Application of Ethics for Providing Telemedicine Services and Information Technology.
Application of Ethics for Providing Telemedicine Services and Information Technology.
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DOI：
10.5455/medarh.2017.71.351-355
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发表时间：
2017-10
期刊：
影响因子：
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通讯作者：
Aliabadi A
中科院分区：
文献类型：
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作者：
Langarizadeh M;Moghbeli F;Aliabadi A
先进技术增加了远程医疗和信息技术 (IT) 在疾病治疗或康复中的使用。技术使用的增加增加了所涉及的道德问题的重要性。为了保持患者信息的机密性和安全性、控制大量治疗师的低效率以及提高医疗服务质量，需要充分关注远程医疗提供中的道德问题。本次审查的目标是收集迄今为止 5 年（2012-2017 年）发表的所有文章，以检测提供远程医疗服务和信息技术的道德问题。这次的原因是这些年来远程医疗和技术的进步。本文对于临床实践和世界都很重要，因为了解远程医疗和技术中的伦理问题始终是医生和医疗服务提供者的重要因素。本研究所需的数据来自已发表的电子资源以及 PubMed、Scopus 和 Science Direct 等数据库中发表的可信学术文章。分离和组合搜索了以下关键词：远程医疗、远程医疗、远程医疗中的伦理问题。共找到503篇文章。排除重复项（n=93）后，根据纳入标准对410篇文章的标题和摘要进行略读。最后剩下64篇文章。对它们进行了全文审查，排除了 36 篇文章。最终，我们选择了 28 篇符合我们的资格标准的文章纳入本研究。道德在 IT 和远程医疗尤其是互联网中具有重要意义，因为提供了更多获取信息的机会。然而，它也伴随着对患者个人信息的威胁。因此，建议调查技术伦理，为治疗师提供标准和指南。由于技术的进步，获取信息变得比过去更简单。这促使黑客抓住了机会。本研究表明，远程医疗的伦理问题可以从技术、医患关系、数据保密与安全、知情同意、患者及家属对远程医疗服务的满意度等多个方面进行考察。遵循远程医疗中的道德问题是高质量服务的一个主要方面。换句话说，如果治疗师遵守道德规则，他们就能为患者提供更好的服务。关注远程医疗中的道德问题可以保证更安全地使用服务。
Advanced technology has increased the use of telemedicine and Information Technology (IT) in treating or rehabilitating diseases. An increased use of technology increases the importance of the ethical issues involved. The need for keeping patients’ information confidential and secure, controlling a number of therapists’ inefficiency as well as raising the quality of healthcare services necessitates adequate heed to ethical issues in telemedicine provision. The goal of this review is gathering all articles that are published through 5 years until now (2012-2017) for detecting ethical issues for providing telemedicine services and Information technology. The reason of this time is improvement of telemedicine and technology through these years. This article is important for clinical practice and also to world, because of knowing ethical issues in telemedicine and technology are always important factors for physician and health providers. the required data in this research were derived from published electronic sources and credible academic articles published in such databases as PubMed, Scopus and Science Direct. The following key words were searched for in separation and combination: tele-health, telemedicine, ethical issues in telemedicine. A total of 503 articles were found. After excluding the duplicates (n= 93), the titles and abstracts of 410 articles were skimmed according to the inclusion criteria. Finally, 64 articles remained. They were reviewed in full text and 36 articles were excluded. At the end, 28 articles were chosen which met our eligibility criteria and were included in this study. Ethics has been of a great significance in IT and telemedicine especially the Internet since there are more chances provided for accessing information. It is, however, accompanied by a threat to patients’ personal information. Therefore, suggestions are made to investigate ethics in technology, to offer standards and guidelines to therapists. Due to the advancement in technology, access to information has become simpler than the past. This has prompted hackers to seize the opportunity. This research shows that the ethical issues in telemedicine can be investigated from several aspects like technology, doctor-patient relationship, data confidentiality and security, informed consent, patient’s and family’s satisfaction with telemedicine services. Following ethical issues in telemedicine is a primary aspect of high quality services. In other words, if therapists abide by ethical rules, they can provide better services for patients. Attention to ethical issues in telemedicine guarantees a safer use of the services.