Evidence map›Paper›PMID 31011945›Full record

ArticleMedicine, health care, and philosophy2019

Mobile health ethics and the expanding role of autonomy.

Bettina Schmietow, Georg Marckmann

Abstract read
PubMed Publisher
In one paragraph

Article in Medicine, health care, and philosophy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Trust in Medical AI: The Case of mHealth Diabetes Apps.Journal of evaluation in clinical practice · 2025
    Article
  3. Article
  4. Article
  5. Ethics of Wearable-Based Out-of-Hospital Cardiac Arrest Detection.Circulation. Arrhythmia and electrophysiology · 2024
    Review
  6. Article
  7. Article
  8. The emerging role of digital health in the management of asthma.Therapeutic advances in chronic disease · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Real-time symptom management in the context of a remote symptom-monitoring system: prospective process evaluation and cross-sectional survey to explore clinical relevance.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. Five Crucial Challenges in Digital Health.Frontiers in digital health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Bettina SchmietowInstitute of Ethics, History and Theory of Medicine, Ludwig-Maximilians-Universität München, Lessingstraße 2, 80336, Munich, Germany. bettina.schmietow@med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-3530-4891
Georg MarckmannInstitute of Ethics, History and Theory of Medicine, Ludwig-Maximilians-Universität München, Lessingstraße 2, 80336, Munich, Germany.

Funding

Bundesministerium für Gesundheit ZMV I 1 - 2517 FSB 011
6 · The paper itself

Abstract

Mhealth technology is mushrooming world-wide and, in a variety of forms, reaches increasing numbers of users in ever-widening contexts and virtually independent from standard medical evidence assessment. Yet, debate on the broader societal impact including in particular mapping and classification of ethical issues raised has been limited. This article, as part of an ongoing empirically informed ethical research project, provides an overview of ethical issues of mhealth applications with a specific focus on implications on autonomy as a key notion in the debate. A multi-stage model of references to the potential of mhealth use for strengthening some or other form of self-determination will be proposed as a descriptive tool. It illustrates an assumed continuum of enhanced autonomy via mhealth broadly conceived: from patient to user autonomy, to improved health literacy, and finally to the vision of supra-individual empowerment and democratised, participatory health and medicine as a whole. On closer examination, however, these references are frequently ambivalent or vague, perpetuating the at times uncritical use of established autonomy concepts in medical ethics. The article suggests zooming in on the range of autonomy-related aspects against the backdrop of digital innovation and datafied health more generally, and on this basis add to existing frameworks for the ethical evaluation of mhealth more specifically.

Indexed as

Personal AutonomyConsumer BehaviorHealth LiteracyHumansMobile ApplicationsPatient ParticipationTechnology Assessment, BiomedicalTelemedicineAutonomyDataficationDemocratisationEmpowermentEthicsMhealth

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.