Abstract
Healthcare is a field where the influence of ethics needs to be strong. It should also cover the area of information system development in healthcare. Great amounts or research about ethics, healthcare and information system development and combinations of those can be found. However, the actual development of healthcare information systems has a serious lack of understanding of ethical codes of healthcare and it seems that financial values may bypass ethical ones. Several examples of the consequences to healthcare information systems, in which financial values in conjunction with technological determinism are controlling the decisions, are presented and critiqued.
The four principles of medicine: beneficence, non-maleficence, autonomy and justice are seen as a promising basis for analysis of information system development in healthcare. The four principles seem to be suitable for healthcare professionals and - as discussed in this paper - for information system developers. Hence these principles could be held as the common ethical ground for both. If these principles could be put into actual use in information system development of healthcare sector many problems faced would be solved, or at least some of the main problems in it can be revealed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Numminen, O., Van der Arend, A., Leino-Kilpi, H.: Nurses’ codes of ethics in practice and education: a review of the literature. Scandinavian Journal of Caring Sciences 23, 380–394 (2009)
Gillon, R.: Medical ethics: four principles plus attention to scope. British Medical Journal 309(6948) (1994)
Beauchamp, T., Childress, J.: Principles of Biomedical Ethics, 5th edn. Oxford University Press, Oxford (2001)
Beauchamp, T.: Methods and principles in biomedical ethics. Journal of Medical Ethics 29, 269–274 (2003)
American medical association (2012), http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/principles-medical-ethics.page? (accessed May 20, 2012)
International Medical Informatics Association (2012), http://www.imia-medinfo.org/new2/pubdocs/Ethics_Eng.pdf (accessed May 9, 2012)
Callahan, D.: Principlism and communtariasm. Journal of Medical Ethics 29(5), 287–291 (2003)
Gillon, R.: When four principles are too many: a commentary. Journal of Medical Ethics 38(4), 197–198 (2012)
Stanford Encyclopaedia of Philosophy (2012), http://plato.stanford.edu/entries/personal-autonomy/ (accessed April 9, 2011)
Wulff, H., Pedersen, S., Rosenberg, R.: Philosophy of Medicine – an introduction. Blackwell Scientific Publications, Oxford (1986)
Svenaeus, F.: The Hermeneutics of Medicine and Phenomenology of Health: Steps Towards Philosophy of Medical Practice. Kluwer Academic Publishers, Dordrecht (2001)
Koskinen, J.: Phenomenological view of health and patient empowerement with Personal Health Record. In: Proceedings of the Third International Conference on Well-being in the Information Society, TUCS General Publication no 56 (2010)
Leino-Kilpi, H., Välimäki, M., Arndt, M., Dassen, T., Gasull, M., Lemonidou, C., Scott, P., Bansemir, G., Cabrera, E., Papaevangelou, H., Mc Parland, J.: Patient’s Autonomy, Privacy and Informed Consent. IOS Press, The Netherlands (2000)
Gampbell, A., Gillet, G., Jones, G.: Medical ethics, 4th edn. Oxford University Press, Singapore (2005)
Gillon, R.: Primum non nocere. and the principle of non-maleficence. British Medical Journal 291, 130–131 (1985)
Kant, I.: Originally Grundlegung zur Metaphysic der Sitten v(1785), Several translations, two main translations: translated by Bennett, J.: Groundwork for the metaphysics of morals (2008); translated by Salomaa, J.: Siveysopilliset pääteokset, Tapojen metafysiikan perustus. Porvoo, Werner Södeström Osakeyhtiö (1931)
Rawls, J.: A Theory of Justice. Belknap Press of Harvard University Press, Cambridge (1971)
The Act of Patient’s Status and Rights. Finland (2011)
Denier, Y.: On Personal Responsibility and the Human Right to Healthcare. Gambridge Quarterly of Healthcare Ethics 14, 224–234 (2005)
Deutsch, E., Duftschmid, G., Dorda, W.: Critical areas of national electronic health record programs-is our focus correct? International Journal of Medical Informatics 79(3), 211–222 (2010)
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S., Shekelle, P.: Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care. Annals of International Medicine 144(10), 742–752 (2006)
Himmelstein, D., Wright, A., Woolhandler, S.: Hospital Computing and the Costs and Quality of Care: A National Study. The American Journal of Medicine 123(1), 40–46 (2010)
Heeks, R.: Health information systems: Failure, success and improvisation. Interational Journal of Medical Informatics 75, 125–137 (2006)
Heimo, O., Hakkala, A., Kimppa, K.: The Problems with Security and Privacy in eGovernment - Case: Biometric Passports in Finland. In: Ethicomp 2011, Sheffield, UK, pp. 210–217 (2011)
Nurminen, M.I., Forsman, U.: Reversed Quality Life Cycle Model. In: Human Factors in Organizational Design and Management - IV, pp. 393–398. Elsevier Science B.V., North-Holland (1994)
Mercuri, R.: Electronic Vote Tabulation: Checks and Balances. PhD thesis, University of Pennsylvania (2001), http://www.cis.upenn.edu/grad/documents/mercuri-r.pdf (accessed April 4, 2012)
Gonggrijp, R., Hengeveld, W.-J.: Studying the Nedap/Groenendaal ES3B voting computer, a computer security perspective, Wijvertrouwenstemcomputersniet. In: Proceedings of the USENIX Workshop on Accurate Electronic Voting Technology (2007), http://wijvertrouwenstemcomputersniet.nl/images/c/ce/ES3B_EVT07.pdf (accessed April 4, 2012)
Verzola, R.: The Cost of Automating Elections (2008), http://ssrn.com/abstract=1150267 (accessed April 4, 2012)
Avison, D., Torkzadeh, G.: Information systems project management. Sage publication, United States of America (2009)
Fleischman, W.M.: Electronic Voting Systems and The Therac-25: What Have We Learned? In: Ethicomp 2010, Tarragona, Spain, April 14-16 (2010)
Heimo, O.I., Fairweather, N.B., Kimppa, K.K.: The Finnish eVoting Experiment: What Went Wrong? In: Ethicomp 2010 (2010)
Heimo, O.I., Hakkala, A., Kimppa, K.K.: How to Abuse Biometric Passport Systems. Journal of Information, Communication and Ethics in Society 10, 68–81 (2012)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Koskinen, J.S., Heimo, O.I., Kimppa, K.K. (2012). A Viewpoint for More Ethical Approach in Healthcare Information System Development and Procurement: The Four Principles. In: Eriksson-Backa, K., Luoma, A., Krook, E. (eds) Exploring the Abyss of Inequalities. WIS 2012. Communications in Computer and Information Science, vol 313. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32850-3_1
Download citation
DOI: https://doi.org/10.1007/978-3-642-32850-3_1
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-32849-7
Online ISBN: 978-3-642-32850-3
eBook Packages: Computer ScienceComputer Science (R0)