The legal and ethical aspects of telemedicine. 3: Telemedicine and malpractice

1998 ◽  
Vol 4 (2) ◽  
pp. 72-79 ◽  
Author(s):  
Ben Stanberry
Keyword(s):  
Patient Relationship ◽  
Ethical Aspects ◽  
Doctor Patient Relationship ◽  
Telemedicine Service ◽  
Face To Face ◽  
Legal Principles ◽  
Practice Of Medicine ◽  
Valid Consent

Summary This paper reviews the difficulties raised by the need to obtain valid consent from telemedicine patients to the treatment that they receive and evaluates the legal principles that the courts will apply to an allegation of negligence brought against a teleconsultant or telemedicine service by a patient. While many of the processes that take place during a telemedical consultation will be unique, it is suggested that the legal principles that apply to the conventional, face-to-face, doctor-patient relationship are equally as valid in the context of the practice of medicine at a distance.

scholarly journals The Doctor–Patient Relationship: Does Christianity Make a Difference?

2021 ◽  
Vol 27 (1) ◽  
pp. 1-13
Author(s):  
James J Delaney
Keyword(s):  
Assisted Suicide ◽  
Clinical Encounter ◽  
Patient Relationship ◽  
Physician Assisted Suicide ◽  
Doctor Patient Relationship ◽  
Moral Tradition ◽  
Practice Of Medicine ◽  
Christian Understanding ◽  
The Relationship ◽  
Perinatal Hospice

Abstract The nature of the doctor–patient relationship is central to the practice of medicine and thus to bioethics. The American Medical Association (in AMA principles of medical ethics, available at: https://www.ama-assn.org/delivering-care/ethics/patient-physician-relationships, 2016) states, “The practice of medicine, and its embodiment in the clinical encounter between a patient and a physician, is fundamentally a moral activity that arises from the imperative to care for patients and to alleviate suffering.” In this issue of Christian Bioethics, leading scholars consider what relevance (if any) Christianity brings to the relationship between physician and patient: does Christianity make a difference? The contributors consider this question from several different perspectives: the proper model of medicine, the role that the Christian moral tradition can play in medicine in a secular pluralistic society, how a Christian understanding of virtue can inform practices such as perinatal hospice and physician-assisted suicide, and whether or not appeals to Christian values can (or should) ground a physician’s right to conscientious objection.

A comparative study of teleconsultations versus face-to-face consultations

2001 ◽  
Vol 7 (5) ◽  
pp. 257-265 ◽  
Author(s):  
E J Nordal ◽  
D Moseng ◽  
B Kvammen ◽  
M-L Løchen
Keyword(s):  
General Practitioner ◽  
Comparative Study ◽  
Complete Agreement ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Partial Agreement ◽  
Face To Face ◽  
High Degree ◽  
Made In

We compared the diagnoses made by one dermatologist via telemedicine with those of another dermatologist made in a face-to-face consultation. The patients first underwent a teledermatology consultation and then a face-to-face consultation. A general practitioner was present with the patient in the videoconference studio. Videoconferencing equipment connected at 384 kbit/s was used. The doctor-patient relationship and the satisfaction of the patients and dermatologists in the two settings were assessed, as well as technical conditions during the videoconferences. There were 121 patients, with a mean age of 40 years (range 17-82 years). There was a high degree of concordance between the two sets of diagnoses, with 72% complete agreement and 14% partial agreement between the two dermatologists. A total of 116 patients (96% of those included) completed a questionnaire. Both the patients and the dermatologists were in general satisfied with the videoconferences. Videoconferencing with a participating general practitioner may be useful in dermatology, but the technique should be used only for selected patients.

The Doctor-Patient Relationship in the Practice of Medicine

1975 ◽  
Vol 6 (1-2) ◽  
pp. 183-193 ◽  
Author(s):  
Wolfram Schüffel
Keyword(s):  
Medical Practice ◽  
Case History ◽  
Clinical Implications ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Primary Physician ◽  
Practice Of Medicine ◽  
Complete Neglect ◽  
Diagnosis Therapy ◽  
The Relationship

The patient-doctor relationship is based on the principles of interaction, collecting data and integration of both interaction and data into an overall diagnosis/therapy. Patients with functional abdominal disorders are seen as representatives of today's general patients and a study of their management in present medical practice is reported, as revealed through literature. The literature reveals an almost complete neglect of interactional and integrational principles. This holds true even for psychosomatically oriented literature, which offers some crude clinical guidelines at best. Thus the primary physician gets little support from psychosomatic medicine in understanding the full meaning of the doctor-patient relationship. The clinical implications of the relationship are demonstrated through a short case history and implications for future training are described which are based on the primary physician's actual working experiences.

scholarly journals A survey of Irish psychiatric trainees attitudes to balint groups

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S259-S259
Author(s):  
Sudha Jain ◽  
Emma Adams ◽  
Alyson Lee
Keyword(s):  
Thematic Analysis ◽  
Online Survey ◽  
Psychological Needs ◽  
Free Text ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Cross Sectional Survey ◽  
Online Groups ◽  
Face To Face ◽  
Balint Groups

Aims1. To compare the experience of psychiatric trainees in Ireland of online Balint Groups (BG) in contrast to face to face groups.2. To assess the general attitudes of trainees to BG using the Psychological Medical Inventory (PMI) (Ireton and Sherman, 1988) scale.MethodAn online survey comprising two sections: 1. A questionnaire exploring participants experience, effectiveness and obstacles to attending the two formats of BG with a free text box response. 2. General attitude of trainees towards BG using PMI scale.An online cross-sectional survey using Survey Monkey. An invitation to participate in the survey was emailed to all trainees by the College of Psychiatrists in Ireland. All data were anonymised, and all data processing was conducted in line with GDPR. Statistical analysis was undertaken using Microsoft Excel. Thematic analysis was applied to the free-text box responses.Result16.49% (64/388) responded to the survey. Responses were uniform across all stages of training. 97% of respondents attended BG; 72% attended both formats, 25% attended only face-to-face and 3% online only. 65% of respondents preferred face to face compared to 18% online, whilst 11% stated no preference.On thematic analysis, trainees asserted a preference for face-to-face, describing better group cohesion, feeling safer to share, increased ease of interpreting non-verbal communication, and that conversation was more fluid. They described greater ease of engagement with the group/facilitator and preferred direct social interaction with peers.Conversely, most trainees acknowledged that online groups were convenient to attend, less time consuming & mitigated COVID risk associated with face-to-face meetings. Common themes against the use of online groups were: less psychotherapeutic in nature, technical issues, silences, unable to see participants faces and as though speaking “into the void”.Regarding trainees' attitudes to attending BG, most of the trainees found BG had been beneficial in developing more interest and confidence in dealing with the psychological aspects of patient care. Trainees agreed that skills improved in developing an excellent doctor-patient relationship, recognising patients under stress/ in distress, systemically obtaining psychological information and making treatment decisions based upon psychological needs and psychotherapeutic engagement. They agreed that they could better understand the influence of doctors' emotions on the doctor-patient relationship.ConclusionThis survey showed that most trainees find BG beneficial in developing better doctor-patient relationships, preferring face-to-face rather than online BG. However, they found online more convenient. A blended learning approach could provide trainees with the benefits of both formats of BG.

scholarly journals Bioethics and Nutrition in the Older Adult

2022 ◽  
Vol 3 (6) ◽  
pp. 11-15
Author(s):  
Jessica Andrea Aguilera-Hernández ◽  
Lydia Lopéz Pontigo ◽  
María del Refugio Acuña Gurrola ◽  
Arianna Omaña Covarruvias
Keyword(s):  
Nutritional Status ◽  
Old Age ◽  
Older Adult ◽  
Professional Practice ◽  
The Elderly ◽  
Patient Relationship ◽  
Ethical Aspects ◽  
Ethical Considerations ◽  
Doctor Patient Relationship ◽  
High Standards

At the professional practice of nutrition, as in the rest of the health disciplines, it is necessary to follow high standards in order to establish the best doctor-patient relationship and the greatest benefit in the user's health. In a special way, the factors that are indexed in the nutrition of the elderly must be specified; since, during the stage of old age, individuals present physiological and psychosocial changes that affect their nutritional status, which lead to both overweight and malnutrition, implying malnutrition problems. Thus, recommendations are established for both the ethical aspects and the components that must be considered for the adequate feeding of the elderly, including the ethical considerations involved in the interventions.

scholarly journals ZAGROŻENIA KORUPCYJNE W RELACJACH MIĘDZY LEKARZEM A PACJENTEM

2016 ◽  
Vol 60 (1) ◽  
Author(s):  
Marcin Kolwitz ◽  
Jakub Gąsiorowski
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Medical Personnel ◽  
Patient Relationship ◽  
Ethical Aspects ◽  
Doctor Patient Relationship ◽  
Criminal Sanctions ◽  
The Relationship ◽  
Care System

The article describes the problem of corruption occurring in the relationship between doctor and patient. The doctor–patient relationship, including the provision of health services, is one of several potential areas of corruption in the health care system. Among the reasons for the existence of corruption in these relationships are the need to obtain better health care for the patient, and higher earnings in the case of a doctor. Indications of corruption are utilitarian (action for personal advantage without ethical aspects), but may also be (actually or in the patient’s opinion) the only way to obtain services and save health and even life. Corruption between the doctor and the patient can be limited by better organization of the health care system, including the financing of benefits and education of medical personnel and patients, as well as traditional legal measures, such as prevention or the application of criminal sanctions.

scholarly journals Doctor-patient relationship

Pulse ◽  
1970 ◽  
Vol 3 (1) ◽  
pp. 12-14 ◽  
Author(s):  
A Mahmud
Keyword(s):  
Health Care ◽  
Diagnosis And Treatment ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
High Quality ◽  
Quality Health Care ◽  
Medical Specialties ◽  
Practice Of Medicine ◽  
Quality Health ◽  
High Quality Health Care

The doctor-patient relationship is central to the practice of medicine and is essential for the delivery of high-quality health care in the diagnosis and treatment of diseases. The patients must have confidence in the competence of doctors and should feel that they can confide in him or her. For physicians, the establishment of a good rapport with the patients is also important. This being said, some medical specialties, emphasize more on the doctor-patient relationship than others. The doctor-patient relationship forms one of the foundations of contemporary medical ethics.DOI: 10.3329/pulse.v3i1.6546Pulse Vol.3(1) July 2009 p12-14

scholarly journals Hubungan Dokter Pasien sesuai Harapan Konsil Kedokteran Indonesia Tinjauan pada Profesi Dokter

2012 ◽  
Vol 19 (2) ◽  
pp. 171
Author(s):  
Andy Yok Siswosaputro ◽  
Dahlia Herawati
Keyword(s):  
Legal Aspects ◽  
Medical Services ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Law And Ethics ◽  
User Communities ◽  
Practice Of Medicine ◽  
Patient Will ◽  
The Relationship

Latar Belakang. Pelayanan medis oleh dokter mupun dokter gigiberpedoman pada Undang-Undang dan etika yang pada hakekatnya untuk melindungi masyarakat. Konsil Kedokteran Indonesia (KKI) bertugas menjaga kualitas pelayanan medis sebagai upaya perlindungan kepada masyarakat penggunya, dalam pelaksanaan Undang-Undang no 29 tahun 2004 tentang Praktek Kedokteran. Fungsi pengawasan KKI meliputi pembinaan terhadap penyelenggaraan praktek kedokteran, terutama dalam rangka mempertahankan profesionalisme dan peningkatan mutu pelayanan medis. Selain itu KKI juga mensosialisasikan hal-hal yang berhubungan dengan dokter dan pelayanan kesehatan pada masyarakat luas. Tujuan penulisan ini adalah agar dokter-dokter gigi dapat memahami dan melaksanakan tindakan kedokteran sesuai harapan KKI dalam rangka membina hubungan dokter dengan pasie. Tinjauan Pustaka. Hubungan yang baik antara dokter dan pasien akan berjalan baik jika dokter memahami pada 1. Esensi hubungan dokter-pasien; 2. Aspek hukum hubungan dokter-pasien; 3. Kesetaraan dalam hubungan dokter-pasien; 4. Persetujuan tindakan kedokteran. Kesimpulan. Dokter dituntut bersikap bijaksana, memperlakukan pasien penuh tanggung jawab secara etika maupun keilmuan. Background. Medical services by a physician or dentist referring to the Law and ethics in truth to protect society. Konsil Kedokteran Indonesia (KKI) working preserve the quality of medical services in an attempt to cover user communities, in the implementation of Law No 29 of 2004 on the Practice of Medicine. KKI oversight functions include the construction of maintenance medical practice, especially in order to maintain proessionalism and improving the quality of medical services. Additionally KKI also socialize matters relating to doctors and health services in the community. The purpose of this paper is that doctors/dentists can understand and implement the medical actions appropiate expectations KKI in order to foster the relationship between doctor and patient. Review of Literature. Good relationship between doctor and patient will work well if the doctor understands the 1. Essence of the doctor-patient relationship; 2. Legal aspects of the doctor-patient relationship; 3. Equality in the doctor-patient relationship; 4. Medical consent. Conclusion. Physicians are required to be wise, treat patients with ethically responsible and science.

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