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Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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The telemedical imperative.

Jordan A Parsons¹

¹Centre for Ethics in Medicine, Bristol Medical School, University of Bristol, Bristol, United Kingdom of Great Britain and Northern Ireland.

|February 15, 2021

Summary

This summary is machine-generated.

Healthcare systems have a duty to implement telemedicine, or remote healthcare services, where feasible. This telemedical imperative ensures equitable access to care, supplementing in-person visits and improving health outcomes.

Keywords:

autonomy health inequity justice remote healthcare telemedicine

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Area of Science:

Health Informatics
Digital Health
Healthcare Management

Background:

Technology has historically improved healthcare delivery and patient access to services.
Telemedicine offers applications ranging from primary care to chronic disease management.
Global adoption of telemedicine has lagged despite WHO recommendations, though digitization and the COVID-19 pandemic are accelerating its use.

Purpose of the Study:

To present and defend the concept of the 'telemedical imperative'.
To establish a framework for the ethical implementation of telemedicine.
To argue for a duty to provide remote healthcare access to enhance health equity.

Main Methods:

Review of existing literature on telemedicine benefits and challenges.
Development of four criteria for the emergence of the telemedical imperative: safety, effectiveness, acceptability, and service-specific feasibility.
Analysis of potential objections to widespread telemedicine implementation.

Main Results:

The telemedical imperative is defined as a duty for healthcare systems to offer remote services.
Four essential criteria (safety, effectiveness, acceptability, and overcoming service-specific barriers) are proposed for its implementation.
Telemedicine is positioned as a supplement, not a replacement, for in-person care.

Conclusions:

The telemedical imperative provides a strong ethical basis for expanding telemedicine services.
Addressing implementation concerns is crucial for realizing the full potential of remote healthcare.
Prioritizing equitable access through telemedicine can significantly improve global health outcomes.