Abstract
In this paper the design and implementation of a decision support system for diabetes
care is examined from an ethical perspective. It is noted that the system creates
potential for enhancing the realization of the principle of autonomy through improved
information to patients and participation by patients. However, there is also potential
for using the system in a way that is contrary to good health care. It may provide
patients with information they are unable to interpret and handle, and it may be used
by healthcare authorities for controlling their personnel in ways contrary to good
quality working conditions. In order for a decision support system to function as
a well-integrated element in ethically based health care, different ethical aspects
have to be taken into account during the design of the system. The ethical aspects
also constitute one perspective of a systematic re-evaluation and re-design process.
Keywords
Medical Informatics - Decision Support Systems - Computer Ethics - Medical Ethics
