Mobile health apps and wearable devices are widely available. They provide an opportunity to monitor and track health metrics continuously, and in real time, thus enabling diagnosis and chronic condition management to take place outside a hospital setting. The digital data produced can be shared with healthcare providers, researchers, and on social media. In this paper, we explore some of the legal and ethical challenges for doctors of these emerging technologies, by focusing on the example of management of childhood diabetes using continuous glucose monitors and insulin pumps. We identify and explicate these challenges through an analysis of three different case scenarios, all hypothetical but all realistic and reflective of current experiences of doctors caring for children with Type I Diabetes. We argue that current legal and ethical approaches can effectively be applied in determining duties of healthcare professionals using emerging technologies, whilst recognising the significant change in the nature of the doctor-patient relationship and the perception of therapeutic benefit of some technologies.

中文翻译：

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在儿科医疗中使用新兴技术引起的法律和道德问题

移动健康应用程序和可穿戴设备广泛可用。它们提供了连续，实时地监视和跟踪健康指标的机会，从而使诊断和慢性病管理能够在医院环境之外进行。产生的数字数据可以与医疗保健提供者，研究人员以及社交媒体共享。在本文中，我们将重点介绍使用连续血糖监测仪和胰岛素泵管理儿童糖尿病的实例，从而探讨这些新兴技术的医生在法律和道德上面临的挑战。我们通过对三种不同情况的分析来识别并阐明这些挑战，所有这些情况都是假设的，但都是现实的，反映了医生照顾I型糖尿病儿童的当前经验。