Cárdenas-Ramos Marta, Panadés Zafra Robert, Fuster-Casanovas Aïna, Ciurana Tebé Montserrat, Junyent Bastardas Alba, Cervera García Alejandro
Equip d'Atenció Primària Sagrada Família, Gerència Territorial Barcelona Ciutat, Consorci Sanitari Integral, Barcelona, España; Grup de Salut Digital CAMFIC, Barcelona, España.
Grup de Salut Digital CAMFIC, Barcelona, España; Intelligence for Primary Care Research Group, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Manresa, Barcelona, España; Equip d'Atenció Primària d'Anoia Rural, Gerència d'Atenció Primària i a la Comunitària Penedès, Institut Català de la Salut, La Pobla de Claramunt, Barcelona, España.
Aten Primaria. 2025 Feb 17;57(7):103227. doi: 10.1016/j.aprim.2025.103227.
Telemedicine presents an opportunity to enhance primary care by promoting more equitable access to healthcare services and fostering patient empowerment. By enabling remote communication, personalised care, and access to medical information, patients can take an active role in their healthcare. However, to fully realise its benefits, it is crucial to address ethical challenges such as privacy, data security, and equity in access. For its successful implementation, it is necessary to provide training for both patients and healthcare professionals, ensuring that technology is integrated without compromising the quality of care. In addition, telemedicine should be complemented by face-to-face consultations and respect fundamental ethical principles, such as autonomy and informed consent. In primary care, its adoption must ensure inclusive access tailored to diverse needs, avoiding the perpetuation of inequalities and improving health outcomes.
远程医疗提供了一个通过促进更公平地获得医疗服务和增强患者自主权来加强初级保健的机会。通过实现远程通信、个性化护理以及获取医疗信息，患者能够在自身医疗保健中发挥积极作用。然而，要充分实现其益处，应对诸如隐私、数据安全和获取公平性等伦理挑战至关重要。为了成功实施远程医疗，有必要为患者和医疗专业人员提供培训，确保技术融入的同时不损害护理质量。此外，远程医疗应辅以面对面咨询，并尊重诸如自主权和知情同意等基本伦理原则。在初级保健中，其采用必须确保根据不同需求提供包容性的服务，避免不平等现象持续存在并改善健康结果。
