Sound trust and the ethics of telecare

S.A. Voerman, P.J. Nickel

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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.
Original languageEnglish
Pages (from-to)33-49
Number of pages17
JournalJournal of Medicine and Philosophy
Volume42
Issue number1
DOIs
Publication statusPublished - Feb 2017

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Keywords

  • Informed consent
  • Sound trust
  • Trust in medicine
  • Web-based telecare
  • Humans
  • Physician-Patient Relations
  • Trust
  • Telemedicine/ethics

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