Against the background of the increasing importance of digitization in health care, the paper examines how medical practitioners who are involved in the development of digital health technologies legitimate and criticize the implementation and use of digital health technologies. Adopting an institutional logics perspective, the study is based on qualitative interviews with persons working at the interface of medicine and digital technologies development in Switzerland. The findings indicate that the developers believe that digital health technologies could harmonize current conflicts between an increasing economization of the health care system and professional–ethical demands. At the same time, however, they show that digital technologies can undermine the demand for medical autonomy, a central element of the medical ethos.

在医疗保健中数字化日益重要的背景下，本文探讨了参与数字医疗技术发展的医生如何合法化和批评数字医疗技术的实施和使用。该研究基于制度逻辑的观点，对在瑞士医学和数字技术发展领域工作的人员进行了定性访谈。调查结果表明，开发人员认为，数字医疗技术可以协调日益增长的医疗保健系统的经济节约与职业道德要求之间的当前冲突。但是，与此同时，它们表明，数字技术可以破坏对医疗自主性的需求，而医疗自主性是医疗精神的重要组成部分。