Science and Engineering Ethics 24 (1):93-107 (2018)

Abstract
Telemedicine is a complex field including various applications and target groups. Especially telehealthcare is seen by many as a means to revolutionize medicine. It gives patients the opportunity to take charge of their own health by using self-tracking devices and allows health professionals to treat patients from a distance. To some, this means an empowerment of patient autonomy as well as an improvement in the quality of care. Others state the dangers of depersonalization of medicine and the pathologization of daily life. This paper examines the ethical implications of telehealthcare, focusing on patient autonomy and quality of care by analyzing metareviews, randomized controlled trials and narrative ethical analyses on the topic. As a result, we conclude that the technically enhanced encounter between patients and health professionals may mean an empowerment of patient autonomy when it goes along with a personal relationship based on trust, assistance and support. When it comes to the quality of care, telehealthcare may lead to an improvement as long it is adopted to the patient’s individual needs.
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DOI 10.1007/s11948-017-9885-3
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References found in this work BETA

Informed Consent and Relational Conceptions of Autonomy.N. Stoljar - 2011 - Journal of Medicine and Philosophy 36 (4):375-384.
Home-Based Telemedicine: A Survey of Ethical Issues.Keith A. Bauer - 2001 - Cambridge Quarterly of Healthcare Ethics 10 (2):137-146.

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Citations of this work BETA

Mobile Health Ethics and the Expanding Role of Autonomy.Bettina Schmietow & Georg Marckmann - 2019 - Medicine, Health Care and Philosophy 22 (4):623-630.

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