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Regulating Healthcare Robots: Maximizing Opportunities While Minimizing Risks

机译:调节医疗机器人:最大程度地抓住机会,同时最大程度地降低风险

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摘要

Demand for healthcare robots will likely increase in the coming years due to their effectiveness and efficiency, an aging population, the rising cost of healthcare, and the trend within the industry toward personalized medicine. This paper focuses on the issues of patient and user safety, security, and privacy as they relate to healthcare robotics, and specifically the effect of medical device regulation and data protection laws on robots in healthcare.First, it examines the demand for robots in healthcare and assess the benefits that robots can provide. Second, it looks at the types of robots currently being used in healthcare, anticipates future innovation, and identifies the key characteristics of these robots that will present regulatory issues. Third, it examines the current regulatory framework within which these robots will operate, focusing on medical device regulation and data protection laws. Because we are likely to see health-related robots appearing in both conventional healthcare and consumer spaces, there will be regulatory disruption and the opportunity for regulatory arbitrage. This paper argues that the regulation of both must change.In order to maximize robots’ potential and minimize risks to users, regulation will need to move towards some form of premarket review of robot “safety.” Such review, likely by the Food and Drug Administration (FDA), should include broad considerations of potential harms, including security. In the data protection sphere, existing sector-based limitations that lead to gaps between, for example, Federal Trade Commission and Department of Health and Human Services’ Office for Civil Rights oversight, should be eliminated so that both patient and consumer privacy and security interests can be better protected. A foundational regulatory framework for both medical devices and consumers that is attuned to safety, security, and privacy will help foster innovation and confidence in robotics and ensure that we maximize robotic potential in healthcare.
机译:由于其有效性和效率,人口老龄化,医疗保健成本上升以及行业内对个性化医疗的趋势,未来几年对医疗保健机器人的需求可能会增加。本文着重探讨与医疗机器人相关的患者和用户安全,保障和隐私问题,特别是医疗器械法规和数据保护法律对医疗机器人的影响。首先,研究医疗机器人的需求并评估机器人可以提供的好处。其次,它研究了当前在医疗保健中使用的机器人的类型,预测了未来的创新,并确定了将出现监管问题的这些机器人的关键特性。第三,本文研究了这些机器人将在其中运行的当前监管框架,重点关注医疗设备监管和数据保护法律。由于我们很可能会看到与健康相关的机器人同时出现在传统的医疗保健和消费者领域,因此将会出现监管混乱和监管套利的机会。本文认为,两者的监管都必须改变。为了最大程度地发挥机器人的潜力并最大程度地降低对用户的风险,监管需要朝着某种形式的对机器人“安全性”进行上市前审查。食品药品管理局(FDA)可能进行的此类审查应包括对潜在危害(包括安全性)的广泛考虑。在数据保护领域,应消除现有的基于部门的局限性,这些局限性会导致联邦贸易委员会与卫生与公共服务部的民权监督办公室之间出现差距,从而使患者和消费者的隐私权和安全利益可以得到更好的保护。针对安全性,安全性和隐私性而针对医疗设备和消费者制定的基本监管框架将有助于促进对机器人技术的创新和信心,并确保我们最大程度地发挥机器人在医疗保健领域的潜力。

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