身联网技术赋能智慧医疗的伦理困境及其纾解之道

[中图分类号]R-052 [文献标志码]A [文章编号]1001-8565(2025)09-1164-07

DOI:10.12026/j.issn.1001-8565.2025.09.10

Ethical dilemmas and their solutions of Internet ofBodies technology empowering smart healthcare

ZHAOLijia,WANGYingbin

(School ofMarxism,HebeiNormal University,Shijiazhuang O5OO24,China)

Abstract: The Internet of Bodies(IoB） refers to an embodied technology that treats the physical body as a network interface and embeds technological objects into the human body，aiming to colect massive body data. As an emerging technology，the widespread application of IoB in the field of smart healthcare willbring both advantages and disadvantages. It poses ethical risks in terms of physicality，psychology，and sociability, primarily manifested in the uncertainty of technology that may harm patients’bodies，the easy restriction of patients’autonomy by external technologies，and issues of fairnessand equality caused by the technology gap. Faced with the realistic ethical dilemmas arising from IoB technology empowering smart healthcare，solutions were proposed across several levels.On the ethical mechanism level,an interdisciplinary and multi-field expert allance should be established to promote the optimization of ethical governance mechanisms.In terms of ethical governance methods，a governance strategy prioritizing“pre-control” should be adopted to front-load ethical risks.On thepracticalapplicationlevel，it was vital to clarify the reasonable application boundariesof technology in practiceand integrate ethical morality into technologyapplication behavior.Regarding social justice in technology resources，a dual approach of strengthening grasroots investment and educational guidance should be implemented to ensure ethical justice and accessibility in medical practice，thereby guiding the development of IoB technology to align with the fundamental principles of bioethics.

Keywords: Internet of Bodies；smart healthcare;medical health;ethical dilemma

1技术赋能：“身联网”及其应用现状

“身联网”指在物联网技术的基础上，“将大量互联设备和传感器固定在人体上，甚至植入并摄入人体，使人体转变为新的技术平台，以实现大量生物识别和人类健康行为数据的采集、医疗健康行业的变革与发展及精准健康管理的推进”1。（剩余11788字）