Ethical and legal challenges for health telematics in a global world: Telehealth and the technological imperative

Ethical and legal challenges for health telematics in a global world: Telehealth and the technological imperative
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DOI:
10.1016/j.ijmedinf.2010.10.002
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发表时间:
2011-02-01
影响因子:
4.9
通讯作者:
Kluge, Eike-Henner W.
Kluge, Eike-Henner W.
中科院分区:
医学2区
文献类型:
--
作者:
Kluge, Eike-Henner W.

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远程保健是信通技术在保健方面的最新应用之一。它承诺既具有成本效益又有效率。然而,存在着一种危险,即主要侧重于务实的考虑会忽视具有法律的影响的基本道德问题,这可能会破坏其成功。这里涉及的是,除其他外,在医疗保健专业人员的性质的变化,病人的关系和知情同意,等健康信息专业人员以及硬件和软件供应商的位置也受到影响。另一个复杂的因素是外包。本文件确定了相关问题,并概述了其中的一些影响。(c)2010爱思唯尔爱尔兰有限公司版权所有。
Telehealth is one of the more recent applications of ICT to health care. It promises to be both cost-effective and efficient. However, there lies a danger that focusing mainly on pragmatic considerations will ignore fundamental ethical issues with legal implications that could undermine its success. Implicated here are, among others, changes in the nature of the health care professional patient relationship and informed consent, etc. The position of health informatics professionals as well as hard- and software providers is also affected. A further complicating factor is outsourcing. This paper identifies relevant issues and outlines some of their implications. (c) 2010 Elsevier Ireland Ltd. All rights reserved.