Guy Marin, Blary Alexandra, Ladner Joel, Gilliaux Maxime
Centre Aquitain Du Dos, Hôpital Privé Saint-Martin, Pessac, France.
La Musse Hospital and Physiotherapy School (Fondation La Renaissance Sanitaire), Clinical Research Department, Saint-SéBastien-De-Morsent, France.
Int J Telerehabil. 2021 Jun 22;13(1):e6367. doi: 10.5195/ijt.2021.6367. eCollection 2021.
While telerehabilitation (TR) makes it possible to respond to many significant health system problems, TR still gives rise to debates, particularly concerning ethical issues. This qualitative study collected the opinions of stakeholders with varied profiles. A guided interview focused on discerning strategies that might foster the ethical deployment of TR. Such strategies were found to be linked to the decision-making of the public authorities, the role of scientific and professional bodies, the training of health professionals, and the management of patient information. Ethical issues relating to the development of TR included universal accessibility, patients' free choice, respect of privacy, and professional confidentiality. The ethical development of TR can be fostered by the provision of information to stakeholders as well as reminding practitioners of the ethical framework that regulates medical practice.
虽然远程康复(TR)使应对许多重大卫生系统问题成为可能,但TR仍引发了诸多争论,尤其是在伦理问题方面。这项定性研究收集了不同背景利益相关者的意见。一次指导性访谈聚焦于辨别可能促进TR伦理应用的策略。结果发现,这些策略与公共当局的决策、科学和专业机构的作用、卫生专业人员的培训以及患者信息管理相关。与TR发展相关的伦理问题包括普遍可及性、患者自由选择、隐私尊重和专业保密。向利益相关者提供信息以及提醒从业者注意规范医疗实践的伦理框架,有助于促进TR的伦理发展。