Ethical and Legal Aspects of Telepsychiatry

Raveesh, Bevinahalli Nanjegowda; Munoli, Ravindra N

doi:10.1177/0253717620962033

Cited by 8 publications

(2 citation statements)

References 13 publications

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“…As similar to artificial intelligence, telepsychiatry can use the general principles of ethics related to confidentiality, communication, consent, or data protection. Nevertheless, several challenges for ethical issues related to telepsychiatry still exist and include depersonalization of doctor–patient relationship, the need to develop cross-border legislations, the extent of data storage and recording, and the adaptation of consent to novel technologies [21]. Finally, the debate on violations of clinical practice will need to recognize the real-world utility of practice guidelines and determinants of the evidence-practice gap in psychiatry.…”

Section: Discussionmentioning

confidence: 99%

Ethical dilemmas in contemporary psychiatry: Findings from a survey of National Psychiatric Associations in Europe

Samochowiec,

Frydecka,

Skonieczna-Żydecka

et al. 2023

Eur. Psychiatr.

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Background The European Psychiatric Association (EPA) is an organization that speaks on behalf of its individual members and members of National Psychiatric Associations (NPAs). The aim of this study to identify and investigate current contents of ethical codes and practices in the countries belonging to EPA. Methods The study is an expert survey sent out to 44 representatives of 30 NPAs covering the following topics: the existence of national bodies dealing with ethical issues in psychiatry, the availability of documents relevant to ethical issues, the types of ethical issues addressed at the national level, and the current and envisaged ethical debates. Results Out of 44 experts invited to participate in the study, 31 NPAs from 30 countries responded (response rate 70.45%). In the majority of countries, the general mission statement serves as the main document covering ethical issues in psychiatry. Most frequently, internal documents were reported to address medical malpractice, workplace bullying, plagiarism, academic fraud, sexual abuse, and discrimination/racism. Furthermore, internal documents cover the ethical assessment of potentially controversial procedures, including psychosurgery, euthanasia, and pregnancy termination. The most important topics for debate at the level of NPAs/EPA were associated with violations of clinical practice standards and human rights. Conclusions NPAs are active in the field of professional ethics, defining ethical standards related to interactions among professionals and services provided by mental health care professionals. Future collaboration of NPAs, under the umbrella of the EPA, could allow to develop a database of local ethical documents that would be translated into English and accessible to all EPA members.

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Section: Discussionmentioning

confidence: 99%

Ethical dilemmas in contemporary psychiatry: Findings from a survey of National Psychiatric Associations in Europe

Samochowiec,

Frydecka,

Skonieczna-Żydecka

et al. 2023

Eur. Psychiatr.

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“…Because of this, these vulnerable sections of society are excluded from the benefits of mHealth interventions. Rural and remote areas have poor network coverage, depriving those most vulnerable of access to the mHealth intervention [11,13,48,63,73,78].…”

Section: Justice Issuesmentioning

confidence: 99%

Ethical issues in m-Health applications in community health work in India — a scoping review

Gopichandran¹,

Subramaniam²,

Thiagesan³

2023

IJME

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Background: Mobile phone-based interventions are being increasingly used in community health work in India. The extensive use of mobile phones in community health work is associated with several ethical issues. This review was conducted to identify the ethical issues related to mHealth applications in community health work in India. Methods: We performed a scoping review of literature in PubMed and Google Scholar using a search strategy that we developed. We included studies that mentioned ethical issues in mHealth applications that involved community health work and community health workers in India, published in peer reviewed English language journals between 2011 and 2021. All three authors screened the articles, shortlisted them, read them, and extracted the data. We then synthesised the data into a conceptual framework. Results: Our search yielded 1125 papers, from which we screened and shortlisted 121, after reading which we included 58 in the final scoping review. The main ethical issues identified from review of these papers included benefits of mHealth applications such as improved quality of care, increased awareness about health and illness, increased accountability of the health system, accurate data capture and timely data driven decision making. The risks of mHealth applications identified were impersonal communication of community health worker, increased workload, potential breach in privacy, confidentiality, and stigmatisation. The inherent inequities in access to mobile phones in the community due to gender and class led to exclusion of women and the poor from the benefits of mHealth interventions. Though mHealth interventions increased access to healthcare by taking healthcare to remote areas through tele-health, unless we contextualise mHealth to local rural settings through community engagement, it is likely to remain inequitable. Conclusion: This scoping review revealed that there is a lack of well conducted empirical studies which explore the ethical issues related to mHealth applications in community health work.

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