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远程 ICU 发展中的伦理问题。

Ethical issues in the development of tele-ICUs.

机构信息

Division of Internal Medicine, Soroka University Medical Center, Beer Sheva, Israel.

出版信息

J Med Ethics. 2011 Nov;37(11):655-7. doi: 10.1136/jme.2010.040311. Epub 2011 May 5.

DOI:10.1136/jme.2010.040311
PMID:21546522
Abstract

The past two decades have seen a dramatic increase in the use of telemedicine while the information technology revolution has contributed significantly to its popularity. In addition, there has been a recent increase in the use of telemedicine in the intensive care unit (ICU), partially driven by a critical shortage of intensivists. However, the ethical questions raised by the implementation of tele-ICUs have not been adequately considered. In this essay, we will discuss the development of tele-ICUs from the perspective of autonomy, beneficence/non-malificence, justice and professionalism.

摘要

在过去的二十年中,远程医疗的使用急剧增加,而信息技术革命对此起到了重要的推动作用。此外,由于重症监护医师的严重短缺,远程重症监护也在最近得到了更多的应用。然而,远程 ICU 的实施所引发的伦理问题尚未得到充分考虑。在本文中,我们将从自主性、有利/无害、公正和专业精神的角度讨论远程 ICU 的发展。

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1
Ethical issues in the development of tele-ICUs.远程 ICU 发展中的伦理问题。
J Med Ethics. 2011 Nov;37(11):655-7. doi: 10.1136/jme.2010.040311. Epub 2011 May 5.
2
Tele-ICUs, part 2: Adding value to the health care equation.远程重症监护病房,第2部分:为医疗保健等式增添价值。
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Using the Tele-ICU care delivery model to build organizational performance, part 1.利用远程重症监护病房护理交付模式提升组织绩效,第1部分。
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Telemedicine and the standard of care: a call for a new approach?远程医疗与医疗标准:呼唤新方法?
Front Public Health. 2023 May 4;11:1184971. doi: 10.3389/fpubh.2023.1184971. eCollection 2023.
2
Physiotherapists' perceptions of collaborations with inter-professional team members in an ICU setting.物理治疗师对在重症监护病房环境中与跨专业团队成员合作的看法。
South Afr J Crit Care. 2020 Dec 1;36(2). doi: 10.7196/SAJCC.2020.v36i2.431. eCollection 2020.
3
The Value of Applying Ethical Principles in Telehealth Practices: Systematic Review.
远程医疗实践中应用伦理原则的价值:系统评价。
J Med Internet Res. 2021 Mar 30;23(3):e25698. doi: 10.2196/25698.