It is almost universally accepted that traditional provider-patient relationships should be governed, at least in part, by the ethical principles set forth by Beauchamp and Childress (Beauchamp and Childress, Principles of biomedical ethics, 1979). These principles include autonomy, beneficence, non-maleficence and justice (Beauchamp and Childress, Principles of biomedical ethics, 1979). Recently, however, the nature of medial practice has changed. The pervasive presence of computer technology in medicine raises interesting ethical questions. In this paper we argue that some software designers should be considered health care providers and thus be subject the ethical principles incumbent upon "traditional" providers. We argue that these ethical responsibilities should be applied explicitly rather than as a passive, implicit, set of guidelines.

中文翻译：

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幕后的向导：程序员作为提供者。

传统上的医患关系应至少部分地由Beauchamp和Childress提出的伦理原则（Beauchamp and Childress，生物医学伦理学原理，1979年）来支配，这已被普遍接受。这些原则包括自治，慈善，非恶意和正义（Beauchamp和Childress，《生物医学伦理学原理》，1979年）。然而，最近，中间实践的性质已经改变。计算机技术在医学中的普遍存在提出了有趣的伦理学问题。在本文中，我们认为某些软件设计人员应被视为医疗保健提供者，因此应服从“传统”提供者应遵循的道德原则。我们认为，这些道德责任应明确地应用，而不是被动地，隐含地，