Romani Patrick W, Schieltz Kelly M
University of Colorado, Anschutz Medical Campus and Children's Hospital Colorado.
University of Missouri.
Behav Anal (Wash D C). 2017 Nov;17(4):312-324. doi: 10.1037/bar0000074.
Delivery of healthcare services via telehealth has been growing in popularity, and work completed by behavior analytic researchers and practitioners have supported this trend. Behavior analysts at the University of Iowa Children's Hospital (UICH) developed a telehealth model of service delivery to build upon their already established in-clinic and in-home services. Results from their telehealth studies showed positive effects. Social functions were identified for most children, and problem behavior decreased by an average of 94.14%. Additionally, parent satisfaction was quite high, suggesting this mode of service delivery was acceptable to caregivers. Given the increasing empirical support for providing behavior analytic services via telehealth, careful consideration needs to be given to the numerous ethical issues involved in telehealth service delivery. The current article describes the telehealth service delivery model developed at UICH as well as the ethical issues considered at different points when delivering these telehealth services. Following these ethical considerations, implications for future research and clinical practice are discussed.
通过远程医疗提供医疗保健服务越来越受欢迎，行为分析研究人员和从业者所做的工作也支持了这一趋势。爱荷华大学儿童医院（UICH）的行为分析师开发了一种远程医疗服务提供模式，以其已建立的门诊和家庭服务为基础。他们的远程医疗研究结果显示出积极效果。大多数儿童的社交功能得到了改善，问题行为平均减少了94.14%。此外，家长满意度相当高，这表明这种服务提供模式为照顾者所接受。鉴于越来越多的实证支持通过远程医疗提供行为分析服务，需要仔细考虑远程医疗服务提供中涉及的众多伦理问题。本文介绍了UICH开发的远程医疗服务提供模式以及在提供这些远程医疗服务的不同阶段所考虑的伦理问题。遵循这些伦理考量，还讨论了对未来研究和临床实践的启示。
