ArticleBioethics2021
The telemedical imperative.
Article in Bioethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-empirical methods for ethics research on digital technologies in medicine, health care and public health: a systematic journal review.Medicine, health care, and philosophy · 2024Pooled it
- Global Mapping of Telemedicine Regulation and Ethical Safeguards: Mixed Methods Exploratory Document Analysis.JMIR formative research · 2026Article
- What happens when the network fails? A response to telesurgery recommendations and a proposal for a new class of intraoperative complications in telesurgery.Journal of robotic surgery · 2025Article
- Best practices in telesurgery: framework and recommendations from the society of robotic surgery (SRS) for safe and effective implementation.Journal of robotic surgery · 2025Review
- Assessing Telemedicine Demand and Viability in Indonesian Geriatric Clinics: A Comprehensive HOT FIT and Sociotechnical AnalysisCurrent aging science · 2025Article
- Telesurgery: humanitarian and surgical benefits while navigating technologic and administrative challenges.Journal of robotic surgery · 2024Article
- The impact of the scale and hierarchical structure of health human resources on the level of medical services-based on China's four major economic regions.International journal for equity in health · 2024Article
- An Orthopedic Healthcare Facility Governance Assessed with a New Indicator System.Healthcare (Basel, Switzerland) · 2024Article
- Telemedicine as a tool to prevent multi-drug resistant tuberculosis in poor resource settings: Lessons from Nigeria.Journal of clinical tuberculosis and other mycobacterial diseases · 2024Review
- Technical and ethical considerations in telesurgery.Journal of robotic surgery · 2024Review
- Adaptations to comprehensive abortion care during the COVID-19 pandemic: case studies of provision in Bolivia, Mali, Nepal, and the occupied Palestinian territory.Sexual and reproductive health matters · 2023Article
- Improvidence, Precaution, and the Logical-Empirical Disconnect in UK Health Policy.Health care analysis : HCA : journal of health philosophy and policy · 2023Article
- Determinants of experience & satisfaction in telehealth psychiatry during the COVID-19 pandemic for patients & providers.Frontiers in psychiatry · 2023Article
- The Case for Telemedical Early Medical Abortion in England: Dispelling Adult Safeguarding Concerns.Health care analysis : HCA : journal of health philosophy and policy · 2022Article
- The telemedical imperative.Bioethics · 2021Article
- Provider-to-provider synchronous telemedical consultations in ophthalmology: Advice for implementation.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Technology presents a means of improving health outcomes for vast numbers of individuals. It has historically been deployed to streamline healthcare delivery and reach those who would previously have faced obstacles to accessing services. It has also enabled improved health education and management. Telemedicine can be employed in everything from primary care consultations to the monitoring of chronic diseases. Despite recommendation by the World Health Organization, countries have been slow to embrace such technology in the health sector. Nonetheless, it is expected to become more prevalent with increased digitization. Further, amidst the COVID-19 pandemic, there was a rush to implement forms of telemedicine where possible to prevent patients breaking social distancing rules. In this paper, I present and defend what I term the 'telemedical imperative'. The telemedical imperative represents a duty for healthcare systems to implement remote access to services where possible, thereby furthering the mission of equity in access to healthcare. It is intended as an addition to in-person services rather than a replacement. After highlighting the benefits of telemedicine, I provide four criteria that must be met for the telemedical imperative to arise. The first three-safety, effectiveness, and acceptability-are consistent and essential. The fourth adapts to the service in question and requires that there be no other obstacles specific to that service that cannot reasonably be overcome. Finally, I address several potential objections to the telemedical imperative based on more general concerns around the implementation of telemedicine.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.