Telerehabilitasyonda Etik Gereklilikler ve İlkeler

Year 2019, Volume: 3 Issue: 2, 35 - 37, 09.03.2020

Fatih Özden , Yassine Lembarki

https://doi.org/10.35333/JOHSE.2020.130

Abstract

Teknolojik gelişmelerin artmasıyla birlikte sağlık hizmetlerinde teknolojik uygulamaların kullanımı artmıştır. Rehabilitasyon kapsamında hizmetlerinde kullanılan teknolojik uygulamaların başında telerehabilitasyon gelmektedir. Telerehabilitasyon uygulamalarının etik prensipler çerçevesinde uygulanması hasta mahremiyetinin korunması adına büyük önem taşımaktadır. Telerehabilitasyon etiği hususunda uluslararası standartlardaki eksiklik ve uygulanabilecek yasal hükümlerin bulunmaması, pratikte bu uygulamaların kullanımının ve etkili bir şekilde yaygınlaşmasının önündeki en büyük engellerden biridir. Maliyet, zaman ve kullanım kolaylığı sağlayan bu uygulamaların kullanımının olumsuz sonuçlar ortaya koymasını önlemek adına etik prensiplerin net bir şekilde ortaya koyulması ve yasalarla birlikte ele alınması gereklidir. Bu derlemede telerehabilitasyon uygulamalarında dikkate alınması gereken etik prensipler ele alınmış ve olası kural ihlallerinin nasıl sonuçlar doğurabileceği incelenmiştir.

Keywords

Telerehabilitasyon, Etik, Rehabilitasyon

The Ethical Necessities and Principles in Telerehabilitation

Abstract

With the increase in technological developments, the use of technological applications in health services has increased. Telerehabilitation is one of the technological applications used in rehabilitation services. The application of telerehabilitation practices within the framework of ethical principles is of great importance for the protection of patient privacy. The lack of international standards on the ethics of telerehabilitation and the lack of applicable legal provisions is one of the major obstacles to the effective use and widespread use of these practices. In order to prevent the use of these practices that provide cost, time and ease of use to produce negative results, ethical principles should be clearly defined and handled with the laws. In this review, ethical principles that should be taken into consideration in telerehabilitation applications are discussed and how possible violations of rules can have consequences.

Keywords

Telerehabilitation, Ethics, Rehabilitation

References

• 1. R. Eveleth. The Surgeon Who Operates From 400 km Away. Web Page [Date of access: 6 November 2019]
• 2. Holt B, Faraklas I, Theurer L, Cochran A, Saffle JR. Telemedicine use among burn centers in the United States: a survey. Journal of burn care & research. 2012;33(1):157-62.
• 3. Wilson LS, Maeder AJ. Recent directions in telemedicine: review of trends in research and practice. Healthcare informatics research. 2015;21(4):213-22.
• 4. Moffatt JJ, Eley DS. The reported benefits of telehealth for rural Australians. Australian Health Review. 2010;34(3):276-81.
• 5. Majerowicz A, Tracy S. Telemedicine: Bridging gaps in healthcare delivery. Journal of AHIMA. 2010;81(5):52-3.
• 6. Brennan D, Tindall L, Theodoros D, Brown J, Campbell M, Christiana D, Smith D, Cason J, Lee. A blueprint for telerehabilitation guidelines. International journal of telerehabilitation. 2010;2(2):31.
• 7. Cohn ER. Tele-ethics in telepractice for communication disorders. Perspectives on Telepractice. 2012;2(1):3-15.
• 8. Clifford GD, Blaya JA, Hall-Clifford R, Fraser HSF. Medical information systems: A foundation for healthcare technologies in developing countries. BioMed Central. 2008; 7(18):1-8.
• 9. Busis NA. How can I choose the best electronic health record system for my practice? Neurology. 2010;75(18 Supplement 1):60-4.
• 10. Hammond KW, Helbig ST, Benson CC, Brathwaite-Sketoe BM. Are elec – tronic records trustworthy? Observations on copying, pasting and dupli – cation. AMIA Annu Symp Proc 2003;269-73.
• 11. Menachemi N, Collum TH. Benefits and drawbacks of electronic health record systems. Risk management and healthcare policy. 2011;4:47.
• 12. Bernat JL. Ethical and quality pitfalls in electronic health records. Neurology. 2013;80(11):1057-61.
• 13. O’Malley AS, Cohen GR, Grossman JM. Electronic medical records and communication with patients and other clinicians: are we talking less? Issue Brief Cent Stud Health Syst Change. 2010;(131):1–4.
• 14. Shachak A, Reis S. The impact of electronic medical records on patient–doctor communication during consultation: a narrative literature review. Journal of evaluation in clinical practice. 2009;15(4):641-9.
• 15. Balka E, Tolar M. Everyday ethical dilemmas arising with electronic record use in primary care. Studies in health technology and informatics. 2011;169:285-9.
• 16. Chiuchisan I, Balan DG, Geman O, Chiuchisan I, Gordin I. A security approach for health care information systems. E-Health and Bioengineering Conference, IEEE, 2017; 21-724.
• 17. George C, Whitehouse D, Duquenoy P. eHealth: legal, ethical and governance challenges. Springer Science & Business Media. 2012.
• 18. Holmes CM, Reid CA. Ethics in Telerehabilitation: Looking Ahead. Journal of Applied Rehabilitation Counseling. 2018;49(2):14-23.
• 19. Stanberry B. Legal ethical and risk issues in telemedicine. Computer methods and programs in biomedicine. 2001;64(3):225-33.
• 20. Recupero PR, Rainey SE. Informed consent to e-therapy. American journal of psychotherapy. 2005;59(4):319-31.
• 21. He D, Naveed M, Gunter CA, Nahrstedt K, editors. Security concerns in Android mHealth apps. American Medical Informatics Association. 2014;645.
• 22. Carter A, Liddle J, Hall W, Chenery H. Mobile phones in research and treatment: ethical guidelines and future directions. JMIR mHealth and uHealth. 2015;3(4):e95.