MU Center for Health Ethics, University of Missouri School of Medicine, Columbia, Missouri 65211, USA.
Telemed J E Health. 2009 Oct;15(8):797-803. doi: 10.1089/tmj.2009.0035.
The ethical implications of telehealth go well beyond providers' obligations to ensure privacy and confidentiality. The ethical conundrum of telehealth realizes the uniquely positive impact that telehealth can have on patients, providers, and clinical outcomes, as well as the potential for harm and abuse that may ensue. This article explores telehealth as one of many evolving information technologies that have ethical questions extending well beyond the confines of privacy and confidentiality. Providers and systems who utilize telehealth should also consider how it influences relationships with patients, access to healthcare, capacity for equitable treatment, cost, and quality of life. The ability to respond to these concerns will be important to the future development and deployment of this important technology as one means by which to improve access and quality of healthcare for all members of our society.
远程医疗的伦理影响远远超出了提供者确保隐私和机密的义务。远程医疗的伦理困境认识到远程医疗对患者、提供者和临床结果可能产生的独特积极影响,以及随之而来的潜在伤害和滥用。本文探讨了远程医疗作为众多不断发展的信息技术之一,其伦理问题远远超出了隐私和机密性的范围。使用远程医疗的提供者和系统还应考虑它如何影响与患者的关系、获得医疗保健的机会、公平待遇的能力、成本和生活质量。回应这些问题的能力对于这项重要技术的未来发展和部署将是重要的,因为它是改善我们社会所有成员获得医疗保健的机会和质量的一种手段。