{"id":14979,"date":"2021-05-07T09:57:31","date_gmt":"2021-05-07T14:57:31","guid":{"rendered":"https:\/\/saluddigital.com\/?p=14979"},"modified":"2025-10-21T12:45:55","modified_gmt":"2025-10-21T18:45:55","slug":"telemedicina-y-etica-durante-la-emergencia-sanitaria","status":"publish","type":"post","link":"https:\/\/saluddigital.com\/en\/plataformas-digitales\/telemedicina-y-etica-durante-la-emergencia-sanitaria\/","title":{"rendered":"Telemedicine and ethics during health emergencies"},"content":{"rendered":"
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The article \"Ethical aspects of telemedicine in the face of the COVID-19 pandemic\" was published in the journal Medicina y \u00c9tica in its January-March edition, in which are indicated the scopes, limitations and future projections of the application of telemedicine solutions.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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The publication Medicina y \u00e9tica, International Journal of Bioethics, Deontology and Medical Ethics, is a journal published every three months by the Universidad An\u00e1huac, which had its first edition in April 1990. On this occasion, the article by Dr. Jorge Alberto \u00c1lvarez D\u00edaz, professor of the Department of Health Care of the Division of Biological and Health Sciences of the Metropolitan Autonomous University (UAM), Xochimilco, was published.<\/p>

The article discusses the current clinical epidemiological conditions during the COVID-19 pandemic and how physical distancing, which continues to be the best way to avoid the spread of the virus, has boosted the use of telemedicine worldwide.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Despite the lack of conclusive evidence on the efficacy of telemedicine, the level of recommendation is very high. \"Therefore, the specialized literature already states that part of the healthcare systems' response to the COVID-19 epidemic should include a telemedicine system,\" explains Dr. Alvarez Diaz.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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The article details that telemedicine is involved in a broader concept such as telehealth, which includes strategies for education, prevention or health promotion through electronic means.<\/p>

However, every strategy brings with it a series of advantages and disadvantages that must be carefully analyzed. Strategies should be devised that take into account situations of vulnerability of the population.<\/p>

Regarding the ethical aspects to be considered, the author mentions the following: \"It is also true that new technologies pose some peculiar challenges, such as the possibility of contact tracing which, although it sounds attractive epidemiologically, should not be implemented without an adequate ethical and legal analysis, so as not to violate the dignity and confidentiality of individuals or violate their rights\".<\/p>

The World Medical Association (WMA), in its Declaration on the Ethics of Telemedicine,<\/em> defines telemedicine as \"the practice of medicine at a distance, whose interventions, diagnoses, therapeutic decisions and subsequent treatment recommendations are based on patient data, documents and other information transmitted through telecommunication systems. Telemedicine can be between a physician and a patient or between two or more physicians, including other health care professionals.\"<\/p>

In the more than 1604 articles related to COVID-19 and ethics available on PubMed, none make mention of the WMA statement. \"Any ethics seeks to guide or orient the concrete act, and not merely be limited to reflection; thus, there must be particular analyses for each pandemic,\" the author explains.<\/p>

A year after the start of the pandemic, the use of medical, contact-tracking and other applications has begun in some countries with various criticisms about the protection of users' privacy and personal data. However, organizations such as the WMA have not taken a position to solve this problem.<\/p>

Consult the complete article in the following link to know in detail the ethical aspects that telemedicine must consider: http:\/\/revistas.anahuac.mx\/bioetica\/article\/view\/475\/331<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t BIBLIOGRAPHY<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

ANAHUAC UNIVERSITY<\/strong><\/p>

http:\/\/revistas.anahuac.mx\/bioetica\/article\/view\/475\/331<\/a><\/p>

\u00a0<\/p>

https:\/\/www.anahuac.mx\/mexico\/noticias\/Aspectos-eticos-de-la-telemedicina-ante-COVID-19<\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Fue publicado en la revista Medicina y \u00c9tica en su edici\u00f3n de enero-marzo, el art\u00edculo: \u201cAspectos \u00e9ticos de la telemedicina ante la pandemia de COVID-19\u201d, en el cual se indican los alcances, limitaciones y proyecciones a futuro de la aplicaci\u00f3n de soluciones de telemedicina. La publicaci\u00f3n Medicina y \u00e9tica Revista internacional de bio\u00e9tica, deontolog\u00eda y \u00e9tica m\u00e9dica, es una revista que se publica de manera trimestral por la Universidad An\u00e1huac y que tuvo su primera edici\u00f3n en abril de 1990. En esta ocasi\u00f3n dieron su espacio al art\u00edculo del Dr. Jorge Alberto \u00c1lvarez D\u00edaz, profesor del Departamento de Atenci\u00f3n a la Salud de la Divisi\u00f3n de Ciencias Biol\u00f3gicas y de la Salud de la Universidad Aut\u00f3noma Metropolitana (UAM), Xochimilco. El art\u00edculo plantea las condiciones cl\u00ednico epidemiol\u00f3gicas actuales, durante la pandemia de COVID-19 y c\u00f3mo el distanciamiento f\u00edsico, que contin\u00faa siendo la mejor forma de evitar la propagaci\u00f3n del virus, ha detonado el uso de la telemedicina a nivel mundial. A pesar de la falta de evidencia contundente sobre la eficacia de la telemedicina, el grado de recomendaci\u00f3n es muy alto. \u201cPor ello, la literatura especializada refiere ya que una parte de la respuesta de los sistemas de salud ante la epidemia de COVID-19 debe incluir un sistema de telemedicina\u201d, explica el Dr. \u00c1lvarez D\u00edaz. El articulo detalla que la telemedicina est\u00e1 envuelta en un concepto m\u00e1s amplio como es la telesalud, que incluye estrategias de educaci\u00f3n, prevenci\u00f3n o promoci\u00f3n de la salud a trav\u00e9s de medios electr\u00f3nicos. Sin embargo, toda estrategia trae consigo una serie de ventajas y desventajas que deben analizarse con atenci\u00f3n. Se deben idear estrategias que tomen en cuenta situaciones de vulnerabilidad de la poblaci\u00f3n. Sobre los aspectos \u00e9ticos a considerar el autor menciona lo siguiente: \u201cTambi\u00e9n es cierto que las nuevas tecnolog\u00edas plantean algunos retos peculiares, como la posibilidad de rastreo de contactos que, si bien suena atractivo epidemiol\u00f3gicamente, no debe implementarse sin un adecuado an\u00e1lisis \u00e9tico y jur\u00eddico, para no vulnerar la dignidad y confidencialidad de las personas ni violar sus derechos\u201d. La Asociaci\u00f3n M\u00e9dica Mundial (AMM), en su Declaraci\u00f3n sobre la \u00e9tica de la telemedicina define la telemedicina como “el ejercicio de la medicina a distancia, cuyas intervenciones, diagn\u00f3sticos, decisiones terap\u00e9uticas y recomendaciones de tratamientos subsiguientes est\u00e1n basadas en datos de los pacientes, documentos y otra informaci\u00f3n transmitida a trav\u00e9s de sistemas de telecomunicaci\u00f3n. La telemedicina puede realizarse entre un m\u00e9dico y un paciente o entre dos o m\u00e1s m\u00e9dicos, incluidos otros profesionales de la salud”. En los m\u00e1s de 1604 art\u00edculos relacionados a COVID-19 y \u00e9ticas disponibles en PubMed, ninguno hace menci\u00f3n de la declaraci\u00f3n de la AMM. “Toda \u00e9tica busca guiar u orientar el acto concreto, y no limitarse meramente a la reflexi\u00f3n; de este modo, deben existir an\u00e1lisis particulares para cada pandemia”, explica el autor. Tras un a\u00f1o del inicio de la pandemia, el uso de aplicaciones m\u00e9dicas, de rastreo de contactos y otras ha comenzado en algunos pa\u00edses con diversas cr\u00edticas sobre la protecci\u00f3n de la privacidad y los datos personales de los usuarios. Sin embargo, organismos como la AMM, no han tomado una postura para resolver dicha problem\u00e1tica. Consulta el art\u00edculo completo en el siguiente enlace para conocer a detalle los aspectos \u00e9ticos que debe considerar la telemedicina: http:\/\/revistas.anahuac.mx\/bioetica\/article\/view\/475\/331 BIBLIOGRAF\u00cdA UNIVERSIDAD ANAHUAC http:\/\/revistas.anahuac.mx\/bioetica\/article\/view\/475\/331 https:\/\/www.anahuac.mx\/mexico\/noticias\/Aspectos-eticos-de-la-telemedicina-ante-COVID-19<\/p>","protected":false},"author":1,"featured_media":14980,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[154,153,3394,1418,3396],"tags":[145],"class_list":["post-14979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-comunidades-conectadas","category-plataformas-digitales","category-redes-sociales","category-resena-de-publicaciones-cientificas","category-uso-de-plataformas-digitales","tag-noticias"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts\/14979","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/comments?post=14979"}],"version-history":[{"count":0,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts\/14979\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/media\/14980"}],"wp:attachment":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/media?parent=14979"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/categories?post=14979"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/tags?post=14979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}