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Sander A. Voerman, Philip J. Nickel, Sound Trust and the Ethics of Telecare, The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, Volume 42, Issue 1, 1 February 2017, Pages 33–49, https://doi.org/10.1093/jmp/jhw035
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Abstract
The adoption of web-based telecare services has raised multifarious ethical concerns, but a traditional principle-based approach provides limited insight into how these concerns might be addressed and what, if anything, makes them problematic. We take an alternative approach, diagnosing some of the main concerns as arising from a core phenomenon of shifting trust relations that come about when the physician plays a less central role in the delivery of care, and new actors and entities are introduced. Correspondingly, we propose an applied ethics of trust based on the idea that patients should be provided with good reasons to trust telecare services, which we call sound trust. On the basis of this approach, we propose several concrete strategies for safeguarding sound trust in telecare.