Expands access to specialist care where it is not available 1414. Nittari G, Khuman R, Baldoni S, Pallotta G, Battineni G, Sirignano A et al. Telemedicine practice: review of the current ethical and legal challenges. Telemed J E Health [Internet]. 2020 [acesso 13 fev 2023];26(12):1427-37. DOI: 10.1089/tmj.2019.0158
15. Atac A, Kurt E, Yurdakul S. An overview to ethical problems in telemedicine technology. Procedia Soc Behav Sci [Internet]. 2013 [acesso 13 fev 2023];103:116-22. DOI: 10.1016/j.sbspro.2013.10.315 - 1616. Gioia G, Salducci M. Medical and legal aspects of telemedicine in ophthalmology. Rom J Ophthalmol [Internet]. 2019 [acesso 13 fev 2023];63(3):197-207. Disponível: https://bit.ly/42LoJeI https://bit.ly/42LoJeI...
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Problems with ensuring data privacy and security 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
, 66. Kuziemsky C, Hunter I, Gogia S, Lyenger S, Kulatunga G, Rajput V et al. Ethics in telehealth: comparison between guidelines and practice-based experience: the case for learning health systems. Yearb Med Inform [Internet]. 2020 [acesso 13 fev 2023];29(1):44-50. DOI: 10.1055/s-0040-1701976 , 1616. Gioia G, Salducci M. Medical and legal aspects of telemedicine in ophthalmology. Rom J Ophthalmol [Internet]. 2019 [acesso 13 fev 2023];63(3):197-207. Disponível: https://bit.ly/42LoJeI https://bit.ly/42LoJeI...
, 1717. Osman M, Schick-Makaroff K, Thompson S, Bialy L, Featherstone R, Kurzawa J et al. Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review. BMJ Glob Health [Internet]. 2019 [acesso 13 fev 2023];4(5):e001629. DOI: 10.1136/bmjgh-2019-001629
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Risk of technical failures that jeopardize the quality of the service provided 1414. Nittari G, Khuman R, Baldoni S, Pallotta G, Battineni G, Sirignano A et al. Telemedicine practice: review of the current ethical and legal challenges. Telemed J E Health [Internet]. 2020 [acesso 13 fev 2023];26(12):1427-37. DOI: 10.1089/tmj.2019.0158 , 3131. Vitolo F. Telemedicina: nuevas tecnologías: nuevos riesgos. Biblioteca Virtual Noble [Internet]. 2011 [acesso 13 fev. 2023]. Disponível: https://bit.ly/3p6vqu8 https://bit.ly/3p6vqu8...
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Difficulties of actors to use ICT 1717. Osman M, Schick-Makaroff K, Thompson S, Bialy L, Featherstone R, Kurzawa J et al. Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review. BMJ Glob Health [Internet]. 2019 [acesso 13 fev 2023];4(5):e001629. DOI: 10.1136/bmjgh-2019-001629 , 2929. Denecke K, Bamidis P, Bond C, Gabarron E, Househ M, Lau AY et al. Ethical issues of social media usage in healthcare. Yearb Med Inform [Internet]. 2015 [acesso 13 fev 2023];10(1):137-47. DOI: 10.15265/IY-2015-001
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Enables better follow-up 1212. Catapan S, Calvo M. Teleconsulta: uma revisão integrativa da interação médico-paciente mediada pela tecnologia. Rev Bras Educ Med. [Internet]. 2020 [acesso 13 fev 2023];44(1):e003. DOI: 10.1590/1981-5271v44.1-20190224.ING , 1414. Nittari G, Khuman R, Baldoni S, Pallotta G, Battineni G, Sirignano A et al. Telemedicine practice: review of the current ethical and legal challenges. Telemed J E Health [Internet]. 2020 [acesso 13 fev 2023];26(12):1427-37. DOI: 10.1089/tmj.2019.0158 , 1717. Osman M, Schick-Makaroff K, Thompson S, Bialy L, Featherstone R, Kurzawa J et al. Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review. BMJ Glob Health [Internet]. 2019 [acesso 13 fev 2023];4(5):e001629. DOI: 10.1136/bmjgh-2019-001629
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Possible weakening of the relationship between patient and healthcare provider 1313. Langarizadeh M, Moghbeli F, Aliabadi A. Application of ethics for providing telemedicine services and information technology. Med Arch [Internet]. 2017 [acesso 13 fev 2023];71(5):351-5. DOI: 10.5455/medarh.2017.71.351-355
14. Nittari G, Khuman R, Baldoni S, Pallotta G, Battineni G, Sirignano A et al. Telemedicine practice: review of the current ethical and legal challenges. Telemed J E Health [Internet]. 2020 [acesso 13 fev 2023];26(12):1427-37. DOI: 10.1089/tmj.2019.0158
15. Atac A, Kurt E, Yurdakul S. An overview to ethical problems in telemedicine technology. Procedia Soc Behav Sci [Internet]. 2013 [acesso 13 fev 2023];103:116-22. DOI: 10.1016/j.sbspro.2013.10.315 - 1616. Gioia G, Salducci M. Medical and legal aspects of telemedicine in ophthalmology. Rom J Ophthalmol [Internet]. 2019 [acesso 13 fev 2023];63(3):197-207. Disponível: https://bit.ly/42LoJeI https://bit.ly/42LoJeI...
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Improves the quality of services provided 33. Chang V, Cao Y, Li T, Shi Y, Baudier P. Smart healthcare and ethical issues. In: International Conference on Finance, Economics, Management and IT Business [Internet]. Setúbal: SciTePress; 2019 [acesso 13 fev 2023]. p. 53-9. DOI: 10.5220/0007737200530059 https://doi.org/10.5220/0007737200530059...
, 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
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Aversion to change/complacency/lack of interest and/or knowledge on the part of healthcare providers 22. van der Kleij R, Kasteleyn M, Meijer E, Bonten T, Houwink E, Teichert M et al. Series: eHealth in primary care. Part 1: concepts, conditions and challenges. Eur J Gen Pract [Internet]. 2019 [acesso 13 fev 2023];25(4):179-89. DOI: 10.1080/13814788.2019.1658190 , 1010. Comité Consultatif National d’Éthique pour les Sciences de la Vie et de la Santé. Enjeux d’éthique liés aux outils numériques en télémédecine et télésoin dans le contexte de la COVID-19. Bulletin de Veille [Internet]. 2020 [acesso 13 fev 2023];3. Disponível em: https://bit.ly/3qRJN6k https://bit.ly/3qRJN6k...
, 1212. Catapan S, Calvo M. Teleconsulta: uma revisão integrativa da interação médico-paciente mediada pela tecnologia. Rev Bras Educ Med. [Internet]. 2020 [acesso 13 fev 2023];44(1):e003. DOI: 10.1590/1981-5271v44.1-20190224.ING , 1717. Osman M, Schick-Makaroff K, Thompson S, Bialy L, Featherstone R, Kurzawa J et al. Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review. BMJ Glob Health [Internet]. 2019 [acesso 13 fev 2023];4(5):e001629. DOI: 10.1136/bmjgh-2019-001629 , 2020. Segrelles G, López-Padilla D, Granda-Orive JI. Ventajas e inconvenientes de la telemedicina en el manejo de pacientes con enfermedades crónicas respiratorias. Arch Bronconeumol [Internet]. 2016 [acesso 13 fev 2023];52(12):575-6. DOI: 52. 10.1016/j.arbres.2016.05.016 https://doi.org/10.1016/j.arbres.2016.05...
, 2626. Caldwell B, Bischoff R, Derring-Palumbo K, Liebert J. Best practices in the online practice of couple and family therapy. AAMFT [Internet]. 2017 [acesso 13 fev 2023]. Disponível: https://bit.ly/3XabWBA https://bit.ly/3XabWBA...
and patients 66. Kuziemsky C, Hunter I, Gogia S, Lyenger S, Kulatunga G, Rajput V et al. Ethics in telehealth: comparison between guidelines and practice-based experience: the case for learning health systems. Yearb Med Inform [Internet]. 2020 [acesso 13 fev 2023];29(1):44-50. DOI: 10.1055/s-0040-1701976 , 2727. Welch BM, Marshall E, Qanungo S, Aziz A, Laken M, Lenert L, Obeid J. Teleconsent: a novel approach to obtain informed consent for research. Contemp Clin Trials Commun [Internet]. 2016 [acesso 13 fev 2023];3:74-9. DOI: 10.1016/j.conctc.2016.03.002
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Encourages autonomy and self-care of patients 22. van der Kleij R, Kasteleyn M, Meijer E, Bonten T, Houwink E, Teichert M et al. Series: eHealth in primary care. Part 1: concepts, conditions and challenges. Eur J Gen Pract [Internet]. 2019 [acesso 13 fev 2023];25(4):179-89. DOI: 10.1080/13814788.2019.1658190 , 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
, 1818. Montforta R, Brunsomsb D. Avances en la informatización de los sistemas de salud. Aten Primaria [Internet]. 2005 [acesso 13 fev 2023];36(8):448-52. DOI: 10.1157/13081059
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Excessive reduction of in-person and home consultations 3232. Gilmartin C, Arbe-Barnes EH, Diamond M, Fretwell S, McGivern E, Vlazaki M, Zhu L. Varsity medical ethics debate 2018: constant health monitoring: the advance of technology into healthcare. Philos Ethics Humanit Med [Internet]. 2018 [acesso 13 fev 2023];13(1):12. DOI: 10.1186/s13010-018-0065-0 https://doi.org/10.1186/s13010-018-0065-...
, 3333. Leão CF, Coelho MES, Siqueira AO, Rosa BAA, Neder PRB. O uso do WhatsApp na relação médico-paciente. Rev. Bioét. (Impr.) [Internet]. 2018 [acesso 13 fev 2023];26(3):412-9. DOI: 10.1590/1983-80422018263261
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, 1919. Capitão A, Leite P, Rocha Á. Telemedicina: uma análise da situação portuguesa [Internet]. In: Anais da 3ª Conferência Ibérica de Sistemas e Tecnologias de Informação; 2008; Ourense. Ourense: Cist; 2008 [acesso 13 fev 2023]. Disponível: https://bit.ly/3PzkiB5 https://bit.ly/3PzkiB5...
20. Segrelles G, López-Padilla D, Granda-Orive JI. Ventajas e inconvenientes de la telemedicina en el manejo de pacientes con enfermedades crónicas respiratorias. Arch Bronconeumol [Internet]. 2016 [acesso 13 fev 2023];52(12):575-6. DOI: 52. 10.1016/j.arbres.2016.05.016 https://doi.org/10.1016/j.arbres.2016.05...
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Lack of defined rules and regulations 66. Kuziemsky C, Hunter I, Gogia S, Lyenger S, Kulatunga G, Rajput V et al. Ethics in telehealth: comparison between guidelines and practice-based experience: the case for learning health systems. Yearb Med Inform [Internet]. 2020 [acesso 13 fev 2023];29(1):44-50. DOI: 10.1055/s-0040-1701976 , 1414. Nittari G, Khuman R, Baldoni S, Pallotta G, Battineni G, Sirignano A et al. Telemedicine practice: review of the current ethical and legal challenges. Telemed J E Health [Internet]. 2020 [acesso 13 fev 2023];26(12):1427-37. DOI: 10.1089/tmj.2019.0158 , 2525. Wang Z, Deng Z, Wu X. Status quo of professional-patient relations in the internet era: bibliometric and co-word analyses. Int J Environ Res Public Health [Internet]. 2019 [acesso 13 fev 2023];16(7):1183. DOI: 10.3390/ijerph16071183 , 2727. Welch BM, Marshall E, Qanungo S, Aziz A, Laken M, Lenert L, Obeid J. Teleconsent: a novel approach to obtain informed consent for research. Contemp Clin Trials Commun [Internet]. 2016 [acesso 13 fev 2023];3:74-9. DOI: 10.1016/j.conctc.2016.03.002 , 3434. Brall C, Schröder-Bäck P, Maeckelberghe E. Ethical aspects of digital health from a justice point of view. Eur J Public Health [Internet]. 2019 [acesso 13 fev 2023];29(supl 3):18-22. DOI: 10.1093/eurpub/ckz167 , 3535. Martinez-Martin N, Kreitmair K. Ethical issues for direct-to-consumer digital psychotherapy apps: addressing accountability, data protection, and consent. JMIR Ment Health [Internet]. 2018 [acesso 13 fev 2023];5(2):e32. DOI: 10.2196/mental.9423
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Reduces individual (travel, absenteeism at work) 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
, 1212. Catapan S, Calvo M. Teleconsulta: uma revisão integrativa da interação médico-paciente mediada pela tecnologia. Rev Bras Educ Med. [Internet]. 2020 [acesso 13 fev 2023];44(1):e003. DOI: 10.1590/1981-5271v44.1-20190224.ING , 1414. Nittari G, Khuman R, Baldoni S, Pallotta G, Battineni G, Sirignano A et al. Telemedicine practice: review of the current ethical and legal challenges. Telemed J E Health [Internet]. 2020 [acesso 13 fev 2023];26(12):1427-37. DOI: 10.1089/tmj.2019.0158 , 1616. Gioia G, Salducci M. Medical and legal aspects of telemedicine in ophthalmology. Rom J Ophthalmol [Internet]. 2019 [acesso 13 fev 2023];63(3):197-207. Disponível: https://bit.ly/42LoJeI https://bit.ly/42LoJeI...
, 2222. Wootton R, Bahaadinbeigy K, Hailey D. Estimating travel reduction associated with the use of telemedicine by patients and healthcare professionals: proposal for quantitative synthesis in a systematic review. BMC Health Services Res [Internet]. 2011 [acesso 13 fev 2023];11:185. DOI: 10.1186/1472-6963-11-185 and public 33. Chang V, Cao Y, Li T, Shi Y, Baudier P. Smart healthcare and ethical issues. In: International Conference on Finance, Economics, Management and IT Business [Internet]. Setúbal: SciTePress; 2019 [acesso 13 fev 2023]. p. 53-9. DOI: 10.5220/0007737200530059 https://doi.org/10.5220/0007737200530059...
, 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
, 1818. Montforta R, Brunsomsb D. Avances en la informatización de los sistemas de salud. Aten Primaria [Internet]. 2005 [acesso 13 fev 2023];36(8):448-52. DOI: 10.1157/13081059 costs |
Difficulties in digital access/exclusion 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
, 66. Kuziemsky C, Hunter I, Gogia S, Lyenger S, Kulatunga G, Rajput V et al. Ethics in telehealth: comparison between guidelines and practice-based experience: the case for learning health systems. Yearb Med Inform [Internet]. 2020 [acesso 13 fev 2023];29(1):44-50. DOI: 10.1055/s-0040-1701976 , 99. Rezende E, Melo M, Tavares E, Santos A, Souza C. Ética e telessaúde: reflexões para uma prática segura. Rev Panam Salud Pública [Internet]. 2010 [acesso 13 fev 2023];28(1):58-65: DOI: 10.1590/S1020-49892010000700009
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Reduces the risk of transmitting infectious diseases 1010. Comité Consultatif National d’Éthique pour les Sciences de la Vie et de la Santé. Enjeux d’éthique liés aux outils numériques en télémédecine et télésoin dans le contexte de la COVID-19. Bulletin de Veille [Internet]. 2020 [acesso 13 fev 2023];3. Disponível em: https://bit.ly/3qRJN6k https://bit.ly/3qRJN6k...
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High pace of change 1212. Catapan S, Calvo M. Teleconsulta: uma revisão integrativa da interação médico-paciente mediada pela tecnologia. Rev Bras Educ Med. [Internet]. 2020 [acesso 13 fev 2023];44(1):e003. DOI: 10.1590/1981-5271v44.1-20190224.ING , 1717. Osman M, Schick-Makaroff K, Thompson S, Bialy L, Featherstone R, Kurzawa J et al. Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review. BMJ Glob Health [Internet]. 2019 [acesso 13 fev 2023];4(5):e001629. DOI: 10.1136/bmjgh-2019-001629
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Increases security in providing care to potentially dangerous patients 2323. Yellowlees P, Chan SR, Parish MB. The hybrid doctor-patient relationship in the age of technology: telepsychiatry consultations and the use of virtual space. Int Rev Psychiatry [Internet]. 2015 [acesso 13 fev 2023];27(6):476-89. DOI: 10.3109/09540261.2015.1082987 |
Work overload/difficulty for healthcare providers to integrate this methodology into their workflow 1212. Catapan S, Calvo M. Teleconsulta: uma revisão integrativa da interação médico-paciente mediada pela tecnologia. Rev Bras Educ Med. [Internet]. 2020 [acesso 13 fev 2023];44(1):e003. DOI: 10.1590/1981-5271v44.1-20190224.ING , 2020. Segrelles G, López-Padilla D, Granda-Orive JI. Ventajas e inconvenientes de la telemedicina en el manejo de pacientes con enfermedades crónicas respiratorias. Arch Bronconeumol [Internet]. 2016 [acesso 13 fev 2023];52(12):575-6. DOI: 52. 10.1016/j.arbres.2016.05.016 https://doi.org/10.1016/j.arbres.2016.05...
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Decreases social stigma, especially in small environments 2323. Yellowlees P, Chan SR, Parish MB. The hybrid doctor-patient relationship in the age of technology: telepsychiatry consultations and the use of virtual space. Int Rev Psychiatry [Internet]. 2015 [acesso 13 fev 2023];27(6):476-89. DOI: 10.3109/09540261.2015.1082987 , 2424. Giota K, Kleftaras G. Mental health apps: innovations, risks and ethical considerations. Ehealth Telecommun Syst Netw [Internet]. 2014 [acesso 13 fev 2023];3:19-23. DOI: 10.4236/etsn.2014.33003 https://doi.org/10.4236/etsn.2014.33003...
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Absence of physical examination and other indicators that can only be collected in person 1212. Catapan S, Calvo M. Teleconsulta: uma revisão integrativa da interação médico-paciente mediada pela tecnologia. Rev Bras Educ Med. [Internet]. 2020 [acesso 13 fev 2023];44(1):e003. DOI: 10.1590/1981-5271v44.1-20190224.ING , 1616. Gioia G, Salducci M. Medical and legal aspects of telemedicine in ophthalmology. Rom J Ophthalmol [Internet]. 2019 [acesso 13 fev 2023];63(3):197-207. Disponível: https://bit.ly/42LoJeI https://bit.ly/42LoJeI...
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Increases patient satisfaction 44. Ferreira D. Teleconsultas: ir ao hospital sem sair de casa: implicações na relação médico-doente. Medicina Interna [Internet]. 2018 [acesso 13 fev 2023]. DOI: 10.24950/rspmi/Opiniao/1/2018 , 2323. Yellowlees P, Chan SR, Parish MB. The hybrid doctor-patient relationship in the age of technology: telepsychiatry consultations and the use of virtual space. Int Rev Psychiatry [Internet]. 2015 [acesso 13 fev 2023];27(6):476-89. DOI: 10.3109/09540261.2015.1082987 , 2525. Wang Z, Deng Z, Wu X. Status quo of professional-patient relations in the internet era: bibliometric and co-word analyses. Int J Environ Res Public Health [Internet]. 2019 [acesso 13 fev 2023];16(7):1183. DOI: 10.3390/ijerph16071183
26. Caldwell B, Bischoff R, Derring-Palumbo K, Liebert J. Best practices in the online practice of couple and family therapy. AAMFT [Internet]. 2017 [acesso 13 fev 2023]. Disponível: https://bit.ly/3XabWBA https://bit.ly/3XabWBA...
- 2727. Welch BM, Marshall E, Qanungo S, Aziz A, Laken M, Lenert L, Obeid J. Teleconsent: a novel approach to obtain informed consent for research. Contemp Clin Trials Commun [Internet]. 2016 [acesso 13 fev 2023];3:74-9. DOI: 10.1016/j.conctc.2016.03.002
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Consumerism/increased demand for trivial matters and ease of access 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
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, 3030. Vidal-Alaball J, López Seguí F. Ha llegado para quedarse: beneficios e inconvenientes de la eConsulta. Atención Primaria Práctica [Internet]. 2020 [acesso 13 fev 2023];2(1-2):100043. DOI: 10.1016/j.appr.2020.100043 , 3333. Leão CF, Coelho MES, Siqueira AO, Rosa BAA, Neder PRB. O uso do WhatsApp na relação médico-paciente. Rev. Bioét. (Impr.) [Internet]. 2018 [acesso 13 fev 2023];26(3):412-9. DOI: 10.1590/1983-80422018263261 , 3535. Martinez-Martin N, Kreitmair K. Ethical issues for direct-to-consumer digital psychotherapy apps: addressing accountability, data protection, and consent. JMIR Ment Health [Internet]. 2018 [acesso 13 fev 2023];5(2):e32. DOI: 10.2196/mental.9423 , 3636. Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics [Internet]. 2018 [acesso 13 fev 2023];19(1):18. DOI: 10.1186/s12910-018-0255-8
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Improved communication between patient and healthcare provider 2020. Segrelles G, López-Padilla D, Granda-Orive JI. Ventajas e inconvenientes de la telemedicina en el manejo de pacientes con enfermedades crónicas respiratorias. Arch Bronconeumol [Internet]. 2016 [acesso 13 fev 2023];52(12):575-6. DOI: 52. 10.1016/j.arbres.2016.05.016 https://doi.org/10.1016/j.arbres.2016.05...
, 2525. Wang Z, Deng Z, Wu X. Status quo of professional-patient relations in the internet era: bibliometric and co-word analyses. Int J Environ Res Public Health [Internet]. 2019 [acesso 13 fev 2023];16(7):1183. DOI: 10.3390/ijerph16071183 , 2828. Sabesan S, Allen D, Caldwell P, Loh PK, Mozer R, Komesaroff PA et al. Practical aspects of telehealth: doctor-patient relationship and communication. Intern Med J [Internet]. 2014 [acesso 13 fev 2023];44(1):101-3. DOI: 10.1111/imj.12323 https://doi.org/10.1111/imj.12323...
, 2929. Denecke K, Bamidis P, Bond C, Gabarron E, Househ M, Lau AY et al. Ethical issues of social media usage in healthcare. Yearb Med Inform [Internet]. 2015 [acesso 13 fev 2023];10(1):137-47. DOI: 10.15265/IY-2015-001
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Patients may consider that the remote consultation should not be charged 3737. Frade S, Rodrigues H. Benefits, challenges and impact of teleconsultation: a literature review. Stud Health Technol Inform [Internet]. 2013 [acesso 13 fev 2023];192:1157. DOI: 10.3233/978-1-61499-289-9-1157 |
Increases the job satisfaction of healthcare providers 2323. Yellowlees P, Chan SR, Parish MB. The hybrid doctor-patient relationship in the age of technology: telepsychiatry consultations and the use of virtual space. Int Rev Psychiatry [Internet]. 2015 [acesso 13 fev 2023];27(6):476-89. DOI: 10.3109/09540261.2015.1082987 , 3030. Vidal-Alaball J, López Seguí F. Ha llegado para quedarse: beneficios e inconvenientes de la eConsulta. Atención Primaria Práctica [Internet]. 2020 [acesso 13 fev 2023];2(1-2):100043. DOI: 10.1016/j.appr.2020.100043
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Need for organizational changes 55. Ortúzar M. Igualdad de acceso a la telesanidad en zonas rurales y aisladas: propuesta de un marco ético normativo integral de acceso y distribución. Rev Latinoam Bioet [Internet]. 2009 [acesso 13 fev 2023];9(1):76-93. Disponível: https://bit.ly/3X7S0PP https://bit.ly/3X7S0PP...
, 1818. Montforta R, Brunsomsb D. Avances en la informatización de los sistemas de salud. Aten Primaria [Internet]. 2005 [acesso 13 fev 2023];36(8):448-52. DOI: 10.1157/13081059
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