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Ruotsalainen, Pekka ; Blobel, Bernd

A System Model and Requirements for Transformation to Human-Centric Digital Health

Ruotsalainen, Pekka und Blobel, Bernd (2025) A System Model and Requirements for Transformation to Human-Centric Digital Health. Journal of Medical Internet Research 27, e68661.

Veröffentlichungsdatum dieses Volltextes: 17 Jun 2025 04:26
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.76886


Zusammenfassung

Digital transformation is widely understood as a process where technology is used to modify an organization’s products and services and to create new ones. It is rapidly advancing in all sectors of society. Researchers have shown that it is a multidimensional process determined by human decisions based on ideologies, ideas, beliefs, goals, and the ways in which technology is used. In health care ...

Digital transformation is widely understood as a process where technology is used to modify an organization’s products and services and to create new ones. It is rapidly advancing in all sectors of society. Researchers have shown that it is a multidimensional process determined by human decisions based on ideologies, ideas, beliefs, goals, and the ways in which technology is used. In health care and health, the end result of digital transformation is digital health. In this study, a detailed literature review covering 560 research articles published in major journals was performed, followed by an analysis of ideas, beliefs, and goals guiding digital transformation and their possible consequences for privacy, human rights, dignity, and autonomy in health care and health. Results of literature analyses demonstrated that from the point of view of privacy, dignity, and human rights, the current laws, regulations, and system architectures have major weaknesses. One possible model of digital health is based on the dominant ideas and goals of the business world related to the digital economy and neoliberalism, including privatization of health care services, monetization and commodification of health data, and personal responsibility for health. These ideas represent meaningful risks to human rights, privacy, dignity, and autonomy. In this paper, we present an alternative solution for digital health called human-centric digital health (HCDH). Using system thinking and system modeling methods, we developed a system model for HCDH. It uses 5 views (ideas, health data, principles, regulation, and organizational and technical innovations) to align with human rights and values and support dignity, privacy, and autonomy. To make HCDH future proof, extensions to human rights, the adoption of the principle of restricted informational ownership of health data, and the development of new duties, responsibilities, and laws are needed. Finally, we developed a system-oriented, architecture-centric, ontology-based, and policy-driven approach to represent and manage HCDH ecosystems.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftJournal of Medical Internet Research
Verlag:Healthcare World
Band:27
Seitenbereich:e68661
Datum28 April 2025
InstitutionenMedizin > Zentren des Universitätsklinikums Regensburg > EHealth Competence Center
Identifikationsnummer
WertTyp
10.2196/68661DOI
40294402PubMed-ID
12070013PubMedCentral-ID
Stichwörter / Keywordsdigital health; human rights; privacy; dignity; autonomy; digital economy; neoliberalism; modeling; system analysis; artificial intelligence
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenZum Teil
URN der UB Regensburgurn:nbn:de:bvb:355-epub-768865
Dokumenten-ID76886

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