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Ethical issues in the development of tele-ICUs
  1. Lior Nesher1,2,
  2. Alan Jotkowitz1,3
  1. 1Division of Internal Medicine, Soroka University Medical Center, Beer Sheva, Israel
  2. 2Department of Emergency Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
  3. 3The Jakobovits Center for Jewish Medical Ethics and the Department of Medicine, Faculty of Medicine, Ben-Gurion University of the Negev, Beer-Sheva, Israel
  1. Correspondence to Dr Lior Nesher, Internal Medicine Department E, Soroka University Medical Center, P.O Box 151, Beer Sheva 84101, Israel; nesherke{at}bgu.ac.il

Abstract

The past two decades have seen a dramatic increase in the use of telemedicine while the information technology revolution has contributed significantly to its popularity. In addition, there has been a recent increase in the use of telemedicine in the intensive care unit (ICU), partially driven by a critical shortage of intensivists. However, the ethical questions raised by the implementation of tele-ICUs have not been adequately considered. In this essay, we will discuss the development of tele-ICUs from the perspective of autonomy, beneficence/non-malificence, justice and professionalism.

  • Telemedicine
  • medical ethics
  • autonomy
  • professionalism
  • technology/risk assessment
  • allocation of healthcare resources

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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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