The Ethical and Social Dimensions of Home-Based Telemedicine

Bauer, Keith

doi:10.1615/critrevbiomedeng.v28.i34.330

Cited by 16 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given that many processes of teleconsultation are patient specific and unique, the legal principles applying to conventional, face-to-face, doctor–patient relationships may be equally as valid in the context of the practice of medicine at a distance. 58 , 59 Important system precautions need to be used by e-health users: 60 , 61 …”

Section: Introductionmentioning

confidence: 99%

How will telemedicine change clinical practice in chronic obstructive pulmonary disease?

Vitacca

Montini

Comini

2018

Ther Adv Respir Dis

View full text Add to dashboard Cite

Within telehealth there are a number of domains relevant to pulmonary care: telemonitoring, teleassistance, telerehabilitation, teleconsultation and second opinion calls. In the last decade, several studies focusing on the effects of various telemanagement programs for patients with chronic obstructive pulmonary disease (COPD) have been published but with contradictory findings. From the literature, the best telemonitoring outcomes come from programs dedicated to aged and very sick patients, frequent exacerbators with multimorbidity and limited community support; programs using third-generation telemonitoring systems providing constant analytical and decisionmaking support (24 h/day, 7 days/week); countries where strong community links are not available; and zones where telemonitoring and rehabilitation can be delivered directly to the patient’s location. In the near future, it is expected that telemedicine will produce changes in work practices, cultural attitudes and organization, which will affect all professional figures involved in the provision of care. The key to optimizing the use of telemonitoring is to correctly identify who the ideal candidates are, at what time they need it, and for how long. The time course of disease progression varies from patient to patient; hence identifying for each patient a ‘correct window’ for initiating telemonitoring could be the correct solution.In conclusion, as clinicians, we need to identify the specific challenges we face in delivering care, and implement flexible systems that can be customized to individual patients’ requirements and adapted to our diverse healthcare contexts.

show abstract

Section: Introductionmentioning

confidence: 99%

How will telemedicine change clinical practice in chronic obstructive pulmonary disease?

Vitacca

Montini

Comini

2018

Ther Adv Respir Dis

View full text Add to dashboard Cite

show abstract

“…Despite many processes of tele-consultation are unique, the legal principles applying to conventional, face-to-face, doctor-patient relationships may be equally as valid in the context of the practice of medicine at a distance [51,52]. In tele-medicine, three roles can be held legally liable for the delivered performance [52]:…”

Section: Legal Issuesmentioning

confidence: 99%

“…The relationship between the person using the service (especially when he/she is the patient) and other stakeholders, must be governed by "informed consent". This preliminary action allows the patient to be adequately informed about the characteristics of the service, the potential risks, the precautions to reduce them and to ensure the confidentiality of the information [51]. 2) The person who receives data.…”

Section: Legal Issuesmentioning

confidence: 99%

See 2 more Smart Citations

Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement

Ambrosino¹,

et al. 2016

View full text Add to dashboard Cite

The estimated prevalence of ventilator-dependent individuals in Europe is 6.6 per 100 000 people. The increasing number and costs of these complex patients make present health organisations largely insufficient to face their needs. As a consequence, their burden lays mostly over families. The need to reduce healthcare costs and to increase safety has prompted the development of tele-monitoring for home ventilatory assistance.

show abstract

Telehealth in Pulmonary Rehabilitation

Vitacca

Holland

2017

Textbook of Pulmonary Rehabilitation

View full text Add to dashboard Cite

The Ethical and Social Dimensions of Home-Based Telemedicine

Cited by 16 publications

References 0 publications

How will telemedicine change clinical practice in chronic obstructive pulmonary disease?

How will telemedicine change clinical practice in chronic obstructive pulmonary disease?

Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement

Telehealth in Pulmonary Rehabilitation

Contact Info

Product

Resources

About