生命医学伦理学如何应对大数据健康革命

How Life Medical Ethics Should Deal with the Health Revolution of Large Data

大数据时代医疗变革的目标是通过数字化人体推进医学健康革命,这激发人们思考大数据时代生命医学伦理学的方向。从伦理思考方式来看,大数据技术凸显个体与总体的连通性意义,为生命医学伦理学的道德思考提供了新方法。从伦理价值方式来看,大数据技术强调＂致广大＂与＂致精微＂的内在贯通,为生命医学伦理学的价值决断提供了新视角。大数据时代的健康革命,通过大数据平台下的个体化医学改善整体人类健康,优先强调健康关怀的意义,凸显了公共健康作为善物的特殊的道德重要性,强调共享的伦理和健康人文的生命伦理尺度以及个人医疗服务方面的健康理念,这从根本上推进了医学道德形态的革命性重构。大数据健康革命的三大效应是：个人隐私和信息安全所面临的挑战及隐私伦理问题;数据主义对医学人道主义的挑战及其所面临的根本性质疑;数字鸿沟或价值鸿沟所带来的伦理挑战问题。大数据对个人与集体之相互关系的重新定位是大数据时代生命医学伦理学最引人瞩目的方向,它最终凸显了以＂人口健康＂或＂人群健康＂为主题的生命伦理学的拓展方向,推动生命伦理学关注更广泛、更深层的＂健康问题＂。

Large data technology provides a new way for moral thinking of life medical ethics and a new perspective for the value determination of life medical ethics. Health revolution in the era of large data gives priority to the significance of health care,emphasizes on the ethics of sharing and the life ethical yardstick of healthy human beings as well as health concept in personal medical service,thus promoting the revolutionary reconstruction of medical ethics fundamentally. The major effects of the large data health revolution include the challenges of personal privacy,information security and the ethical issues of privacy; the challenges of data doctrine to medical humanitarianism and the fundamental nature of it; ethical challenges caused by the digital gap or the value gap. Large date highlights the development direction of bioethics on the theme of ＂population health＂.