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Ethical dimensions in telemedicine – balancing technology, responsible care, and patient protection


Authors: Anetta Jedličková
Authors‘ workplace: Katedra filosofie FHS UK v Praze
Published in: Čas. Lék. čes. 2024; 163: 106-114
Category: Review Article

Overview

Telemedicine, defined as the practice of delivering healthcare services remotely using information and communications technologies, raises a plethora of ethical considerations. As telemedicine evolves, its ethical dimensions play an increasingly pivotal role in balancing the benefits of advanced technologies, ensuring responsible healthcare practices within telemedicine environments, and safeguarding patient rights. Healthcare providers, patients, policymakers, and technology developers involved in telemedicine encounter numerous ethical challenges that need to be addressed.

Key ethical topics include prioritizing the protection of patient rights and privacy, which entails ensuring equitable access to remote healthcare services and maintaining the doctor-patient relationship in virtual settings. Additional areas of focus encompass data security concerns and the quality of healthcare delivery, underscoring the importance of upholding ethical standards in the digital realm. A critical examination of these ethical dimensions highlights the necessity of establishing binding ethical guidelines and legal regulations. These measures could assist stakeholders in formulating effective strategies and methodologies to navigate the complex telemedicine landscape, ensuring adherence to the highest ethical standards and promoting patient welfare. A balanced approach to telemedicine ethics should integrate the benefits of telemedicine with proactive measures to address emerging ethical challenges and should be grounded in a well-prepared and respected ethical framework.

Keywords:

data security, ethical aspects, ethical guidelines, patient privacy, patient welfare, regulations in telemedicine, telemedicine


Sources
  1. Návrh nařízení Evropského parlamentu a Rady o Evropském prostoru pro zdravotní data. Evropská komise, 2022. Dostupné na: https://eur-lex.europa.eu/resource.html?uri=cellar:dbfd8974-cb79-11ec-b6f4-01aa75ed71a1.0012.02/DOC_1&format=PDF
  2. Beauchamp TL, Childress JF. Principles of Biomedical Ethics (8th ed.). Oxford University Press, 2019.
  3. Nařízení Evropského parlamentu a Rady (EU) 2016/679 ze dne 27. dubna 2016 o ochraně fyzických osob v souvislosti se zpracováním osobních údajů a o volném pohybu těchto údajů a o zrušení směrnice 95/46/ES (obecné nařízení o ochraně osobních údajů). Dostupné na: https://eur-lex.europa.eu/legal-content/CS/TXT/PDF/?uri=CELEX:32016R0679
  4. Summary of the HIPAA Privacy Rule. Office for Civil Rights (OCR), U.S. Department of Health and Human Services, 2022. Dostupné na: www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html
  5. Commission welcomes political agreement on European Health Data Space. European Commission, 2024. Dostupné na: https://ec.europa.eu/commission/presscorner/detail/en/ip_24_1346 
  6. Polanská H, Bartoš A. Telemedicínské vyšetření kognitivními testy ALBA, POBAV a ACE-III. Cesk Slov Neurol N 2022; 85: 296–305.
  7. Bulková V, Pindor J, Plešinger F et al. Využití telemedicíny v arytmologii. Vnitř Lék 2022; 68: 160–165.
  8. Distanční terapie, telerehabilitace. Rehabilitační ústav Kladruby, 2024. Dostupné na: www.rehabilitace.cz/pro-pacienty/distancni-terapie-telerehabilitace
  9. Greenwood H, Krzyzaniak N, Peiris R et al. Telehealth versus face-to-face psychotherapy for less common mental health conditions: systematic review and meta-analysis of randomized controlled trials. JMIR Ment Health 2022; 9: e31780.
  10. Lhotská L. Umělá inteligence v medicíně a zdravotnictví: Příležitost a/nebo hrozba? Čas Lék Čes 2023; 162: 275–278.
  11. Dubanská B. Právní rámec telemedicíny jako způsobu poskytování zdravotní péče. Čas Lék Čes 2021; 160: 280–281.
  12. Černý D. Etika telemedicíny. Čas Lék Čes 2021; 160: 282–286.
  13. High-Level Expert Group on Artificial Intelligence. Ethics guidelines for trustworthy AI. European Commision, 2019. Dostupné na: www.aepd.es/sites/default/files/2019-12/ai-ethics-guidelines.pdf

   

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