Ethical and legal aspects of cybersecurity in health

Ana Galvão, C. Vaz, Marco Pinheiro, Clarisse Pais
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Abstract

Background: With the emergence of eHealth and mHealth, the use of mental health apps has increased significantly as an accessible and convenient approach as an adjunct to promoting well-being and mental health. There are several apps available that can assist with mental health monitoring and management, each with specific features to meet different needs. The intersection of mental health and cyber technology presents a number of critical legal and ethical issues. As mental health monitoring apps and devices become more integrated into clinical practice, cybersecurity takes on paramount importance. Objective: To address the ethical and legal aspects of health cybersecurity related to applications in mental health monitoring and management. Methods: We carried out a thematic synthesis of the best scientific evidence. Results: These tools have the potential to significantly improve access to and quality of care for users with mental health conditions, but they also raise substantial concerns about privacy and informed consent.  Cybersecurity in mental health is not only a matter of technology, but also of human rights. The protection of sensitive mental health information is critical, and legal and ethical measures to safeguard this information must be implemented in a robust and transparent manner. Conclusion: the use of information technologies and mobile devices is now part of the clinical reality and its future perspectives. It is important to mention that while these apps can be helpful for self-care and mental well-being management, they are not a substitute for the advice and support of a qualified mental health professional (psychologist or psychiatrist). As we move into the digital age, it is imperative that mental health monitoring and management apps are developed and used responsibly, ensuring the safety, dignity, and well-being of users.
卫生领域网络安全的道德和法律问题
背景:随着电子健康和移动健康的兴起,心理健康应用程序的使用大幅增加,成为促进幸福和心理健康的一种便捷方法。目前有多种应用程序可以帮助进行心理健康监测和管理,每种应用程序都有特定的功能来满足不同的需求。心理健康与网络技术的交集带来了许多重要的法律和伦理问题。随着心理健康监控应用程序和设备越来越多地融入临床实践,网络安全变得至关重要。目标:探讨与心理健康监控和管理应用相关的健康网络安全的伦理和法律问题。方法我们对最佳科学证据进行了专题综述。结果这些工具有可能极大地改善心理健康用户的就医途径和医疗质量,但同时也引发了对隐私和知情同意的极大关注。 心理健康领域的网络安全不仅是技术问题,也是人权问题。保护敏感的心理健康信息至关重要,必须以健全和透明的方式实施法律和道德措施来保护这些信息。结论:信息技术和移动设备的使用现已成为临床现实及其未来前景的一部分。需要指出的是,虽然这些应用程序有助于自我保健和心理健康管理,但它们并不能取代有资质的心理健康专业人员(心理学家或精神科医生)的建议和支持。随着我们进入数字时代,当务之急是负责任地开发和使用心理健康监控和管理应用程序,确保用户的安全、尊严和福祉。
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