From One-Way Mirror to Two-Way Street

Author:

Ho Anita

Abstract

Abstract This final chapter argues that the concept of relational autonomy can promote a systems approach to ensure that development and utilization of predictive health monitoring will enhance rather than erode users’ practical identities. Section 1 explains how a relational feedback loop can help strengthen therapeutic relationships and ensure that evolving health monitoring technologies will be used as collaborative tools to enhance patients’ care priorities rather than surveillance mechanisms to regulate distrust of patients’ testimonies. Section 2 argues that multilevel dialogic engagement at the individual, technological, professional/institutional, and societal levels may help promote a responsible and responsive feedback loop to guide the development and implementation of AI health monitoring, holding technologists and decision-makers responsible for ensuring valid technologies and providing transparent information. This in turn may improve the social determinants of health and digital literacy, thereby enhancing patients’ capacity to make goal-concordant health monitoring decisions that can advance their autonomy.

Publisher

Oxford University PressNew York

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