Paternalism, Autonomy and Ontology

Guidelines os the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019

“…Telemedicine should be practiced with security and for a period relevant to the clinical circumstance (expiration dates proportional to the legitimate interests involved). 32,33 An additional ethical aspect is that certain unavoidable perspectives of abuse of a technique should not adversely affect the beneficial use of the technique. Therefore, any ethical and legal considerations regarding the still young telemedicine, especially for application in a continental, multiethnic, and multicultural country like Brazil, cannot fail to recognize that it is difficult for a health care professional to define comprehensively and in depth his or her set of responsibilities, considering that the scope of telemedicine demands an A-to-Z range of intertwining requirements, decisions, and provisions regarding: a. involvement with fundamentals of current ethics, prudence, and zeal regarding complex issues like elderly care, comfort of vulnerable individuals, decrease in hospitalizations, and prompt guidance; b. impartial judgment about covering the patient's real needs and constraint of secondary gains and conflicts of interest, including the potential for political (mis)use and power; z. valuing the contribution of bioethics to the harmonization between classic, innovative, and novelty.…”