Application of Ethics for Providing Telemedicine Services and Information Technology

Langarizadeh, Mostafa; Moghbeli, Fatemeh; Aliabadi, Ali

doi:10.5455/medarh.2017.71.351-355

Cited by 99 publications

(74 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…E-health can help patients with 'white coat syndrome'. Email communication and interactive video medical visits that could be used to change the typical communication process and potentially reduce anxiety [21]. However, doctors globally are concerned about the lack of protection of the privacy of patient information in this way.…”

Section: Discussionmentioning

confidence: 99%

“…However, doctors globally are concerned about the lack of protection of the privacy of patient information in this way. Capturing patient records by unauthorized persons may jeopardize the principle of the protection of private information of patients and may be able to misuse [21]. A nation-wide study showed e-health as a means to combat communicable diseases like tuberculosis [16].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge and Attitude Regarding Telemedicine Among Doctors in Karachi

Ashfaq

Memon

Zehra

et al. 2020

Cureus

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Knowledge and Attitude Regarding Telemedicine Among Doctors in Karachi

Ashfaq

Memon

Zehra

et al. 2020

Cureus

View full text Add to dashboard Cite

“…The Information Technology (IT) has deeply affected various occupations and social applications. Such kind of technology has occasioned the quality improvement and decreased the administrative costs of different occupations, hence in the health care section [1,2]. Utilizing the IT in the health care system, especially in the hospitals imbeds several potentials in improving of service quality and personnel efficiency, and decreasing the organizational costs.…”

Section: Introductionmentioning

confidence: 99%

Modeling the Acceptance of Hospital Information Systems among Nurses: An Extended Technology Acceptance Model

et al. 2018

Self Cite

View full text Add to dashboard Cite

Introduction: The perceived usefulness and perceived ease of use have been considered as the main factors affecting the acceptance of the new technologies since last few decades. However, it appears that these only two factors cannot describe the users’ behavior in the environments like the Hospital Information System. From the technology acceptance standpoint at the individual acceptance level, the present paper tends to develop a Technology Acceptance Model with introducing some external factors.Material and Methods: This study was conducted in 2017. The research population was included 185 nurses who works in Health Information Management (HIM) departments of Tehran University of Medical Sciences. A questionnaire was developed in order to gather the required data. The validity was obtained by panel of experts and the reliability was examined and then confirmed in a 50 person sample using the Cronbach’s Alpha (a=0.93). The Likert’s five item scale was applied. The data were analyzed using descriptive statistics, exploratory factor analysis, and path analysis.Results: The behavioral intention was affected significantly and positively by the factors of perceived usefulness, perceived ease of use, self-efficacy, end user support, social norm, trust, job relevance, and training, with trust having the highest level of effects. Also perceived ease of use had a significant effect on perceived usefulness along with an indirect effect on behavioral intention through perceived usefulness. The factors of anxiety, voluntariness, and facilitating conditions showed no significant effects on behavioral intention.Conclusion: The factors of trust, perceived usefulness, social norm, end user support, and self-efficacy have an impact on the behavioral intention of the users utilizing the Hospital Information System in the concerning hospitals. These factors could explain 72% of the changes of behavioral intention. Concentrating on them would lead to the improvement of the acceptance and Hospital Information System efficiency.

show abstract

“…With the recognition that society is beginning to accept telemedicine, certain ethical issues have been noted. [21] Ethical issues in telemedicine were first identified in the early 1980s. In 2006, the WHO assigned the American Society for Bioethics and Humanities the task of identifying ethical issues in telemedicine.…”

Section: Balancing Ethics and Innovationmentioning

confidence: 99%

“…Their goal was to improve the quality of healthcare through the identification, analysis and resolution of certain ethical questions, and to promote practices consistent with ethical norms and standards, by advising institutional efforts in telemedicine policy development. [21][22][23] As the law often lags behind technological development, an enhancement and realignment of normative frameworks may be required to address certain ethical gaps. [3] The question is how, and to what extent, we identify the boundaries between viable solutions and futility that may be blurred by technology?…”

Section: Balancing Ethics and Innovationmentioning

confidence: 99%

The development of ethical guidelines for telemedicine in South Africa

2019

View full text Add to dashboard Cite

While telemedicine holds enormous promise for the provision of remote healthcare, it is not without its challenges. Recently, there has been a shift in the way in which healthcare is being practised globally. These new models of healthcare service provision ideally involve patients, doctors and machines working together, with few constraints imposed by geography, or national or institutional boundaries. The World Health Organization (WHO) defines eHealth simply as 'the use of information and communication technologies [ICT] for health'; [1] telemedicine, as a subset of eHealth, is the practice and delivery of healthcare over a distance using ICT. [2] The focus of this article is telemedicine. However, the term eHealth will be applied when speaking of the use of ICT in healthcare generally, and telehealth where this term is applied by others, or when a slightly more generic perspective (one that includes telemedicine) is required. Although largely beneficial, there is growing reflection on the legal and ethical challenges and complexities posed by these newly unfolding eHealth measures. [3,4] There is a need for guidance with regard to the eHealth landscape in South Africa (SA). It is understood that the emergence of telemedicine has created various legal and ethical dilemmas. [5,6] The broad ethical challenges are identified as: the changing nature of the traditional doctor-patient relationship; standards of care; quality of care; privacy; confidentiality; data protection; accountability; liability; consent; record-keeping; data storage; and authentication. While various legal, regulatory, and governance measures offer potential solutions and remedies for rights protection, the furtherance of ethical direction may be achieved through statutory bodies set up to promote and foster ethical compliance with normative healthcare standards. In SA, the Health Professions Council (HPCSA) spent several years developing the 'General ethical guidelines for good practice in telemedicine' (the HPCSA telemedicine guidelines), [7] a process which they found difficult. [8] Advances in technology and telemedicine have rendered several aspects of these guidelines, which focus largely on videoconference-based telemedicine, inappropriate. The guidelines are largely based on the World Medical Association (WMA)'s 2007 'Statement on the ethics of telemedicine' , which was rescinded in 2009, and replaced with a far more pragmatic statement on 'Guiding principles for the use of telehealth for the provision of healthcare' , which took recent advances in the field into account. [9] The field has since advanced further, with the growing use of mobile phones for telemedicine. The current shortcomings of the HPCSA guidelines need to be addressed if telemedicine is to meet the government's desire for telemedicine to improve both access to and quality of care for those in rural areas. This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

show abstract

Application of Ethics for Providing Telemedicine Services and Information Technology

Cited by 99 publications

References 40 publications

Knowledge and Attitude Regarding Telemedicine Among Doctors in Karachi

Knowledge and Attitude Regarding Telemedicine Among Doctors in Karachi

Modeling the Acceptance of Hospital Information Systems among Nurses: An Extended Technology Acceptance Model

The development of ethical guidelines for telemedicine in South Africa

Contact Info

Product

Resources

About