Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring

Abstract: Background: The surgical telementoring is a technology that involves surgical procedures guided by an expert or mentor, performed by other surgeons from a distance, using information and knowledge technologies. This therapeutic innovation has generated new opportunities to improve the surg...

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Autores principales:	Fuertes-Guiró,Fernando, Viteri Velasco,Eduardo
Lenguaje:	English
Publicado:	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile 2018
Materias:	surgical telementoring telesurgery ethical analysis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2018000200167
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spelling	oai:scielo:S1726-569X20180002001672019-04-09Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoringFuertes-Guiró,FernandoViteri Velasco,Eduardo surgical telementoring telesurgery ethical analysis Abstract: Background: The surgical telementoring is a technology that involves surgical procedures guided by an expert or mentor, performed by other surgeons from a distance, using information and knowledge technologies. This therapeutic innovation has generated new opportunities to improve the surgical attention and the training of the surgeons. However, their ethical implications should be analyzed to clarify their use, to check the patient's safety and eliminate uncertainties. The characteristics of surgical telementoring generate specific challenges and ethical dilemmas that must be identified, analyzed and solved. Results: In this paper the ethical challenges and dilemmas of surgical telementoring identified and analyzed cover multiple aspects such as patient safety, privacy and vulnerability, the surgeon-mentor-patient relationship and informed consent, professional responsibility, cost-effectiveness analysis and Solidarity and social justice regarding the use of healthcare resources, the systematic approach to validation of the proposed new technology and conflicts of interest. For many of these issues solutions are provided, but they are still to be solved. Conclusions: surgical telementoring potentially improves patient healing and surgeon education. It will have a rapid evolution in the next years. This rapid growth should not be anticipated to the solid implantation of ethical guarantees for its use due to the particular characteristics that this technology has in the field of telemedicine.info:eu-repo/semantics/openAccessCentro Interdisciplinario de Estudios en Bioética, Universidad de ChileActa bioethica v.24 n.2 20182018-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2018000200167en10.4067/S1726-569X2018000200167
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	surgical telementoring telesurgery ethical analysis
spellingShingle	surgical telementoring telesurgery ethical analysis Fuertes-Guiró,Fernando Viteri Velasco,Eduardo Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring
description	Abstract: Background: The surgical telementoring is a technology that involves surgical procedures guided by an expert or mentor, performed by other surgeons from a distance, using information and knowledge technologies. This therapeutic innovation has generated new opportunities to improve the surgical attention and the training of the surgeons. However, their ethical implications should be analyzed to clarify their use, to check the patient's safety and eliminate uncertainties. The characteristics of surgical telementoring generate specific challenges and ethical dilemmas that must be identified, analyzed and solved. Results: In this paper the ethical challenges and dilemmas of surgical telementoring identified and analyzed cover multiple aspects such as patient safety, privacy and vulnerability, the surgeon-mentor-patient relationship and informed consent, professional responsibility, cost-effectiveness analysis and Solidarity and social justice regarding the use of healthcare resources, the systematic approach to validation of the proposed new technology and conflicts of interest. For many of these issues solutions are provided, but they are still to be solved. Conclusions: surgical telementoring potentially improves patient healing and surgeon education. It will have a rapid evolution in the next years. This rapid growth should not be anticipated to the solid implantation of ethical guarantees for its use due to the particular characteristics that this technology has in the field of telemedicine.
author	Fuertes-Guiró,Fernando Viteri Velasco,Eduardo
author_facet	Fuertes-Guiró,Fernando Viteri Velasco,Eduardo
author_sort	Fuertes-Guiró,Fernando
title	Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring
title_short	Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring
title_full	Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring
title_fullStr	Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring
title_full_unstemmed	Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring
title_sort	ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring
publisher	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2018000200167
work_keys_str_mv	AT fuertesguirofernando ethicalaspectsinvolvingtheuseofinformationtechnologyinnewsurgicalaplicationstelesurgeryandsurgicaltelementoring AT viterivelascoeduardo ethicalaspectsinvolvingtheuseofinformationtechnologyinnewsurgicalaplicationstelesurgeryandsurgicaltelementoring
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Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring

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