{"id":"https://openalex.org/W4413050138","doi":"https://doi.org/10.3233/shti251058","title":"Monitoring Ethical Tensions Encountered When Using Digital Health Solutions: Implementation of an Ethicovigilance Platform","display_name":"Monitoring Ethical Tensions Encountered When Using Digital Health Solutions: Implementation of an Ethicovigilance Platform","publication_year":2025,"publication_date":"2025-08-07","ids":{"openalex":"https://openalex.org/W4413050138","doi":"https://doi.org/10.3233/shti251058","pmid":"https://pubmed.ncbi.nlm.nih.gov/40776076"},"language":"en","primary_location":{"id":"doi:10.3233/shti251058","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251058","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.3233/shti251058","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119245218","display_name":"Nadia Cherchem","orcid":null},"institutions":[{"id":"https://openalex.org/I62396329","display_name":"Universit\u00e9 de Rouen Normandie","ror":"https://ror.org/03nhjew95","country_code":"FR","type":"education","lineage":["https://openalex.org/I4210105918","https://openalex.org/I62396329"]}],"countries":["FR"],"is_corresponding":false,"raw_author_name":"Nadia Cherchem","raw_affiliation_strings":["University Hospital of Rouen, France"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital of Rouen, France","institution_ids":["https://openalex.org/I62396329"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085339447","display_name":"Lina Williatte","orcid":null},"institutions":[{"id":"https://openalex.org/I181827316","display_name":"Universit\u00e9 Catholique de Lille","ror":"https://ror.org/025s1b152","country_code":"FR","type":"education","lineage":["https://openalex.org/I181827316"]},{"id":"https://openalex.org/I4210121739","display_name":"Minist\u00e9rio da Sa\u00fade","ror":"https://ror.org/02y7p0749","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210121739"]}],"countries":["BR","FR"],"is_corresponding":false,"raw_author_name":"Lina Williatte","raw_affiliation_strings":["Catholic University Law School, Lille, France","Delegation for Digital Health, Ministry of Health, Paris, France"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Catholic University Law School, Lille, France","institution_ids":["https://openalex.org/I181827316"]},{"raw_affiliation_string":"Delegation for Digital Health, Ministry of Health, Paris, France","institution_ids":["https://openalex.org/I4210121739"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007298016","display_name":"Elsa Godart","orcid":"https://orcid.org/0000-0002-1293-8616"},"institutions":[{"id":"https://openalex.org/I1294671590","display_name":"Centre National de la Recherche Scientifique","ror":"https://ror.org/02feahw73","country_code":"FR","type":"government","lineage":["https://openalex.org/I1294671590"]},{"id":"https://openalex.org/I90669466","display_name":"\u00c9cole des hautes \u00e9tudes en sciences sociales","ror":"https://ror.org/02d9dg697","country_code":"FR","type":"facility","lineage":["https://openalex.org/I90669466"]}],"countries":["FR"],"is_corresponding":false,"raw_author_name":"Elsa Godart","raw_affiliation_strings":["Political Anthropology Laboratory, UMR 8177, CNRS-EHESS, Rennes, France"],"raw_orcid":"https://orcid.org/0000-0002-1293-8616","affiliations":[{"raw_affiliation_string":"Political Anthropology Laboratory, UMR 8177, CNRS-EHESS, Rennes, France","institution_ids":["https://openalex.org/I1294671590","https://openalex.org/I90669466"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043301871","display_name":"Brigitte S\u00e9roussi","orcid":"https://orcid.org/0000-0002-7676-2832"},"institutions":[{"id":"https://openalex.org/I154526488","display_name":"Inserm","ror":"https://ror.org/02vjkv261","country_code":"FR","type":"government","lineage":["https://openalex.org/I154526488"]},{"id":"https://openalex.org/I39804081","display_name":"Sorbonne Universit\u00e9","ror":"https://ror.org/02en5vm52","country_code":"FR","type":"education","lineage":["https://openalex.org/I39804081"]},{"id":"https://openalex.org/I4210091279","display_name":"Universit\u00e9 Sorbonne Paris Nord","ror":"https://ror.org/0199hds37","country_code":"FR","type":"education","lineage":["https://openalex.org/I4210091279"]},{"id":"https://openalex.org/I4210097159","display_name":"Assistance Publique \u2013 H\u00f4pitaux de Paris","ror":"https://ror.org/00pg5jh14","country_code":"FR","type":"healthcare","lineage":["https://openalex.org/I4210097159"]},{"id":"https://openalex.org/I4210121739","display_name":"Minist\u00e9rio da Sa\u00fade","ror":"https://ror.org/02y7p0749","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210121739"]},{"id":"https://openalex.org/I4210166768","display_name":"H\u00f4pital Tenon","ror":"https://ror.org/05h5v3c50","country_code":"FR","type":"healthcare","lineage":["https://openalex.org/I4210166768"]},{"id":"https://openalex.org/I4389425324","display_name":"Laboratoire d'Informatique M\u00e9dicale et d'Ing\u00e9nierie des Connaissances en e-Sant\u00e9","ror":"https://ror.org/01jr1v359","country_code":null,"type":"facility","lineage":["https://openalex.org/I154526488","https://openalex.org/I39804081","https://openalex.org/I4210091279","https://openalex.org/I4389425324"]}],"countries":["BR","FR"],"is_corresponding":false,"raw_author_name":"Brigitte Seroussi","raw_affiliation_strings":["Delegation for Digital Health, Ministry of Health, Paris, France","Sorbonne Universit\u00e9, AP-HP, Tenon Hospital, Public Health Department, INSERM, Universit\u00e9 Sorbonne Paris Nord, Limics, Paris, France"],"raw_orcid":"https://orcid.org/0000-0002-7676-2832","affiliations":[{"raw_affiliation_string":"Delegation for Digital Health, Ministry of Health, Paris, France","institution_ids":["https://openalex.org/I4210121739"]},{"raw_affiliation_string":"Sorbonne Universit\u00e9, AP-HP, Tenon Hospital, Public Health Department, INSERM, Universit\u00e9 Sorbonne Paris Nord, Limics, Paris, France","institution_ids":["https://openalex.org/I154526488","https://openalex.org/I39804081","https://openalex.org/I4210091279","https://openalex.org/I4210097159","https://openalex.org/I4210166768","https://openalex.org/I4389425324"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":11,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.33094099,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"329","issue":null,"first_page":"1347","last_page":"1351"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10883","display_name":"Ethics and Social Impacts of AI","score":0.660099983215332,"subfield":{"id":"https://openalex.org/subfields/3311","display_name":"Safety Research"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10883","display_name":"Ethics and Social Impacts of AI","score":0.660099983215332,"subfield":{"id":"https://openalex.org/subfields/3311","display_name":"Safety Research"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.6450999975204468,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5795714259147644},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.36752408742904663},{"id":"https://openalex.org/keywords/engineering-ethics","display_name":"Engineering ethics","score":0.35880908370018005},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.1609055995941162}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5795714259147644},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.36752408742904663},{"id":"https://openalex.org/C55587333","wikidata":"https://www.wikidata.org/wiki/Q1133029","display_name":"Engineering ethics","level":1,"score":0.35880908370018005},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.1609055995941162}],"mesh":[{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003219","descriptor_name":"Confidentiality","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D003219","descriptor_name":"Confidentiality","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D005602","descriptor_name":"France","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005602","descriptor_name":"France","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016494","descriptor_name":"Computer Security","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D016494","descriptor_name":"Computer Security","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.3233/shti251058","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251058","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:40776076","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40776076","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:HAL:hal-05358161v1","is_oa":false,"landing_page_url":"https://hal.science/hal-05358161","pdf_url":null,"source":{"id":"https://openalex.org/S4306402512","display_name":"HAL (Le Centre pour la Communication Scientifique Directe)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1294671590","host_organization_name":"Centre National de la Recherche Scientifique","host_organization_lineage":["https://openalex.org/I1294671590"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Studies in Health Technology and Informatics, 2025, Studies in Health Technology and Informatics, &#x27E8;10.3233/SHTI251058&#x27E9;","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:HAL:hal-05447434v1","is_oa":false,"landing_page_url":"https://hal.science/hal-05447434","pdf_url":null,"source":{"id":"https://openalex.org/S4306402512","display_name":"HAL (Le Centre pour la Communication Scientifique Directe)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1294671590","host_organization_name":"Centre National de la Recherche Scientifique","host_organization_lineage":["https://openalex.org/I1294671590"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Studies in Health Technology and Informatics, 2025, Studies in Health Technology and Informatics, &#x27E8;10.3233/SHTI251058&#x27E9;","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.3233/shti251058","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251058","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W2390279801","https://openalex.org/W4391913857","https://openalex.org/W2358668433","https://openalex.org/W4396701345","https://openalex.org/W2376932109","https://openalex.org/W2001405890","https://openalex.org/W4396696052"],"abstract_inverted_index":{"Digital":[0,51,61],"health":[1,103,121,157],"is":[2,152],"transforming":[3],"healthcare":[4],"by":[5],"enhancing":[6],"accessibility,":[7,68],"efficiency,":[8],"and":[9,20,27,40,72,126,139,146,161],"personalized":[10],"care.":[11,30],"It":[12],"facilitates":[13],"telemedicine,":[14],"provides":[15],"clinicians":[16],"with":[17,111,158],"data-driven":[18],"insights,":[19],"streamlines":[21],"administrative":[22],"processes":[23],"to":[24,96,120,154],"reduce":[25],"costs":[26],"improve":[28,162],"patient":[29,163],"However,":[31],"challenges":[32],"persist,":[33],"including":[34],"privacy":[35],"concerns,":[36],"data":[37,137],"security":[38],"issues,":[39],"the":[41,85,88],"risk":[42],"of":[43,124],"exacerbating":[44],"inequalities.":[45],"To":[46],"address":[47],"these":[48],"challenges,":[49],"France's":[50],"Health":[52,62],"Delegation":[53],"(DNS)":[54],"developed":[55],"a":[56],"Framework":[57],"for":[58],"Ethics":[59],"in":[60,91],"(CENS),":[63],"emphasizing":[64],"principles":[65],"such":[66,135],"as":[67,136],"transparency,":[69,125,144],"trustworthy":[70],"AI,":[71],"sustainability.":[73],"Despite":[74],"this":[75],"initiative,":[76],"achieving":[77],"consistent":[78],"ethical":[79,98,159],"compliance":[80],"remains":[81],"difficult.":[82],"In":[83],"response,":[84],"DNS":[86],"launched":[87],"Ethicovigilance":[89],"platform":[90],"late":[92],"2023,":[93],"enabling":[94],"users":[95],"report":[97],"concerns":[99],"when":[100],"using":[101],"digital":[102,156],"solutions.":[104],"By":[105],"2024,":[106],"27":[107],"reports":[108],"were":[109],"collected,":[110],"11":[112],"fully":[113],"investigated.":[114],"Key":[115],"issues":[116],"included":[117],"unauthorized":[118],"access":[119],"data,":[122],"lack":[123],"insufficient":[127],"user":[128],"autonomy.":[129],"These":[130],"cases":[131],"highlight":[132],"systemic":[133],"vulnerabilities,":[134],"misuse":[138],"inequitable":[140],"access.":[141],"Promoting":[142],"trust,":[143],"inclusivity,":[145],"accountability,":[147],"alongside":[148],"clear":[149],"stakeholder":[150],"responsibilities,":[151],"essential":[153],"align":[155],"standards":[160],"outcomes.":[164]},"counts_by_year":[],"updated_date":"2026-07-22T07:51:19.307946","created_date":"2025-10-10T00:00:00"}
