array of health behaviors, ranging from taking daily medications to wearing medical devices. EAMs are utilized in research worldwide and are being investigated for clinical use. However, there is also growing popular concern about the extent to which electronic devices may be used to monitor individuals, including allegations in the media that EAMs represent a move towards BBig Brother^ in medicine. Here, we highlight the unique benefits as well as the potential ethical challenges that electronic adherence
monitoring generates. These challenges surround autonomy, privacy and confidentiality, trust, and ancillary care obligations. We describe key questions within each of these domains that warrant further investigation, and present potential solutions to many of the concerns raised.
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