Current and Future State of ICT Deployment and Utilization in Healthcare: An Analysis of Cross-Cultural Ethical Issues

Current and Future State of ICT Deployment and Utilization in Healthcare: An Analysis of Cross-Cultural Ethical Issues

Bernd Carsten Stahl (De Montfort University, UK) and Simon Rogerson (University of Durham, UK)
Copyright: © 2009 |Pages: 15
DOI: 10.4018/978-1-60566-022-6.ch049
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The ever-changing face of ICT can render its deployment rather problematic in sensitive areas of applications, such as healthcare. The ethical implications are multifaceted and have diverse degrees of sensitivity from culture to culture. Our essay attempts to shed light on these interplaying factors in a cross-cultural analysis that takes into account prospective ICT development.
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Satisfactory provision of healthcare is central to our quality of life. At the same time, healthcare is a central cost factor in our personal as well as public expenditure. Healthcare systems in different countries face different challenges and provide different levels of services. It is probably fair to say that there is no one model that can address or overcome all issues. It is probably also fair to say that most healthcare systems are trying to use technology in order to address some of the problems they are facing. Among these problems, one can find issues of cost minimization, consistency of care provision, quality control, labor saving, and a variety of others. This chapter will explore the relationship of culture, ethics, and the use of information and communication technology (ICT) in healthcare. As this suggests, we will not be able to do justice to the intersection of these four topics. Instead, the chapter will attempt to identify some dominant issues that are of relevance today.

The main purpose of this chapter is to develop a framework that will allow us to understand how culture can shape the perception of the ethicality of the use of ICT in healthcare. It is meant to provide the foundation upon which we can build valuable empirical research. We are interested specifically in the question whether there are cultural differences with regard to the perception of ICT in healthcare between individuals from cultures in a non-Western setting and those from European, specifically British, culture.

Given the size and complexity of the topic, we will use this chapter to outline some of the relationships among the main concepts and to identify areas worthy of research. Following basic definitions of pertinent concepts, the chapter will start by discussing the relationship between culture and health informatics and then proceed to describe some of the ethical issues of health informatics. These two strands of thought then will be combined to develop the concept of cultural influence on the perception of the ethics and morality of health information systems. We then will describe several scenarios that will render it clear what kind of issues we believe to be likely encountered. Establishing the descriptive and theoretical part of our topic will pave the way for developing methodological considerations that are pertinent to empirical research and to the cultural impact and ethics of ICT use in healthcare.

Ethics and Morality

It long has been established that, for the sake of practicality and application, a distinction should be made between ethics and morality. Morality can be defined as the set of acceptable social rules that are adhered to in a given community. Following this, one can define ethics as the workable scheme for the theory of morality. Ethics then can be used to describe, define, and justify morality. This distinction is not required by the etymology of the concepts, and it is not always used in English language writings on ethics. It is more widely adhered to in continental European philosophy (Stahl, 2004). We nevertheless believe it to be useful because it can help us distinguish between fundamentally different issues. Morality is a social fact and can be observed through the use of established social science methods. For example, we can observe patients in hospitals and find out whether they believe that a certain action is good or bad, whether they believe that a certain use of technology is acceptable or not. This question is fundamentally different from the ethical question of why the use of a technology is good or bad. While most individuals follow a morality of which they are aware, many of us rarely engage in explicit ethical reflection. That means that patients’ ethical convictions, while important for their moral attitudes, often are implicit and much harder to determine. This has methodological consequences that will be discussed later.

Another reason the distinction between ethics and morality is important for our project is that it roughly corresponds to the difference between descriptive and normative research. One can undertake purely descriptive research on the social fact of morality, but when it comes to ethical justifications and normative suggestions, one changes the level of analysis. This is important for researchers to reflect on, and the conceptual distinction will make it easier for us to do so.

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Table of Contents
Rocci Luppicini, Rebecca Adell
Rocci Luppicini, Rebecca Adell
Chapter 1
Rocci Luppicini
Over the last 30 years, an amassing body of work has focused on ethical dimensions of technology in a variety of contexts impacting society. This... Sample PDF
The Emerging Field of Technoethics
Chapter 2
Marc J. de Vries
In this chapter it is argued that a multidisciplinary approach to technoethics is necessary to do justice to the complexity of technology.... Sample PDF
A Multi-Disciplinary Approach to Technoethics
Chapter 3
Daniela Cerqui, Kevin Warwick
Common ethical issues related to technology are formulated in terms of impact. With an anthropological approach, every technological device is... Sample PDF
Technoethics: An Anthropological Approach
Chapter 4
Michael S. Billinger
Despite the fact that analyses of biological populations within species have become increasing sophisticated in recent years, the language used to... Sample PDF
A Technoethical Approach to the Race Problem in Anthropology
Chapter 5
Andy Miah
This chapter outlines a technoethics for sport by addressing the relationship between sport ethics and bioethics. The purpose of this chapter is to... Sample PDF
The Ethics of Human Enhancement in Sport
Chapter 6
Darryl Macer
This chapter examines some of the cultural variation in the ethical factors associated with the use of science and technology. The issues discussed... Sample PDF
Education of Ethics of Science and Technology Across Cultures
Chapter 7
Seppo Visala
Within the organisational development people’s arguments rise from their personal or group interests, which in turn are based on the systemic... Sample PDF
Planning, Interests, and Argumentation
Chapter 8
Alireza Bagheri
This chapter elaborates on some of the existing concerns and ethical issues that may arise when biomedical research protocols are proposed or funded... Sample PDF
Ethics Review on Externally- Sponsored Research in Developing Countries
Chapter 9
Gerrhard Fortwengel
At the beginning of this section the authors provide a definition of biomedical research and an interpretation of the meaning of ethics and social... Sample PDF
Social and Ethical Aspects of Biomedical Research
Chapter 10
Stefano Fait
In assessing the ethical implications of genomics and biotechnology, it is important to acknowledge that science, technology, and bioethics do not... Sample PDF
Ethical Aspects of Genetic Engineering and Biotechnology
Chapter 11
Timothy F. Murphy
Military researchers are working to exploit advances in nanoscale research for military uniforms, medical diagnosis and treatment, enhanced soldier... Sample PDF
Nanoscale Research, Ethics, and the Military
Chapter 12
Keith Bauer
This chapter reviews key debates about the meaning of telehealth and also considers how new and emerging systems in telehealth work to protect... Sample PDF
Healthcare Ethics in the Information Age
Chapter 13
Matthew Charlesworth, David Sewry
The development of cybernetics and digital computers prompted the need for a greater exploration of computer ethics. Information ethics, as... Sample PDF
Ethical Theories and Computer Ethics
Chapter 14
John P. Sullins
This chapter will argue that artificial agents created or synthesized by technologies such as artificial life (ALife), artificial intelligence (AI)... Sample PDF
Artificial Moral Agency in Technoethics
Chapter 15
Pilar Alejandra Cortés Pascual
‘What positive and negative aspects are perceived of Information and Communications Technologies (ICT)?’ and ‘What dilemmas arise regarding these... Sample PDF
Ethical Controversy over Information and Communication Technology
Chapter 16
Martin Ryder
This chapter provides a brief summary of the technical and social hurdles that define the so-called ‘digital divide’ and it considers the celebrated... Sample PDF
The Cyborg and the Noble Savage: Ethics in the War on Information Poverty
Chapter 17
Mike Ribble
In todays changing global society, digital technology users need to be prepared to interact and work with users from around the world. Digital... Sample PDF
Becoming a Digital Citizen in a Technological World
Chapter 18
Deb Gearhart
Are we developing a (global) society where our youth think it is ok to copy and paste whatever they see on the Internet and turn it in for homework;... Sample PDF
Technoethics in Education for the Twenty-First Century
Chapter 19
May Thorseth
The purpose of this chapter is to discuss important ethical aspects of online communication of global scope. We focus particularly on procedural... Sample PDF
The Ethics of Global Communication Online
Chapter 20
Cameron Norman, Adrian Guta, Sarah Flicker
New information technologies are creating virtual spaces that allow youth to network and express themselves with unprecedented freedom and... Sample PDF
Engaging Youth in Health Promotion Using Multimedia Technologies: Reflecting on 10 Years of TeenNet Research Ethics and Practice
Chapter 21
Samantha Mei-che Pang
In Hong Kong, end-of-life practice ideally adheres to values that include respect for the patient’s selfdetermination and an understanding shared by... Sample PDF
Ethical Challenges of Engaging Chinese in End-of-Life Talk
Chapter 22
Busi Nkala
An estimated 39.5 million people are living with HIV worldwide. There were 4.3 million new infections in 2006 with 2.8 million (65%) of these... Sample PDF
Community Education in New HIV Prevention Technologies Research
Chapter 23
Makoto Nakada, Rafael Capurro
In this article we give an overview of the range and characteristics of intercultural information ethics (IIE) focusing on the public/private debate... Sample PDF
The Public / Private Debate: A Contribution to Intercultural Information Ethics
Chapter 24
Arsalan Butt
Consumer software piracy is widespread in many parts of the world. P2P based websites have made it easier to access pirated software, which has... Sample PDF
Ethical, Cultural and Socio- Economic Factors of Software Piracy Determinants in a Developing Country: Comparative Analysis of Pakistani and Canadian University Students
Chapter 25
A. Anderson, S. Allan, A. Petersen, C. Wilkinson
Recent evidence on genetically modified crops, cloning and stem cell research suggests that the news media play a significant role in shaping wider... Sample PDF
Nanoethics: The Role of News Media in Shaping Debate
Chapter 26
Russell W. Robbins, Kenneth R. Fleischmann, William A. Wallace
This chapter explains and integrates new approaches to teaching computing and information ethics (CIE) and researching CIE education. We first... Sample PDF
Computing and Information Ethics Education Research
Chapter 27
Jennifer Candor
The allocation of resources for assistive technology does not have to result in a gap between general and special education. This case study... Sample PDF
The Ethical Dilemma over Money in Special Education
Chapter 28
Pilar Alejandra Cortés Pascual
Educational orientation should be set within a specific socio-historical context, which is nowadays characterized by the Society of Information.... Sample PDF
Educational Technoethics Applied to Career Guidance
Chapter 29
A.K. Haghi
In this book chapter, the authors summarize their retrospections as an engineering educator for more than 20 years. Consideration is given to a... Sample PDF
The Scholarship of Teaching Engineering: Some Fundamental Issues
Chapter 30
Antoinette Rouvroy
The aim of the present chapter is to elucidate the paradoxical position of the individual legal subject in the context of human genetics. It first... Sample PDF
Which Rights for Which Subjects? Genetic Confidentiality and Privacy in the Post-Genomic Era
Chapter 31
Eduardo A. Rueda
This chapter focuses on showing legitimate ways for coping with uncertainties within the informed consent process of predictive genetic testing. It... Sample PDF
Predictive Genetic Testing,Uncertainty, and Informed Consent
Chapter 32
Soraj Hongladarom
The chapter argues that there is a way to justify privacy without relying on the metaphysical assumption of an independently existing self or... Sample PDF
Privacy, Contingency, Identity, and the Group
Chapter 33
Y. Ibrahim
This chapter situates the current debates on pornography in the virtual realm and its ethical and legal implications for users and researchers. It... Sample PDF
The Ethics of Gazing: The Politics of Online Pornography
Chapter 34
Neil C. Rowe
We examine the main ethical issues concerning deception in cyberspace. We first discuss the concept of deception and survey ethical theories... Sample PDF
The Ethics of Deception in Cyberspace
Chapter 35
Cyber Identity Theft  (pages 542-557)
Lynne D. Roberts
Information and communication technologies (ICTs) provide substantial benefits to governments, organizations and individuals through providing low... Sample PDF
Cyber Identity Theft
Chapter 36
A. Pablo Iannone
This chapter asks: What is information overload? At what levels of existence does it occur? Are there any features common to information overload at... Sample PDF
Walking the Information Overload Tightrope
Chapter 37
Cyber-Victimization  (pages 575-592)
Lynne D. Roberts
Information and communication technologies (ICTs); while providing a range of benefits to individuals, organisations and governments; also provide... Sample PDF
Chapter 38
Spyware  (pages 593-608)
Mathias Klang
It is well known that technology can be use as to effectively monitor the behavior of crows and individuals and in many cases this knowledge may b... Sample PDF
Chapter 39
D. Gareth Jones
The advent of in vitro fertilization (IVF) marked a watershed in the scientific understanding of the human embryo. This, in turn, led to a... Sample PDF
In Vitro Fertilization and the Embryonic Revolution
Chapter 40
Joyce Yi- Hui Lee
In this chapter we argue that even though conflict has been explored at an intra-organizational level, its effect and role at an... Sample PDF
Inter-Organizational Conflicts in Virtual Alliances
Chapter 41
Andreas Matthias
Creation of autonomously acting, learning artifacts has reached a point where humans cannot any more be justly held responsible for the actions of... Sample PDF
From Coder to Creator: Responsibility Issues in Intelligent Artifact Design
Chapter 42
J. José Cortez
Fundamental democratic principles and values that guide our social relationships have been important concerns in the evolution of this nation’s... Sample PDF
Historical Perspective of Technoethics in Education
Chapter 43
Heidi L. Schnackenberg
On the cutting edge of current technologies are portable media, where users can download information and take it with them to digest it anytime... Sample PDF
Podcasting and Vodcasting in Education and Training
Chapter 44
Technoethics in Schools  (pages 680-699)
Darren Pullen
School students are used to digital technology-they blog, create movies for public viewing on the web, create and download music and use instant... Sample PDF
Technoethics in Schools
Chapter 45
Charles R Crowell
This chapter discusses the ways in which moral psychology can inform information ethics. A “Four Component Model” of moral behavior is described... Sample PDF
Moral Psychology and Information Ethics: Psychological Distance and the Components of Moral Behavior in a Digital World
Chapter 46
José-Rodrigo Córdoba
Current developments in information systems (IS) evaluation emphasise stakeholder participation in order to ensure adequate and beneficial IS... Sample PDF
A Critical Systems View of Power-Ethics Interactions in Information Systems Evaluation
Chapter 47
Joan D. McMahon
If you were to survey course syllabi on your campus, you would probably find the standard syllabi to include: • Course title and number •... Sample PDF
Ethical Issues in Web-Based Learning
Chapter 48
Barbara Paterson
Computer ethicists foresee that as information and communication technology (ICT) increasingly pervades more and more aspects of life, ethical... Sample PDF
We Cannot Eat Data: The Need for Computer Ethics to Address the Cultural and Ecological Impacts of Computing
Chapter 49
Bernd Carsten Stahl, Simon Rogerson
The ever-changing face of ICT can render its deployment rather problematic in sensitive areas of applications, such as healthcare. The ethical... Sample PDF
Current and Future State of ICT Deployment and Utilization in Healthcare: An Analysis of Cross-Cultural Ethical Issues
Chapter 50
Sue Conger
With each new technology, new ethical issues emerge that threaten both individual and household privacy. This chapter investigates issues relating... Sample PDF
Emerging Technologies, Emerging Privacy Issues
Chapter 51
Robert N. Barger
This chapter discusses the ethics of a proof-of-concept demonstration of “parasitic computing.” A “parasite” computer attempts to solve a complex... Sample PDF
Ethics of "Parasitic Computing": Fair Use or Abuse of TCP/IP Over the Internet?
Chapter 52
Cecilia Andrews
“Counter-terrorism refers to the practices, tactics and strategies that governments, militaries and other groups adopt in order to fight terrorism.”... Sample PDF
Simulating Complexity-Based Ethics for Crucial Decision Making in Counter Terrorism
Chapter 53
Gundars Kaupins
This article summarizes the legal and ethical implications associated with employee location monitoring. It states that few international laws and... Sample PDF
Legal and Ethical Implications of Employee Location Monitoring
Chapter 54
Fjodor Ruzic
In today’s dynamic e-business environment where fast time to market is imperative, where information and telecommunications technology is costly and... Sample PDF
New Ethics for E-Business Offshore Outsourcing
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