Towards an ethics for telehealth

2017 ◽  
Vol 26 (2) ◽  
pp. 357-367 ◽  
Author(s):  
Carlo Botrugno
Keyword(s):  
Ad Hoc ◽  
Ethical Issues ◽  
Daily Practice ◽  
Ethical Framework ◽  
Economic Interests ◽  
Care Services ◽  
Political Orientations ◽  
Remote Services ◽  
Remote Care ◽  
The Eu

Over the last two decades, a public rationale for the implementation of telehealth has emerged at the interplay of specialised literature and political orientations. Despite the lack of consistent findings on the magnitude of its benefits, telehealth is nowadays presented as a worthy solution both for patients and healthcare institutions. Far from denying the potential advantages of telehealth, the main objective of this work is to provide a critical assessment on the spread of the remote services as a vector of positive transformation of contemporary health systems. For pursuing this objective, the EU agenda for the promotion of telehealth will be retraced, and the main evidences alleged to sustain the implementation of remote care services will be assessed. Furthermore, it will be evaluated the attempt made by the European Commission to establish an ethical framework for guiding the use of telehealth in daily practice, and a roadmap of the most relevant legal and ethical issues posed by the spread of telehealth will be traced. In the conclusions, it will be argued that the radical transformations induced by this form of technological innovation call on to a new, ad hoc ethics through which critically evaluate benefits and implications of telehealth services, with a view to keep high the standard of healthcare against the economic interests of private stakeholders and ICTs’ vendors.

scholarly journals An Ethical Framework for the Use of Horses in Competitive Sport: Theory and Function

Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1725 ◽  
Author(s):  
Madeleine L. H. Campbell
Keyword(s):  
Ad Hoc ◽  
Ethical Issues ◽  
Theoretical Development ◽  
Ethical Framework ◽  
Ethical Frameworks ◽  
Social License ◽  
The Social ◽  
Sports Ethics ◽  
Equestrian Sport ◽  
And Function

Growing ethical concern about equestrian sport is reflected in publications by regulatory authorities, animal charities, and the lay press; and in government debate and social media. However, attempts by regulators and stakeholders to address ethical issues in equine sport have been discipline specific and ad hoc. Ethical frameworks can help stakeholders to make contextual decisions about what should or should not be done in a particular situation. However, when existing animal welfare frameworks and existing sports ethics frameworks are reviewed in this paper, it becomes clear that none provide us with a suitable or sufficient tool for considering ethical issues which can arise in situations where the athlete is a non-human, non-consenting participant. This paper presents the theoretical development of a novel ethical framework, with the aim of providing stakeholders with a tool which they might apply to the consideration of the ethical questions which inevitably arise in relation to (equestrian) sport. The derivation and limitations of the ethical framework are explained. The use of the framework will serve both to underwrite the continuation of the social license to use horses in sport and also to enable those within equestrian sport to critically assess existing and proposed practices and to make welfare-improving adjustments to practice if/where necessary. The theoretical framework as presented here is currently being practically tested and refined in consultation with industry stakeholders, and that research will be submitted for publication in due course.

scholarly journals Towards a Real Reconciliation of Centralised and Decentralised Approach in Legal Regulation: Application of an AI-Toolkit to a Problem of Jurisprudence

2016 ◽  
Vol 5 (1) ◽  
pp. 163
Author(s):  
Lubomir Petrov Stoianov ◽  
Emilia Emilova Ganeva ◽  
Georgi Goshev
Keyword(s):  
Ad Hoc ◽  
Legal Regulation ◽  
Regulatory Mechanisms ◽  
Ancient Rome ◽  
Eu Law ◽  
Cognitive Approach ◽  
Economic Interests ◽  
Space Architecture ◽  
Disciplinary Area ◽  
The Eu

We present results from the implementation of an approach and a toolkit overcoming the limitations of the existing approaches by which law creates mechanisms for regulating socio-economic interests. In the centralized approach the rules come down from the rulers to the ruled ones. That limits the range of interested individuals to establish and implement regulatory mechanisms. In the decentralized approach, if necessary, rulers delegate certain individuals to create rules ad hoc, expanding the range of subjects of decision. This presupposes possibility of power abuse and take conflicting decisions in analogous cases.These disadvantages have been identified back in the ancient Rome. For their overcoming the systems of ius civile and ius honorarium were combined (II B.C.-I A.C.). Such attempts continue, for example within the EU law. A model that overcomes these disadvantages hasn`t been applied so far, because optimal and socially-efficient combination of centralized and decentralized approaches presupposes specific mechanisms. Their establishment and implementation should cover all interested individuals by coordinating and integrating the partial decisions, guaranteeing an optimal adaptability of the society towards the environment. Such mechanisms are achievable by the application of a cognitive approach, methodology and the G-space architecture for identifying inaccurately or mistakenly formulated motivational mechanisms in legislation. We describe how this set of cognitive instruments could be used to correct mistakes in existing legislation and design new, subject to ex-ante defined purposes. We show that the approach, methodology and G-space architecture extend the boundaries of the inter-disciplinary area of Artificial Intelligence in Law.

‘Who Ya Gonna Call …?’ Ethical and legal dilemmas in specialist children centres and district general hospitals

2021 ◽  
pp. 147775092110366
Author(s):  
Harika Avula ◽  
Mariana Dittborn ◽  
Joe Brierley
Keyword(s):  
Intensive Care ◽  
Clinical Ethics ◽  
Ethical Issues ◽  
General Setting ◽  
Daily Practice ◽  
Paediatric Intensive Care ◽  
Ethical Challenges ◽  
Legal Cases ◽  
Ethics Support ◽  
The Uk

The field of Paediatric Bioethics, or ethical issues applied to children's healthcare, is relatively new but has recently gained an increased professional and public profile. Clinical ethics support to health professionals and patients who face ethical challenges in clinical practice varies between and within institutions. Literature regarding services available to paediatricians is sparse in specialist tertiary centres and almost absent in general paediatrics. We performed a mixed-methods study using online surveys and focus groups to explore the experiences of ethical and legal dilemmas and the support structures available to (i) paediatric intensive care teams as a proxy for specialist children's centres and (ii) paediatricians working in the general setting in the UK. Our main findings illustrate the broad range of ethical and legal challenges experienced by both groups in daily practice. Ethics training and the availability of ethics support were variable in structure, processes, funding and availability, e.g., 70% of paediatric intensive care consultants reported access to formal ethics advice versus 20% general paediatricians. Overall, our findings suggest a need for ethics support and training in both settings. The broad experience reported of ethics support, where it existed, was good – though improvements were suggested. Many clinicians were concerned about their relationship with children and families experiencing a challenging ethical situation, partly as a result of high-profile recent legal cases in the media. Further research in this area would help collect a broader range of views to inform clinical ethics support's development to better support paediatric teams, children and their families.

scholarly journals Company Changing Status and Its Linking to Competitiveness

2015 ◽  
Vol 53 (1) ◽  
pp. 1-17
Author(s):  
Dragana Radenković-Jocić ◽  
Ivan Barun
Keyword(s):  
Mergers And Acquisitions ◽  
Legal Framework ◽  
Decision Makers ◽  
Economic Activities ◽  
Economic Interests ◽  
Eu Legislation ◽  
The Republic ◽  
The Right ◽  
A Company ◽  
The Eu

Abstract The authors present the issues and challenges related to the changes in status of a company and its impact on competitiveness. Status changes of companies, mostly mergers and acquisitions of companies, are one of the ways in which capital owners and management direct economic activities with the aim of maximizing profits. In order to make the right and justified decision, in terms of achieving the economic interests of the company, it is essential to know the laws and regulations in this area. This paper should provide answers on various questions which will be presented to decision makers in every company, considering status changes. Bearing in mind that the question of status changes often associated with an international element, the authors will pay special attention on the EU legislation and current legal framework in the Republic of Serbia.

Ad-hoc-Pflichten im deutschen Profifußball

2021 ◽  
Author(s):  
Patrick Waldecker
Keyword(s):  
Ad Hoc ◽  
Stock Exchange ◽  
Professional Football ◽  
Inside Information ◽  
Legal Literature ◽  
Football Clubs ◽  
Comprehensive Compilation ◽  
The Eu

If German football clubs list their shares or bonds on a stock exchange, the obligation of Art. 17 (1) MAR to public disclose inside information may apply to them. The author outlines a number of case groups for professional football clubs, which serve as a guideline for use in practice. This is the first comprehensive compilation in the European legal literature. The author compares his results with the previous ad hoc disclosures of Borussia Dortmund, SpVgg Unterhaching and FC Schalke 04. The results of this dissertation are applicable to all professional football clubs based in the EU. Furthermore, most of the conclusions can be applied with respect to any issuer.

Ethics and equity in rare disease research and healthcare

2021 ◽  
Author(s):  
Maria Koromina ◽  
Vasileios Fanaras ◽  
Gareth Baynam ◽  
Christina Mitropoulou ◽  
George P Patrinos
Keyword(s):  
Rare Diseases ◽  
Ethical Issues ◽  
Genetic Diseases ◽  
Ethical Framework ◽  
Middle Income ◽  
Next Generation Sequencing Technology ◽  
Ethical Frameworks ◽  
Rare Genetic Diseases ◽  
Conducting Research ◽  
Key Aspects

Rapid advances in next-generation sequencing technology, particularly whole exome sequencing and whole genome sequencing, have greatly affected our understanding of genetic variation underlying rare genetic diseases. Herein, we describe ethical principles of guiding consent and sharing of genomics research data. We also discuss ethical dilemmas in rare diseases research and patient recruitment policies and address bioethical and societal aspects influencing the ethical framework for genetic testing. Moreover, we focus on addressing ethical issues surrounding research in low- and middle-income countries. Overall, this perspective aims to address key aspects and issues for building proper ethical frameworks, when conducting research involving genomics data with a particular emphasis on rare diseases and genetics testing.

scholarly journals A Healthy Sense of Trust

2017 ◽  
Vol 2 (Suppl. 1) ◽  
pp. 1-10
Author(s):  
Denis Horgan
Keyword(s):  
European Union ◽  
Clinical Trials ◽  
Big Data ◽  
Data Protection ◽  
Fast Moving ◽  
Ethical Issues ◽  
Personalised Medicine ◽  
Drug Pricing ◽  
The Right ◽  
The Eu

In the fast-moving arena of modern healthcare with its cutting-edge science it is already, and will become more, vital that stakeholders collaborate openly and effectively. Transparency, especially on drug pricing, is of paramount importance. There is also a need to ensure that regulations and legislation covering, for example the new, smaller clinical trials required to make personalised medicine work effectively, and the huge practical and ethical issues surrounding Big Data and data protection, are common, understood and enforced across the EU. With more integration, collaboration, dialogue and increased trust among each and every one in the field, stakeholders can help mould the right frameworks, in the right place, at the right time. Once achieved, this will allow us all to work more quickly and more effectively towards creating a healthier - and thus wealthier - European Union.

'Poland Has Always Been in Europe'

2011 ◽  
Vol 20 (2) ◽  
pp. 21-42 ◽  
Author(s):  
Marysia Galbraith
Keyword(s):  
European Union ◽  
European Integration ◽  
The European Union ◽  
Economic Interests ◽  
Careful Observation ◽  
Meaningful Engagement ◽  
Global Imaginary ◽  
European Union Studies ◽  
The Eu ◽  
National Borders

The paper explores ways in which individuals make use of the opportunities and resources provided by the European Union (EU), and how such instrumentalities can make the concept of Europe more salient for citizens. This is important to European Union studies generally because careful observation and analysis of everyday engagements can help to reveal the basis upon which the EU gains legitimacy, or, alternatively, the grounds for resistance to further integration. Through an examination of Poles' experiences of mobility, and their reflections about crossing national borders to work and travel, the paper shows that instrumentality is not just motivated by economic interests, but also by the desire to advance culturally, socially and symbolically within a global imaginary of hierarchically ranked nations. As such, support for European integration tends to weaken in situations where ongoing inequalities and exclusions lead to perceptions of social demotion. Further, instrumentalities can deepen meaningful engagement with the EU in ways that also reassert national loyalties.

scholarly journals Ethical Issues of Organ Transplantation in Islam

1970 ◽  
Vol 21 (1) ◽  
pp. 97-103
Author(s):  
M Mostafa Kamal
Keyword(s):  
Organ Donation ◽  
Organ Transplantation ◽  
Islamic Law ◽  
Ethical Issues ◽  
Ethical Framework ◽  
Value Systems ◽  
Proxy Consent ◽  
Advantages And Disadvantages ◽  
The World ◽  
The Impact

Scientists and clinicians must become familiar with the factors that affect the emotional, physical, and spiritual health of their patients that are outside the ken of the traditionally dominant value systems. Although many researchers have addressed the cultural and ethnical factors, very few have considered the impact of religion. Islam, as the largest and fastestgrowing religion in the world, has adherents throughout the world, presents a complete moral, ethical, and medical framework, while it sometimes concurs conflicts with the conventional and secular ethical framework. This paper introduces to the Islamic principles of ethics in organ transplantation involving human subject to address issues of religion and religious ethics. Historical reflections are discussed as to why Muslim thinkers were late to consider contemporary medical issues such as organ donation. Islam respects life and values need of the living over the dead, thus allowing organ donation to be considered in certain circumstances. The sources of Islamic law are discussed in brief to see how the parameters of organ transplantation are derived. The Islamic perception, both Shiite and Sunni, is examined in relation to organ donation and its various sources. The advantages and disadvantages of brain dead and cadaveric donation are reviewed with technical and ethical considerations. The Islamic concept of brain death, informed and proxy consent are also discussed. The concept of rewarded donation as a way to alleviate the shortage of organs available for transplantation is assessed.    doi: 10.3329/taj.v21i1.3230 TAJ 2008; 21(1): 97-103

scholarly journals Targeting and tailoring an intervention for adolescents who are overweight

2014 ◽  
Vol 22 (2) ◽  
pp. 237-247 ◽  
Author(s):  
Kirsti Riiser ◽  
Knut Løndal ◽  
Yngvar Ommundsen ◽  
Nina Misvær ◽  
Sølvi Helseth
Keyword(s):  
Health Behavior ◽  
Ethical Issues ◽  
Public Health Intervention ◽  
Well Being ◽  
Health Behavior Change ◽  
Overweight And Obesity ◽  
Ethical Framework ◽  
Vulnerable Groups ◽  
Attribution Of Responsibility ◽  
Ethical Aspects

There are important ethical issues to be examined before launching any public health intervention, particularly when targeting vulnerable groups. The aim of this article is to identify and discuss ethical concerns that may arise when intervening for health behavior change among adolescents identified as overweight. These concerns originate from an intervention designed to capacitate adolescents to increase self-determined physical activity. Utilizing an ethical framework for prevention of overweight and obesity, we identified three ethical aspects as particularly significant: the attribution of responsibility for health behavior, liberty to choose, and the effect on the participants’ psychosocial well-being. It is discussed whether and how measures can be taken to deal with these aspects. It seems evident that the ethical aspects are mainly concerned with the vulnerability of adolescents identified as overweight. However, we claim that when individual feedback and counseling is provided, tailored interventions have a unique potential to empower adolescents to make ethically anchored decisions about their own health behavior.

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