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Ethical, Legal, and Social Issues in Medical Informatics

Book Description

"The utilization of information and communication technologies in almost all spheres of modern society has changed the social picture in significant ways while simultaneously leading to tensions with regard to traditional ethical and legal practices—particularly given the global context of its application. Where these technologies impact on the practice and implementation of healthcare, it is vital to recognize the extent and nature of the ethical and social impact both at the level of professional practice and the patient.

Ethical, Legal and Social Issues in Medical Informatics presents a fundamental compendium of research on the ethical, social, and legal issues facing the healthcare industry as it adopts information technologies to provide fast, efficient, and cost effective healthcare. An essential resource for every reference library, this comprehensive book offers a multidisciplinary perspective, drawing from the expertise of a wide variety of global industries including law, ethics, medicine, philosophy, and computer science."

Table of Contents

  1. Copyright
  2. Foreword
  3. Preface
  4. Acknowledgment
  5. The Internet and Healthcare
    1. Online Medical Consultations: Legal, Ethical, and Social Perspectives
      1. Abstract
      2. Introduction
      3. Online Medical Consultations
      4. Legal, Ethical, and Social Perspectives
      5. The Legal Perspective
      6. The Ethical Perspective
      7. The Social Perspective
      8. Future Trends
      9. Summary and Conclusion
      10. References
    2. Applied Ethics and ICT-Systems in Healthcare*
      1. Abstract
      2. Introduction
      3. ICT In Healthcare
      4. Ethics and New ICT Applications in Healthcare
      5. Ethics, Technology Assessment, and Introduction of New ICT-Systems
      6. References
      7. Endnote
  6. Trust, Values, and Healthcare Information Systems
    1. Trust and Clinical Information Systems
      1. Abstract
      2. Introduction
      3. The Nature of Trust
      4. The New Zealand Health Sector
      5. Clinical Decision Support Systems
      6. The Case Study
      7. Discussion
      8. Conclusion
      9. References
    2. Values of an Electronic Social Record
      1. Abstract
      2. Introduction
      3. The Nature of Elderly Care
      4. The Value of ICT in Elderly Care
      5. Case Study: SAVA
      6. Description of SAVA
      7. Research Approach and Methodology
      8. Result: A Change in Using the Social Record
      9. Analysis: The Value of the Electronic Social Record
      10. Conclusion
      11. Acknowledgment
      12. References
  7. Responsibility and Healthcare Information Systems
    1. Are Agency and Responsibility Still Solely Ascribable to Humans? The Case of Medical Decision Support Systems
      1. Abstract
      2. Introduction: Why MDSS Deserve a Closer Look
      3. Ascribing Agency and Responsibility: Unique Ethical Perspectives
      4. Ascribing Agency and Responsibility: Unique Legal Perspectives
      5. Conclusion
      6. References
      7. Endnotes
    2. Responsibility in Electronic Health: What Muddles the Picture?
      1. Abstract
      2. Introduction
      3. Models of Patient-Physician Relationship
      4. Defining Electronic Health
      5. Defining Anthropomorphism
      6. Defining Agentization
      7. Defining Ubiquitous
      8. Consent
      9. Distancing
      10. Patient-Physician Relationship in Electronic Health
      11. Where Does the Responsibility Fall?
      12. Proposed Solutions and Discussion
      13. Conclusion
      14. References
  8. Quality Management in Healthcare Information Systems
    1. Compliance and Creativity in Grid Computing1
      1. Abstract
      2. Introduction: The Computing Context
      3. Breast Cancer and MammoGrid
      4. Quality and Quality Control
      5. Evidence and Evidence-Based Healthcare
      6. Integration, Individualized Medicine and Ethico-Legal Consequences
      7. Grid and Electronic Health Records
      8. Next Steps
      9. Acknowledgment
      10. References
      11. Endnotes
    2. Clinical Safety and Quality Management in Health IT
      1. Abstract
      2. Risks and Liabilities
      3. Sources of Liability
      4. Standards
      5. Conclusion
      6. References
      7. Endnotes
  9. Privacy and Data Protection Issues Regarding Electronic Healthcare Information
    1. The Impact of Information Technology in Healthcare Privacy
      1. Abstract
      2. Introduction
      3. What is Health Information?
      4. What is Healthcare Privacy?
      5. Technological Changes
      6. Why are There Healthcare Privacy Concerns?
      7. What are the Concerns?
      8. Who has Access to the Healthcare Information?
      9. Mechanisms for Addressing Healthcare Privacy
      10. Future Trends
      11. Conclusion
      12. References
    2. Compiling Medical Data into National Medical Databases: Legitimate Practice or Data Protection Concern?
      1. Abstract
      2. Introduction
      3. The Cases of the UK and Slovenia
      4. Personal Data and Data Protection Legislation
      5. Obligations of Data Controllers and Rights of Data Subjects
      6. Some Legal Issues
      7. Conclusion
      8. References
  10. Emerging Technologies
    1. Biometrics, Human Body, and Medicine: A Controversial History
      1. Abstract
      2. Introduction
      3. Why Identity Matters
      4. From Odysseus to the French Revolution
      5. Globalisation and Personal Identity
      6. Personal Identification and the Body
      7. Biometrics and Medicine
      8. Biometrics for Medical Data Protection
      9. Biometrics for Patients’ Identification
      10. Biometrics and Disclosure of Medical Data
      11. Technoanimism
      12. Conclusion
      13. Acknowledgment
      14. References
      15. Endnotes
    2. Prospects for Thought Communication: Brain to Machine and Brain to Brain
      1. Abstract
      2. Introduction
      3. Neural Interfacing
      4. Microelectrode Array
      5. Social and Ethical Issues: Therapy and Enhancement
      6. RFID Technology
      7. The Benefit of Hindsight
      8. Brain to Brain Communication
      9. Concluding Reflections
      10. References
  11. About the Contributors
  12. Index