Telemedicine and mobile health with integrative medicine in developing countries

Kamsu-Foguem, Bernard; Foguem, Clovis

doi:10.1016/j.hlpt.2014.08.008

Cited by 54 publications

(23 citation statements)

References 52 publications

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“…In most cases, the section was summarized by referring it as being purely ethical in nature and not being elaborated in detail. 16,18,20,28,30,31 The discussion on malpractice can be classified into two segments: (1) telemedicine introduces a new form of malpractice 25,32,33 or (2) there is no difference with the normal malpractice with the patient being present. 15,18 Interpretation is left to the imagination of the end user.…”

Section: Physician's Malpractice and Liabilitymentioning

confidence: 99%

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

307

207

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Background: Telemedicine involves medical practice and information and communications technology. It has been proven to be very effective for remote health care, especially in areas with poor provision of health facilities. However, implementation of these technologies is often hampered by various issues. Among these, ethical and legal concerns are some of the more complex and diverse ones. In this study, an analysis of scientific literature was carried out to identify the ethical and legal challenges of telemedicine. Materials and Methods: English literature, published between 2010 and 2019, was searched on PubMed, Scopus, and Web of Science by using keywords, including ''Telemedicine,'' ''Ethics,'' ''Malpractice,'' ''Telemedicine and Ethics,'' ''Telemedicine and Informed consent,'' and ''telemedicine and malpractice.'' Different types of articles were analyzed, including research articles, review articles, and qualitative studies. The abstracts were evaluated according to the selection criteria, using the Newcastle-Ottawa Scale criteria, and the final analysis led to the inclusion of 22 articles. Discussion: From the aforementioned sample, we analyzed elements that may be indicative of the efficacy of telemedicine in an adequate time frame. Ethical aspects such as informed consent, protection data, confidentiality, physician's malpractice, and liability and telemedicine regulations were considered. Conclusions: Our objective was to highlight the current status and identify what still needs to be implemented in tele-medicine with respect to ethical and legal standards. Gaps emerged between current legislation, legislators, service providers, different medical services, and most importantly patient interaction with his/her data and the use of that data.

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Section: Physician's Malpractice and Liabilitymentioning

confidence: 99%

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

307

207

View full text Add to dashboard Cite

show abstract

“…So that, by ensuring this traceability, it will permit to favour the checking of telemedicine's procedures quality, also by the use of Cogui software the reasoning could be easily visualised. In this perspective, the traceability considerations are of relevance for legal procedure to identify and assess the specific responsibility of each stakeholders [33][34][35][36][37][38][39][40][41][42].…”

Section: Resultsmentioning

confidence: 99%

A framework for decision making on teleexpertise with traceability of the reasoning

Doumbouya¹,

Kamsu-Foguem²,

Kenfack³

et al. 2015

IRBM

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This paper provides a methodological framework for decision making process to ensure its traceability generally in the context of telemedicine and particularly in the act of teleexpertise. This act permits to medical professionals and/or health professionals to collaborate in order to take suitable decisions for a patient diagnosis or treatment. The main problem dealing with teleexpertise is the following: How to ensure the traceability of the decisions making process? This problem is solved in this paper through a conceptualisation of a rigorous framework coupling semantic modelling and explicit reasoning which permits to fully support the analysis and rationale for decisions made. The logical semantic underlying this framework is the argumentative logic to provide adequate management of information with traceability of the reasoning including options and constraints. Thus our proposal will permit to formally ensure the traceability of reasoning in telemedicine and particularly in teleexpertise in order to favour the quality of telemedicine's procedure checking. This traceability is to guarantee equitable access to the benefits of the collective knowledge and experience and to provide remote collaborative practices with a sufficient safety margin to guard against the legal requirements. An illustrative case study is provided by the modelling of a decision making process applied to teleexpertise for chronic diseases such as diabetes mellitus type 2.

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“…However, more research is required to learn lessons from socio-cultural and economic contexts for continuous improvement that effectively and efficiently supports primary healthcare services (evaluated from a sustainable user-centred perspective) in remote regions of Africa or others regions of the world [36][37][38][39]. Organizational, legal, ethical, conceptual and technological issues are crucial in allowing mHealth services to become widespread throughout the emerging area and particularly with some imperatives for their adoption in Africa [40].…”

Section: Resultsmentioning

confidence: 99%

Could telemedicine enhance traditional medicine practices?

Kamsu-Foguem

Foguem

2014

European Research in Telemedicine / La Recherche Européenne en

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International audienceIn developing countries, telemedicine and mobile health tools promise to enhance access to high-quality healthcare, to support communication of medical information and to assist pharmacovigilance processes. In this article, we provide some arguments on the potential of telemedicine and mobile health (mHealth) applications to improve the delivery of health care in rural African regions. Specifically, the development of mobile telemedicine could help to lay the foundations of a healthcare approach integrating modern medical knowledge with ancient medical practices on the African continent. Access to information and communication technology (ICT), technical devices or portable media in developing countries is increasingly widespread. This can foster a complementary approach to healthcare, namely in African home-based care (AHC), in which the practice of conventional medicine takes place in an environment where belief in traditional medicine is strong. In the AHC, there are community volunteers who provide primary care and link patients with qualified medical personnel working in the nearest clinics and hospitals. These volunteers have contextual knowledge that is at the frontier of modern and traditional medicine, strongly influencing their practical approach to healthcare. The article proposes an interesting holistic look at potential applications of telemedicine in this context and examines in particular therapeutic and preventive education of toxicological aspects of medicinal plants and communication about the potential side effects of these plants

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Telemedicine and mobile health with integrative medicine in developing countries

Cited by 54 publications

References 52 publications

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

A framework for decision making on teleexpertise with traceability of the reasoning

Could telemedicine enhance traditional medicine practices?

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