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ETHICAL AND LEGAL ASPECTS OF TELEMEDICINE APPLIED IN ORTHOPEDICS
Fabio Seiji Mazzi Yamaguchi1, Helder de Souza Miyhara1, Jorge Dos Santos Silva1
1Universidade de São Paulo, Faculty of Medicine, Hospital das Clínicas, Institute of Orthopedics and Traumatology, HC-FMUSP, São Paulo, SP, Brazil.
Telemedicine, particularly tele-orthopedics, expanded during COVID-19 to maintain patient care. This technology offers benefits like reduced costs and improved satisfaction, but requires adherence to legal and ethical standards for orthopedic surgeons.
Area of Science:
- Orthopedics
- Health Informatics
- Medical Law
Background:
- The COVID-19 pandemic disrupted outpatient services, necessitating innovative healthcare delivery models.
- Telemedicine emerged as a critical solution, enabling continued patient treatment and follow-up across various specialties.
- Tele-orthopedics specifically addresses the need for remote orthopedic care, overcoming geographical barriers.
Purpose of the Study:
- To provide a comprehensive overview of the legal and ethical considerations in telemedicine, with a specific focus on tele-orthopedics.
- To synthesize fragmented information regarding the regulatory landscape of remote healthcare services.
- To guide orthopedic surgeons in navigating the ethical and legal requirements of teleconsultations.
Main Methods:
- Literature review of existing information on telemedicine, legal, and ethical aspects.
- Analysis of ethical principles (autonomy, beneficence, non-maleficence, justice) in the context of tele-orthopedics.
- Examination of privacy and confidentiality requirements in remote patient consultations.
Main Results:
- Tele-orthopedics enhances patient satisfaction by reducing travel, wait times, and costs.
- It improves rehabilitation effectiveness post-surgery and promotes treatment compliance.
- Adherence to ethical principles and data privacy is crucial for successful tele-orthopedics implementation.
Conclusions:
- Orthopedic surgeons must uphold traditional ethical standards while adapting to new telemedicine regulations.
- Telemedicine, including tele-orthopedics, is vital for accessible and effective patient care.
- Compliance with legal frameworks ensures patient safety and trust in remote healthcare services.
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