Article Text

Download PDFPDF
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}


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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests None.

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

Other content recommended for you