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Informed Consent in Paediatric Telemedicine: Challenge or Opportunity? A Scoping Review
Giovanna Ricci1, Filippo Gibelli1, Paolo Bailo1
1Section of Legal Medicine, School of Law, University of Camerino, 62032 Camerino, Italy.
Insights
Obtaining informed consent from minors in telemedicine presents unique challenges. This study identifies practices and solutions for effective communication and consent in pediatric telemedicine.
Area of Science:
- Medical Law
- Pediatric Care
- Digital Health
Background:
- Informed consent is crucial for lawful medical practice.
- Pediatric patients require parental/guardian consent, complicating the process.
- Telemedicine introduces further complexities to informed consent procedures.
Purpose of the Study:
- To review literature on informed consent practices for minors in telemedicine over the last decade.
- To identify operational approaches for collecting consent from children via telemedicine.
- To find solutions for challenges in providing adequate information to pediatric patients in telemedicine settings.
Main Methods:
- Scoping review of scientific literature.
- Analysis of publications from the past 10 years.
- Synthesis of findings on informed consent in pediatric telemedicine.
Main Results:
- Telemedicine complicates the already challenging process of informing and obtaining consent from children.
- Existing operational practices for informed consent in pediatric telemedicine are varied.
- Telemedicine platforms offer potential to improve communication with child patients.
Conclusions:
- Addressing the complexities of informed consent in pediatric telemedicine is essential.
- Innovative solutions are needed to ensure adequate information is provided to children.
- Telemedicine, despite challenges, can be leveraged to enhance child-centered communication and consent processes.
Abstract:
The fundamental importance of informed consent as a prerequisite for the lawfulness of the medical act is an indisputable cornerstone of clinical practice. However, the provision of effective information and the collection of informed consent presents important critical issues in the underage patient, even considering that in general terms he or she does not have the power to directly express consent, which must be provided by parents or legal guardians. These critical issues are amplified in the context of telemedicine. The present study aims, through a scoping review of the literature of the past 10 years, to outline the operational practices adopted in the collection of informed consent from children in the context of telemedicine and to identify solutions devised to address the critical issues related to the provision of adequate information to the child in this particular care setting. The results of the research show that the activity of delivering adequate information to the child, itself complex, is made even more complex by the particular setting of telemedicine, which, however, could be effectively exploited to facilitate communication with the child patient.
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