Informed Consent in Telemedicine How can we explain to the patient informed consent in telemedicine Security Measures APA & ATA Guidelines Advantages and Disadvantages of Informed Consent in Telemedicine The Risks of Informed Consent in Telemedicine

1. Informed consent in telemedicine
Dr. Shazia Iqbal
Assistant Professor
Director of Medical Education Unit
Faculty of Medicine
Alfarabi College of Medicine, Riyadh
siqbal@alfarabi.edu.sa
View my Linkedin Profile
https://orcid.org/0000-0003-4890-5864

2. Objectives:
• Informed Consent in Telemedicine
• How can we explain to the patient informed consent
in telemedicine
• Security Measures
• APA & ATA Guidelines
• Advantages and Disadvantages of Informed
Consent in Telemedicine
• The Risks of Informed Consent in Telemedicine

3. Informed Consent in
Telemedicine
Informed consent is designed to protect patients' rights to
participate in the treatment decision-making process. As
informed consent is required prior to provision of any
treatment.
Is the process in which a health care provider educates a
patient about the risks, benefits, and alternatives of a given
procedure or intervention.

4. Explain to the patient
informed consent

5. explain to the patient informed consent by telemedicine
is defined as the remote diagnosis and treatment of
patients using telecommunications technology.
In telehealth, informed consent is used to explain what
telehealth is lay out the expected benefits and possible
risks associated with it to a patient
Explain security measures In many cases

7. Security Measures

8. Therapists should notify patients of these risks and available
safeguards, such as firewalls, encryption, audit trails, password
protection, and authentication
Patients' privacy may be more limited than they realize.
Employers may monitor e- mails sent through office networks;
family members may read e-mail on shared home computers;
and legal process may compel disclosure by therapists or staff of
sensitive patient communications
Security Measures:

9. Security Measures:
Internet communication carries two categories of confidentiality
risks: general security risks and risks specific to the content of the
communications.
With respect to general security risks, e-mails may be misdirected
by typos in the "to " field or intercepted by hackers, resulting in
inadvertent disclosure of highly sensitive health information. This
poses significant risks for clinicians, as the number of lawsuits over
breached confidentiality is on the rise Computer programming
errors may also cause inadvertent disclosure.

10. APA & ATA Guidelines

11. APA & ATA Guidelines
1. Competency of Practitioner (adequate professional and
technical knowledge skills ,etc.)
2. Competency of client/patient (e.g., appropriateness for
telepractice
3. services, technical Competencies, cooperation)
4. Informed consent

12. APA & ATA Guidelines
5. Careful and ongoing assessment
6. Emergency planning
7. Privacy, security and confidentiality and risk
management
8. Documentation

14. Advantages of
telemedicine

16. Advantages of telemedicine:
There are several advantages to telemedicine. One of
the biggest is it gives you access to specialists and
information that you might not readily have access to
otherwise.
1. During a telemedicine consultation, you usually have
a chance to tell the doctor about your medical history
and ask questions. In turn, the specialist can ask you
questions directly.
2. This telemedicine setup is better than trying to relay
information to your doctor or nurse, and then having
them relay the message.

17. Advantages of telemedicine:
3. The specialist can hear your cough or see your
swollen eyes.
4. You can hear firsthand about your diagnosis and
treatment options.
5. Telemedicine is considered a regular healthcare
service. In most cases, it should be billable to your
health care insurance without issue.

19. Disadvantages of
Telemedicine

20. Disadvantages of Telemedicine:
According to studies, telemedicine may save money, both for the person receiving
treatment and for the provider, when compared to traditional care.
For this to be true, though, the healthcare facility must have telemedicine equipment
on-site. Telemedicine has its strong points, but there are some disadvantages:
1. Availability and cost.
2. You may not have access to telemedicine services.
3. For the provider, it can be expensive to set up and maintain.
Though a great and worthy service, telemedicine may be too costly for smaller healthcare
facilities.

21. Certain types of illnesses and problems require a face-to-face physical assessment and cannot
be diagnosed through telemedicine.
Though no service is perfect, telemedicine is a positive and growing medical treatment option.
Studies continue to show that telemedicine saves time, money, and lives.
Telemedicine can open up many treatment doors, but it is not the same as a brick-
and-mortar doctor office. If you prefer a more personal or face-to-face relationship,
telemedicine might not be the option for you. You often do not get a chance to bond
with your telemedicine doctor, and you may never get a chance to personally meet
them. You may not even get a chance to videoconference with the specialist.

22. With the rapidly rising cost of healthcare, and the fact that’s it
nonexistent in some places, the need for telemedicine
continues to grow. It may not be the option for everyone, but
the pros seem to outweigh the cons. Being able to treat
patients from their home, give valuable medical support and
information, and provide service to less developed areas
makes it hard to pass up.

23. What's the Risk? Telemedicine and Informed Consent?

24. What's the Risk? Telemedicine and Informed
Consent?

25. Although some states specifically regulate the process for informed
consent in telemedicine, there are a number of general factors a
physician should consider when obtaining that consent, such as:
1. The nature of the patient’s condition
2. Confidentiality
3. The technological capabilities necessary.

27. • https://pubmed.ncbi.nlm.nih.gov/28613577/
• https://www.cchpca.org/telehealth-policy/informed-consent
• https://telehealth.hhs.gov/providers/preparing-patients-for-telehealth/obtaining-informed-consent/
• https://www.youtube.com/watch?v=7xkZyHH0HVs&t=17s
References: