Trusting telemedicine: A discussion on risks, safety, legal implications and liability of involved stakeholders

Parimbelli, Enea; Bottalico, Barbara; Losiouk, Eleonora; Tomasi, Marta; Santosuosso, Amedeo; Lanzola, Giordano; Quaglini, Silvana; Bellazzi, Riccardo

doi:10.1016/j.ijmedinf.2018.01.012

Cited by 81 publications

(74 citation statements)

References 47 publications

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“…21,32 Kluge also pro-poses a breakdown of doctor-patient responsibility 16 : ''Medical interventions are provided, how should they be taken advantage of if you make mistakes in taking readings or if they are bad values, or if they accidentally interfere in the automated measurements or in their transmission?'' In addition, Parimbelli et al 34 expand on the figures involved, talking about all the stakeholders-patients, physicians and nurses, system developers, hardware vendors, and hospital administrators. Many studies indicate (as a solution to the damage) that an extended insurance coverage 14,22,23 or a civil responsibility 22,26 should be derived from the telemedicine implementation in order to protect the careers of health care providers.…”

Section: Physician's Malpractice and Liabilitymentioning

confidence: 99%

“…15,23,25,27,32 The European works instead report the European Directives, their application, and their harmonization. 13,22,28,34 The work of Chiang et al 14 provided poor knowledge on Taiwan's constitutional laws: ''There is no protection from specific regulations and laws; therefore, sometimes, medical practice easily leads to medical disputes, and it is difficult to clarify the attribution of responsibilities. ''…”

Section: Laws and Regulations For Telemedicinementioning

confidence: 99%

See 1 more Smart Citation

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

306

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%

Section: Laws and Regulations For Telemedicinementioning

confidence: 99%

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

306

207

View full text Add to dashboard Cite

show abstract

“…Adopting these practices should give patients a sense of trust in TOO systems that their health records are safely accessible and confidential. [8,29] Conclusions and Future Directions TOO is expected to advance oral cancer care in the near future. Adopting TOO systems require the acceptance of all stakeholders involved while maintaining the same standards of health-care policies and regulations that govern personalised and confidential oral cancer management.…”

Section: Limitations and Medicolegal Considerationsmentioning

confidence: 99%

Tele-Oral Oncology: Reinvigorating Telemedicine in Oral Cancer Care

Khoury

Sultan

2020

J Cancer Allied Spec

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Introduction: In recent years, we have witnessed significant growth in the employment of technological advancements in health-care practices. These advancements have increased the practicality and utility oftelemedicine applications. The aim of this focused review is to provide in-depth insights into the current state of telemedicine in oral oncology. Observations: Tele-oral oncology (TOO) is a rapidly emerging field andhas provided new opportunities to transform oral cancer care into the 22nd century. This review will explore topics related to TOO as they pertain to consultation, oral cancer management in underserved areas, patienteducation and e-learning applications. Conclusion and Relevance: The utilisation of TOO is hindered by many challenges and this review addresses the potential limitations that prevent the integration of TOO in routine oral cancer care. A working model that circumvents the potential shortcomings of TOO is also proposed.

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“…50 – 53 In many countries, the population of patients who manage their own health outside professional health care by employing home-use medical devices is on the rise. 54 Thus, the further development of the spOCT device software, ergonomics, and telecommunications will be the objective of future research.…”

Section: Discussionmentioning

confidence: 99%

Safety and Feasibility of a Novel Sparse Optical Coherence Tomography Device for Patient-Delivered Retina Home Monitoring

Maloca

Hasler

Barthelmes

et al. 2018

Trans. Vis. Sci. Tech.

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PurposeTo study a novel and fast optical coherence tomography (OCT) device for home-based monitoring in age-related macular degeneration (AMD) in a small sample yielding sparse OCT (spOCT) data and to compare the device to a commercially available reference device.MethodsIn this prospective study, both eyes of 31 participants with AMD were included. The subjects underwent scanning with an OCT prototype and a spectral-domain OCT to compare the accuracy of the central retinal thickness (CRT) measurements.ResultsSixty-two eyes in 31 participants (21 females and 10 males) were included. The mean age was 79.6 years (age range, 69–92 years). The mean difference in the CRT measurements between the devices was 4.52 μm (SD ± 20.0 μm; range, −65.6 to 41.5 μm). The inter- and intrarater reliability coefficients of the OCT prototype were both >0.95. The laser power delivered was <0.54 mW for spOCT and <1.4 mW for SDOCT. No adverse events were reported, and the visual acuity before and after the measurements was stable.ConclusionThis study demonstrated the safety and feasibility of this home-based OCT monitoring under real-life conditions, and it provided evidence for the potential clinical benefit of the device.Translational RelevanceThe newly developed spOCT is a valid and readily available retina scanner. It could be applied as a portable self-measuring OCT system. Its use may facilitate the sustainable monitoring of chronic retinal diseases by providing easily accessible and continuous retinal monitoring.

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Trusting telemedicine: A discussion on risks, safety, legal implications and liability of involved stakeholders

Cited by 81 publications

References 47 publications

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Tele-Oral Oncology: Reinvigorating Telemedicine in Oral Cancer Care

Safety and Feasibility of a Novel Sparse Optical Coherence Tomography Device for Patient-Delivered Retina Home Monitoring

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