Abstract
The development mode of digital technology innovations in the health-care field has been qualified by some as “hyperactive inaction,” which refers to an anarchic multiplication of experimentations and tools resulting in a certain inability to set up useful, desired, and sustainable products. Actually, the development of such a field as telemedicine sparks the emergence of new techniques, new practices, and new organizations. It simultaneously involves new challenges regarding security, the respect for individual rights, the way medical activity is organized, together with economic and access challenges, as well as eventual public policy ones. Through the example of telemedicine and of the related French regulations, we would like to show, from an ethical point of view, in what way the development of telemedicine requires a reflexive governance permitting to match the various challenges induced by that developing field.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Arné, J. L. “Ethique, jurisprudence et télémédecine,” Bulletin De L’académie Nationale De Médecine 198(1) 2014: 119–130, 124.
Beauchamp, T. L., and J. F. Childress. Principles of Biomedical Ethics. Oxford: Oxford University Press, 2001.
Béranger, J., H. Servy, P. Le Coz, and P. Tervé. “Télémédecine sous X ? Pourquoi prolonger cette protection individuelle historique?,” Les Tribunes De La Santé 35(2) 2012: 83–96.
Cobbaut, J.-Ph. Bioéthique et réflexivité, Thèse de doctorat, Université Catholique de Louvain, 2007, 317 p.
Coeckelbergh, M. “E-care as craftsmanship: virtuous work, skilled engagement, and information technology in health care,” Medicine Health Care and Philosophy 16(4) 2013: 807–816.
Conseil National de l’Ordre des Médecins Télémédecine, Les préconisations du Conseil National de l’Ordre des Médecins, 2009: 9, 2010, https://www.conseil-national.medecin.fr/sites/default/files/telemedecine2009.pdf.
Conseil National du Numérique, La santé, Bien commun de la société numérique, Rapport remis à la Ministre des Affaires Sociales, de la Santé et des Droits des femmes, octobre 2015.
Décret n°2010–1229 du 19 octobre 2010 relatif à la télémédecine, JORF n° 02045 du 21 octobre 2010.
Doucet, H. Au pays de la bioéthique, L’éthique biomédicale aux Etats-Unis. Genève: Labor et Fides, 1996.
European Group on Ethics in Science and New Technologies, Ethics of New Health Technologies and Citizen Participation, Opinion 29, 2015, https://ec.europa.eu/research/ege/pdf/opinion-29_ege.pdf#view=fit&pagemode=none.
Feenberg, A. Questioning Technology. London/New York: Routledge, 1999.
Flanagan, M., D. C. Howe, and H. Nissenbaum (2008). Embodying Values in Technology: Theory and Practice, in J. Van Den Hoven and J. Weckert, Information Technology and Moral Philosophy, 335, Cambridge: Cambridge University Press.
Groupe de travail n°5 Renforcement de la contribution de l’Europe à la gouvernance mondiale. Rapport du Groupe, Pilote: R. Madelin, mai, 2001.
Guchet, X. Philosophie des nanotechnologies. Paris: Hermann, 2014.
Joly, P-B. “On the Economics of Techno-scientific Promises,” In Débordements. Mélanges offerts à Michel Callon, ed. Madeleine Akrich et alii. (Paris: Presse des Mines, 2010), 203–222.
Lenoble, J., and M. Maesschalck, Démocratie, droit et gouvernance, Sherbrooke, Les éditions Revue de Droit à l’Universté de Sherbrooke, 2011, 396 p.
Maesschalck, M. La cause du sujet. Brussels: Peter Lang, 2014, 255 p.
Ostrom, E. Governing the Commons. The Evolution of Institutions for Collective Action. New York: Cambridge University Press, 1990, 280 p.
Parizel, E., P. Marrel, and R. Wallstein “La télémédecine en questions,” Études 419 2013: 461–472.
Rialle, V, P Rumeau, C Ollivet, J Sablier, and C. Hervé “Télémédecine et gérontechnologie pour la maladie d’Alzheimer: Nécessité d’un pilotage international par l’éthique,” Journal International De Bioéthique, 25(3), 2014: 127–145.
Simon, P. Télémédecine, Enjeux et pratiques. Brignais: Le Coudrier, 2015.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Copyright information
© 2017 The Author(s)
About this chapter
Cite this chapter
Loute, A., Cobbaut, JP. (2017). What Ethics for Telemedicine?. In: Menvielle, L., Audrain-Pontevia, AF., Menvielle, W. (eds) The Digitization of Healthcare. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-349-95173-4_22
Download citation
DOI: https://doi.org/10.1057/978-1-349-95173-4_22
Published:
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-95172-7
Online ISBN: 978-1-349-95173-4
eBook Packages: Business and ManagementBusiness and Management (R0)