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Promise and peril-defining ethical telehealth practice from the clinician and patient perspective: A qualitative study
OBJECTIVES: We undertook a qualitative study to examine and compare the experience of ethical principles by telehealth practitioners and patients in relation to service delivery theory. The study was conducted prior to and during the recent global increase in the use of telehealth services due to th...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744182/ https://www.ncbi.nlm.nih.gov/pubmed/35024158 http://dx.doi.org/10.1177/20552076211070394 |
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author | Keenan, Amanda Jane Tsourtos, George Tieman, Jennifer |
author_facet | Keenan, Amanda Jane Tsourtos, George Tieman, Jennifer |
author_sort | Keenan, Amanda Jane |
collection | PubMed |
description | OBJECTIVES: We undertook a qualitative study to examine and compare the experience of ethical principles by telehealth practitioners and patients in relation to service delivery theory. The study was conducted prior to and during the recent global increase in the use of telehealth services due to the COVID-19 pandemic, METHODS: We conducted semi-structured interviews with 20 telehealth practitioners and patients using constructionist grounded theory methods to collect and analyse data. Twenty-five axial coded data categories were then unified and aligned through selective coding with the Beauchamp and Childress (2013) framework of biomedical ethics. The groups were then compared. RESULTS: Thirteen categories aligned to the ethical framework were identified for practitioners and 12 for patients. Variance existed between the groups. Practitioner results were non-maleficence 4/13 or (31%), beneficence 4/13 (31%), professional–patient relationships 3/12 (22%), autonomy 1/13 (8%) and justice 1/13 (8%). Patient data results were non-maleficence 4/12 (33%), professional–patient relationships 3/12 (33%), autonomy 2/12 (18%), beneficence 1/12 (8%) and justice 1/12 (8%). CONCLUSIONS: Ethical principles are experienced differently between telehealth practitioners and patients. These differences can impact the quality and safety of care. Practitioners feel telehealth provides better care overall than patients do. Patients felt telehealth may force a greater share of costs and burdens onto them and reduce equity. Both patients and practitioners felt telehealth can be more harmful than face-to-face service delivery when it creates new or increased risk of harms. Building sufficient trust and mutual understanding are equally important to patients as privacy and confidentiality. |
format | Online Article Text |
id | pubmed-8744182 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-87441822022-01-11 Promise and peril-defining ethical telehealth practice from the clinician and patient perspective: A qualitative study Keenan, Amanda Jane Tsourtos, George Tieman, Jennifer Digit Health Original Research OBJECTIVES: We undertook a qualitative study to examine and compare the experience of ethical principles by telehealth practitioners and patients in relation to service delivery theory. The study was conducted prior to and during the recent global increase in the use of telehealth services due to the COVID-19 pandemic, METHODS: We conducted semi-structured interviews with 20 telehealth practitioners and patients using constructionist grounded theory methods to collect and analyse data. Twenty-five axial coded data categories were then unified and aligned through selective coding with the Beauchamp and Childress (2013) framework of biomedical ethics. The groups were then compared. RESULTS: Thirteen categories aligned to the ethical framework were identified for practitioners and 12 for patients. Variance existed between the groups. Practitioner results were non-maleficence 4/13 or (31%), beneficence 4/13 (31%), professional–patient relationships 3/12 (22%), autonomy 1/13 (8%) and justice 1/13 (8%). Patient data results were non-maleficence 4/12 (33%), professional–patient relationships 3/12 (33%), autonomy 2/12 (18%), beneficence 1/12 (8%) and justice 1/12 (8%). CONCLUSIONS: Ethical principles are experienced differently between telehealth practitioners and patients. These differences can impact the quality and safety of care. Practitioners feel telehealth provides better care overall than patients do. Patients felt telehealth may force a greater share of costs and burdens onto them and reduce equity. Both patients and practitioners felt telehealth can be more harmful than face-to-face service delivery when it creates new or increased risk of harms. Building sufficient trust and mutual understanding are equally important to patients as privacy and confidentiality. SAGE Publications 2022-01-05 /pmc/articles/PMC8744182/ /pubmed/35024158 http://dx.doi.org/10.1177/20552076211070394 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Keenan, Amanda Jane Tsourtos, George Tieman, Jennifer Promise and peril-defining ethical telehealth practice from the clinician and patient perspective: A qualitative study |
title | Promise and peril-defining ethical telehealth practice from the
clinician and patient perspective: A qualitative study |
title_full | Promise and peril-defining ethical telehealth practice from the
clinician and patient perspective: A qualitative study |
title_fullStr | Promise and peril-defining ethical telehealth practice from the
clinician and patient perspective: A qualitative study |
title_full_unstemmed | Promise and peril-defining ethical telehealth practice from the
clinician and patient perspective: A qualitative study |
title_short | Promise and peril-defining ethical telehealth practice from the
clinician and patient perspective: A qualitative study |
title_sort | promise and peril-defining ethical telehealth practice from the
clinician and patient perspective: a qualitative study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744182/ https://www.ncbi.nlm.nih.gov/pubmed/35024158 http://dx.doi.org/10.1177/20552076211070394 |
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