Summary: | 碩士 === 國立陽明大學 === 科技與社會研究所 === 104 === The number of mobile medical applications (medical App) has increased recently. Some governments passed the regulation of medical App and encouraged developing medical Apps’ businesses in their countries. For example, FDA passed the guidance of mobile medical apps. The research of medical App also has increased in medical journals.
This study focused on a kind of psychotherapy App, and used the field study methodology. The author was hired as a research assistant in a psychiatry hospital in Taiwan, and she researched the process of scientific knowledge’s production in a medical App (D-App) which was used to treat depression. D-App was designed by a Taiwan psychiatrist (Dr. H) who got master’s degree in American. Dr. H used the therapy of mindfulness to design D-App.
Doctors’ recommendation and persistently tracking by medical professional staffs played an important role on collection of patient’s behavior data. The intervention of mindfulness via D-App faced some dilemmas. For example, some depressive patients had serious suicide ideals. If they committed suicide in the project of D-App, Dr. H will be responsible. It is important that a user’s regulation be designed to relieve the Doctor’s responsibility.
There are three stages in the experiment of D-App. D-App emphasized different treatments in the three stages. Those treatments in three stages are relating to the training background of Dr. H. The treatments corresponded to different research projects in three stages, and gradually change from psychotherapy model to biomedical model. In addition, the knowledge of mindfulness was non-religious via three stages.
Final, this study compared the government policies of mobile health in Taiwan and American. The government of Taiwan preferred the “open data” policy and encouraged medical App’s industries. However, open data policy leaded to some moral concerns about privacy leaking.
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