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Human Challenge of Telemedicine: Toward Time-sensitive and Person-centered Ethics in Home Telecare [Hardback]

(Senior Lecturer of English, Paris Descartes University, France)
  • Formāts: Hardback, 284 pages, height x width: 229x152 mm, weight: 580 g
  • Izdošanas datums: 26-Nov-2018
  • Izdevniecība: ISTE Press Ltd - Elsevier Inc
  • ISBN-10: 1785483048
  • ISBN-13: 9781785483042
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  • Formāts: Hardback, 284 pages, height x width: 229x152 mm, weight: 580 g
  • Izdošanas datums: 26-Nov-2018
  • Izdevniecība: ISTE Press Ltd - Elsevier Inc
  • ISBN-10: 1785483048
  • ISBN-13: 9781785483042
Citas grāmatas par šo tēmu:
Telepatients using connected objects to collect time-sensitive data about their health are not neutral carriers of diagnosable symptoms. Patients are persons, or personal beings as well as co-carers, whose personal experience, history and know-how must be acknowledged in time-sensitive telecare practices. Such practices require a relational ethics, inspired by medical ethics and an ethics of virtues, focusing on vulnerability and emotional health, to oversee telecare good practices, define a new therapeutic alliance compliant with patients’ values, and reconcile the technical and human sides of telemedicine.
  • The ethical challenges of telemedicine in chronic patients today
  • The key features of a person-centered and relational ethics in telemedical settings
  • The concepts of “emotional health? care and “chrono-sensitivity? of the “connected? sick body
Acknowledgements ix
Introduction xi
Part 1 The Person in the Age of Telecare
1(34)
Chapter 1 The Advent of Digital Healthcare
3(16)
1.1 Digital healthcare as an ecosystem
3(10)
l.2 Telemedicine: medicine without patients?
13(2)
1.3 Telemonitoring of chronic diseases: a national priority
15(1)
1.4 Specific features of telecare
16(3)
Chapter 2 The Human Ethical Challenge
19(16)
2.1 Ethical background of telecare
22(3)
2.2 Circumscribing the field of influence of medical ethics
25(4)
2.2.1 Communication between doctor and patient
25(3)
2.2.2 The contribution of care ethics
28(1)
2.3 The person in telecare
29(6)
Part 2 Telecare Phenomenology
35(152)
Introduction to Part 2
37(2)
Chapter 3 A Cross-dimensional Look at the "Patient Experience"
39(36)
3.1 Medico-economic evaluations and feedback
42(2)
3.2 Evaluation is the key to deployment
44(3)
3.3 MAST and RENEWING HeALTH
47(2)
3.4 Toward a psycho-emotional approach to quality of life
49(9)
3.4.1 The SF-36 questionnaire
50(8)
3.5 Techniques and self-experience
58(5)
3.6 The telepatient: the neutral object of a symptom to be deciphered?
63(8)
3.7 Temporality and sensitivity at the heart of the experience
66(5)
3.8 A renewed sense of patient experience
71(4)
Chapter 4 The Patient Experience under Telemonitoring
75(26)
4.1 Telediabetology
76(8)
4.2 Autonomous home dialysis telemonitoring
84(6)
4.3 Telecardiology
90(6)
4.4 Medical telemonitoring: an objectifying practice?
96(5)
Chapter 5 The Person Standing the Test of Digital Clocks
101(32)
5.1 Synchronized participants in a network
102(6)
5.2 The cardiac patient: "real-time" data producer
108(4)
5.3 Renal failure or the "chrono-responsible" patient
112(8)
5.3.1 Application for prevention and monitoring
114(1)
5.3.2 Preventive action (non-dialyzed patient)
115(2)
5.3.3 Follow-up action (dialysis patient)
117(2)
5.3.4 A "chrono-responsible" patient
119(1)
5.4 Diabetic patient as "synchronized interactive patient"
120(4)
5.4.1 A self-learning application
120(2)
5.4.2 The telepatient as an "interactive" patient
122(2)
5.5 Compliance and concordance
124(3)
5.6 Harmonizations and phase shifts
127(6)
Chapter 6 Experiential Knowledge of the "Subject of Care"
133(54)
6.1 Constructing links with patients
134(7)
6.1.1 Representativeness of the panel
135(4)
6.1.2 Preparation and scope of the interviews
139(1)
6.1.3 Presentation of the project to the patients
139(2)
6.2 Wearing a heart defibrillator
141(15)
6.2.1 "Les Porteurs" patient association
141(1)
6.2.2 Association de Porteurs de defibrillateurs cardiaques
141(1)
6.2.3 Expert patients
142(1)
6.2.4 Pacemakers and implantable automatic defibrillators
143(2)
6.2.5 Standard protocol
145(1)
6.2.6 Experience of the protocol
146(3)
6.2.7 Carriers' words
149(7)
6.3 Performing daily home dialysis
156(10)
6.3.1 "Renaloo" patient association
156(1)
6.3.2 "Calydial" association
157(1)
6.3.3 Tenon Hospital (AP-HP- 75) and other actors
157(1)
6.3.4 The cyclers and communicating objects
158(1)
6.3.5 Standard protocol
159(1)
6.3.6 Interviewees
160(1)
6.3.7 Specifics of the protocol
161(1)
6.3.8 Words from people in independent home dialysis
162(4)
6.4 Managing diabetes independently
166(8)
6.4.1 CERITD
166(1)
6.4.2 "Calydial" association
167(2)
6.4.3 Standard protocol
169(1)
6.4.4 Interviewees (and collected testimonies)
170(1)
6.4.5 Opinions of people under independent home insulin therapy
171(3)
6.5 Recognizing the patient as a human and co-caregiver
174(3)
6.6 Expanding on the recognition of self-management skills
177(1)
6.7 Sharing the feeling of telecare
178(5)
6.7.1 Autonomy
178(2)
6.7.2 Psychological support
180(1)
6.7.3 Information sharing
181(1)
6.7.4 Protocol at home
182(1)
6.7.5 Relationship to the disease
182(1)
6.8 Reconsidering the order of the person
183(1)
6.9 Toward a biopsychosocial telecare model
184(3)
Part 3 Toward an Ethics of "Time-sensitive" Telecare
187(54)
Introduction to Part 3
189(2)
Chapter 7 Subjectivizing the Future: or, the "Patient-Project" Temporality
191(32)
7.1 Anatomy of anticipation
195(1)
7.2 The clocks that govern us
196(4)
7.3 Stressors
200(1)
7.4 Shift in patient experience: stress and incoordination
201(3)
7.5 Affects as regulators
204(4)
7.6 The future in sight
208(2)
7.7 Anticipation as action project
210(1)
7.8 "Affordance" as an anticipation vector
211(4)
7.9 The patient as poiesis and self-project
215(2)
7.10 The project as a balancing dynamic
217(3)
7.11 The meaning of the joint entry of the temporal and emotional
220(3)
Chapter 8 "Chrono-sensitivity": From Concept to Ethics
223(18)
8.1 Telecare as "chrono-technology"
224(4)
8.2 Telecare as a relational practice
228(1)
8.3 Chrono-sensitivity: a hybrid concept
229(1)
8.4 Ethical foundations of chrono-sensitive telecare
230(4)
8.4.1 Autonomy and humanity of telecare
231(3)
8.5 Care ethics tuned to telecare
234(7)
8.5.1 Normative evaluation of the chrono-sensitive telecare
240(1)
Conclusion 241(4)
List of Abbreviations 245(8)
References 253(16)
Index 269
Philippe Bardy, Senior Lecturer of English at Paris Descartes University (France)