Medical and Legal Aspects of the Practice of Teledermatology in Spain
Actas Dermosifiliogr (Engl Ed). 2021 Feb;112(2):127-133.
doi: 10.1016/j.ad.2020.09.003.
Epub 2020 Oct 6.
[Article in
English,
Spanish]
Affiliations
- 1 UGC de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Reina Sofía, Córdoba, España. Electronic address: pjga10@hotmail.com.
- 2 Departamento de Derecho Civil, Facultad de Derecho, Universidad Nacional de Educación a Distancia, Madrid, España.
- 3 Consultorio de Villaharta. UGC La Sierra. Distrito Córdoba-Guadalquivir, Córdoba, España.
- 4 Centro de Salud Lucano. UGC Lucano. Distrito Córdoba-Guadalquivir, Córdoba, España.
- 5 UGC de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Reina Sofía, Córdoba, España.
Abstract
Teledermatology is now fully incorporated into our clinical practice. However, after reviewing current legislation on the ethical aspects of teledermatology (data confidentiality, quality of care, patient autonomy, and privacy) as well as insurance and professional responsibility, we observed that a specific regulatory framework is still lacking and related legal aspects are still at a preliminary stage of development. Safeguarding confidentiality and patient autonomy and ensuring secure storage and transfer of data are essential aspects of telemedicine. One of the main topics of debate has been the responsibilities of the physicians involved in the process, with the concept of designating a single responsible clinician emerging as a determining factor in the allocation of responsibility in this setting. A specific legal and regulatory framework must be put in place to ensure the safe practice of teledermatology for medical professionals and their patients.
Keywords:
COVID-19; Derecho; Ethics; Law; Professional responsibility; Responsabilidad profesional; Teledermatology; Teledermatología; Telemedicina; Telemedicine; Ética.
Copyright © 2020 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
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COVID-19 / epidemiology
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Computer Security / ethics
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Computer Security / legislation & jurisprudence
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Confidentiality* / ethics
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Confidentiality* / legislation & jurisprudence
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Dermatology* / ethics
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Dermatology* / legislation & jurisprudence
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Emergencies
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European Union
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Humans
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Informed Consent / legislation & jurisprudence
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Insurance, Liability / legislation & jurisprudence
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Pandemics
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Personal Autonomy
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SARS-CoV-2
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Spain
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Telemedicine* / ethics
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Telemedicine* / legislation & jurisprudence