Tıbbi Sosyal Hizmette Dijitalleşme: Erişim Eşitliği, Etik ve Hasta Hakları

Öz

Bu çalışma, tıbbi sosyal hizmette dijitalleşmenin sunduğu fırsatlar ve beraberinde getirdiği etik ve yapısal riskleri eleştirel bir bakış açısıyla incelemektedir. Anlatımsal derleme yöntemiyle PubMed, Web of Science, Scopus, DergiPark ve Google Scholar veri tabanlarında 2020–2025 yılları arasında yayımlanmış akademik çalışmalar taranmış, dahil etme ölçütleri doğrultusunda tematik bir analiz yapılmıştır. Bulgular, e-danışmanlık, uzaktan vaka yönetimi, mobil sağlık uygulamaları ve yapay zekâ destekli sistemlerin erişim, verimlilik ve sürdürülebilirlik açısından önemli katkılar sunduğunu; ancak mahremiyet, veri güvenliği, bilgilendirilmiş onam ve dijital eşitsizlikler gibi alanlarda ciddi riskler barındırdığını göstermektedir. Ayrıca dijitalleşmenin sosyal hizmet uzmanı–danışan ilişkisinin niteliğini dönüştürdüğü ve mesleki etik ilkelerin yeniden yorumlanmasını zorunlu kıldığı saptanmıştır. Çalışma, kapsayıcı politika düzenlemeleri, eğitim reformu ve disiplinler arası iş birliği olmadan dijitalleşmenin sosyal hizmetin insan merkezli yapısıyla uyumlu biçimde ilerlemesinin güç olduğuna işaret etmektedir.

Anahtar Kelimeler

• Tıbbi Sosyal Hizmet
• Dijitalleşme
• Etik
• Mahremiyet
• Erişim Eşitliği
• Dijital Okuryazarlık

Digitalization in Medical Social Work: Access Equity, Ethics, and Patient Rights

Öz

This study critically examines the opportunities and the ethical and structural risks brought by digitalization in medical social work. Using a narrative review methodology, a comprehensive search was conducted across PubMed, Web of Science, Scopus, DergiPark, and Google Scholar for academic studies published between 2020 and 2025. Eligible sources were thematically analyzed to synthesize conceptual and practical insights. The findings indicate that e-consultations, remote case management, mobile health applications, and AI-enabled systems significantly enhance accessibility, efficiency, and sustainability. However, they also pose substantial risks in terms of privacy, data security, informed consent, and digital inequality. The analysis further reveals that digitalization transforms the quality of the social worker–client relationship, necessitating a reinterpretation of professional ethics. The study highlights that without inclusive policy frameworks, educational reforms, and interdisciplinary collaboration, aligning digitalization with the human-centered values of social work remains a major challenge.

Anahtar Kelimeler

• Medical Social Work
• Digitalization
• Ethics
• Privacy
• Access Equity
• Digital Literacy

Kaynakça

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