Ethics of Telepsychiatry

2014 ◽  
Author(s):  
Gonzalo J. Perez-Garcia
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Ethical Issues ◽  
High Definition ◽  
Broadband Internet ◽  
Face To Face ◽  
Clinical Vignettes ◽  
Technological Advances ◽  
Access To Health ◽  
History Of

Recent technological advances have led to the use of telemedicine as way to increase access to health care to those who have limited resources. Telepsychiatry, also called telemental health, involves the delivery of mental health care over long distances through the use of videoconferencing equipment. The increasing accessibility of broadband internet have allowed this technology to reach more parts of the world, while the increasing sophistication of equipment such as high definition televisions and remote-controlled webcams has allowed this technology to feel less impersonal. This chapter discusses the history of telepsychiatry and different examples of how such technology is used and in which sorts of situations it can be employed. The chapter also examines the ethical issues that arise in telepsychiatry and reviews some of the literature that is currently available, focusing on the four ethical principles of medicine. Clinical vignettes are used both to highlight potential dilemmas that can arise through the technology as well as to demonstrate how in certain situations, the technology can potentially be more beneficial than face-to-face assessments.

Telemedicine Basics

2021 ◽  
pp. 3-11
Author(s):  
Guenevere Burke ◽  
Jared Lucas
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Access To Health Care ◽  
Electronic Information ◽  
Remote Areas ◽  
Access To Health ◽  
History Of ◽  
Key Terms ◽  
Improve Access

Telemedicine is a rapidly growing field in health care and emergency medicine. Telemedicine, telehealth, and virtual health refer to the use of telecommunications technology and electronic information to support health and provide care over distance. It has been used to improve access to health care in geographically remote areas for decades, but its use and recognized benefits have expanded considerably over the years, accelerated by the COVID-19 pandemic. This chapter provides a brief overview of the history of telemedicine, introduces key terms, and reviews basic definitions that are foundational to telemedicine practice. Finally, it summarizes a wide array of telehealth applications in emergency medicine, which are detailed further in later chapters.

Conclusion

2020 ◽  
pp. 181-202
Author(s):  
Patricia Zavella
Keyword(s):  
Health Care ◽  
Women Of Color ◽  
Access To Health Care ◽  
Reproductive Rights ◽  
Reproductive Justice ◽  
Human Right ◽  
Access To Health ◽  
Poor Women ◽  
History Of ◽  
The Right

This chapter reflects on how the movement for reproductive justice addresses the increased polarization of politics around immigration and reproductive rights in the wake of the election of President Trump. It argues that women of color in the movement for reproductive justice have a history of crafting a politics of inclusion that aims to empower those who are marginalized by intersecting systems of power, with a radical vision of citizenship. These activists insist that poor women of color have the human right to access to health care with dignity as well as the right to healthy lives and wellness.

2-1-1 Toronto: Lessons Learnt About Newcomers’ Access to Health Information

2013 ◽  
Author(s):  
Andrea Cortinois ◽  
Richard Glazier ◽  
Nadia Caidi ◽  
Gavin Andrews ◽  
Mary Herbert-Copley ◽  
...  
Keyword(s):  
Health Care ◽  
Health Information ◽  
Access To Health Care ◽  
Qualitative Interviews ◽  
Access To Information ◽  
Face To Face ◽  
Soins De Santé ◽  
Phone Survey ◽  
Access To Health ◽  
Nouveaux Arrivants

This study examines the importance of access to information as an enabler of access to health care by newcomers to Canada. Specifically, we focus on the role played by the 2-1-1 Toronto service through a 2005 phone survey and face-to-face qualitative interviews with 2-1-1 Toronto callers in 2006-2007.Cette étude examine l’importance de l’accès à l’information comme moteur de l’accès aux soins de santé par les nouveaux arrivants au Canada. Plus précisément, nous nous attardons sur le rôle que joue le service 2-1-1 Toronto au moyen d’entrevues téléphoniques effectuées en 2005 et d’entrevues qualitatives en personne avec des appelants du service 2-1-1 Toronto en 2006-2007.

scholarly journals Primary Care in the USA: The Long Struggle to Build its Foundational Role

2021 ◽  
Author(s):  
John Geyman
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Care Physicians ◽  
Access To Health Care ◽  
Universal Access ◽  
Reform Initiatives ◽  
Access To Health ◽  
The Usa ◽  
History Of ◽  
Current Reform

Family practice was recognized as the 20th specialty in American medicine in 1969. With the hope that primary care would become the foundation of an improved health care system, vigorous efforts were launched in medical education, research and practice to achieve that goal. This chapter traces the history of that effort, together with negative system changes that have obstructed that goal. Although primary care physicians have been shown to improve access to care, contain costs, decrease inequities, and improve patient outcomes, they are still too few in number to meet national needs for primary care. The COVID-19 pandemic revealed the extent of inadequacy and vulnerability of the system. The U. S. still lacks a system of universal access as has been in place for many years in most other advanced countries around the world. Corporate stakeholders in a largely privatized financing and delivery system continue to challenge the future of primary care. Lessons from the failure of reform initiatives over the last 50 years are discussed, as are current reform alternatives, only one of which would at last bring universal access to health care in this country.

Shedding Light on Telemedicine & Online Prescribing: The Need to Balance Access to Health Care and Quality of Care

2020 ◽  
Vol 46 (2-3) ◽  
pp. 237-251 ◽  
Author(s):  
Laura C. Hoffman
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Access To Health Care ◽  
Ethical Issues ◽  
Current Evidence ◽  
New Developments ◽  
Access To Health ◽  
Medical Groups ◽  
Access And Quality

The issue of online prescribing through the use of telemedicine raises ethical concerns. In particular, several studies suggest a correlation between telemedicine and overprescribing. Meanwhile, new developments in the law also have the potential to significantly impact online prescribing using telemedicine. In the absence of concrete federal guidance and a continued delay in issuing required federal regulations, states have developed their own laws, which vary considerably, regarding the ability of physicians to engage in online prescribing through telemedicine. As legal developments open doors for physicians to prescribe through telemedicine, current evidence of overprescribing, although limited, suggests the need to carefully balance access to health care and quality of care in this context, especially when crafting innovative legislative responses.This article attempts to explore this dynamic issue by closely evaluating the research on overprescribing involving telemedicine and the ethical issues surrounding online prescribing. It will continue by analyzing the current legal landscape for online prescribing for telemedicine at both the federal and state levels. Next, this article will examine ethics opinions offered by medical groups that touch this issue. Finally, this article will suggest several recommendations for law and policy moving forward by shedding light on the ethical issues surrounding telemedicine and online prescribing and how to strike a balance between access and quality of care.

Structural and Racial Barriers to Health Care

2004 ◽  
Vol 22 (1) ◽  
pp. 39-58 ◽  
Author(s):  
LINDA B. BOLTON ◽  
JOYCE NEWMAN GIGER ◽  
C. ALICIA GEORGES
Keyword(s):  
Health Care ◽  
Health Disparities ◽  
Access To Health Care ◽  
Minority Groups ◽  
Research Literature ◽  
Institutional Racism ◽  
Equal Treatment ◽  
Access To Health ◽  
History Of ◽  
The Impact

Limited access to health care and a system fraught with discriminatory practices inhibit some racial and ethnic minorities from gaining access to health care and assurance of equal treatment once they enter the health care system. The purpose of this chapter is to critically and systematically analyze the research literature to determine what impact individual and institutional racism has had on the prevailing health disparities across racial and ethnic minority groups. The chapter includes the following: (1) a review of the term racism and a brief overview of the history of racism in health care; (2) a review of the research literature analyzing the impact of racism on health disparities; and (3) recommendations to end the systematic institutional racism in scientific research, which is necessary to end health disparities.

Health, Access to Health Care, and Health Care use Among Homeless Women with a History of Intimate Partner Violence

2011 ◽  
Vol 37 (5) ◽  
pp. 1032-1039 ◽  
Author(s):  
Maya Vijayaraghavan ◽  
Ana Tochterman ◽  
Eustace Hsu ◽  
Karen Johnson ◽  
Sue Marcus ◽  
...  
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Access To Health Care ◽  
Intimate Partner ◽  
Health Care Use ◽  
Homeless Women ◽  
Health Access ◽  
Access To Health ◽  
History Of

Does Medicaid Coverage Increase Access to Health Care after Release from Prison for Adults with a History of Substance Use?

2021 ◽  
Vol 56 (S2) ◽  
pp. 8-8
Author(s):  
Marguerite Burns ◽  
Steven Cook ◽  
Lars Brown ◽  
Karla Hernandez ◽  
Steve Tyska ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Access To Health Care ◽  
Medicaid Coverage ◽  
Access To Health ◽  
History Of ◽  
Coverage Increase ◽  
Release From Prison
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