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远程医疗与伦理学:印度的机遇。

Telemedicine and ethics: opportunities in India.

机构信息

Associate Professor, Department of Psychiatry, All India Institute of Medical Sciences, Bathinda, Punjab, 151001 INDIA.

Consultant Pathologist, Metropolis Healthcare Ltd. Sector-11 Chandigarh, 160011 INDIA.

出版信息

Indian J Med Ethics. 2021 Oct-Dec;VI(4):314-320. doi: 10.20529/IJME.2021.042.

Abstract

Prior to the Covid-19 pandemic, telemedicine was an upcoming modality of diagnosis and treatment, but was limited by inadequate guidelines and legislation. Now, during the pandemic, policy makers worldwide have found it prudent to set forth new telemedicine guidelines to ease and regulate operations. The Government of India, along with the Board of Governors (in supercession of the Medical Council of India), amended the Indian Medical Council Act, 1956, and published the Telemedicine Practice Guidelines in 2020 to lay down a framework for telemedicine practice in our country. This step will provide a medico-legal context for the delivery of online health services. However, the Guidelines in their present form only partly address the ethical aspects of telemedicine in India. Here, we briefly describe these Guidelines and highlight the ethical concerns surrounding the teleconsultation process in our country. We also suggest possible solutions to these ethical issues surrounding the practice of telemedicine.

摘要

在新冠疫情大流行之前,远程医疗是一种新兴的诊断和治疗模式,但受到不完善的指南和法规的限制。现在,在大流行期间,世界各地的政策制定者认为制定新的远程医疗指南以缓解和规范运营是谨慎的做法。印度政府与理事会(取代印度医学理事会)一起修订了 1956 年的《印度医学理事会法案》,并于 2020 年发布了《远程医疗实践指南》,为我国的远程医疗实践制定了框架。这一步骤将为在线健康服务的提供提供一个医疗法律背景。然而,目前的指南只是部分解决了印度远程医疗的伦理方面问题。在这里,我们简要描述了这些指南,并强调了在我国远程咨询过程中围绕的伦理问题。我们还针对远程医疗实践中围绕的这些伦理问题提出了可能的解决方案。

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