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Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review

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Listed:
  • Davide Ferorelli

    (Section of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, 70121 Bari, Italy)

  • Lorenzo Moretti

    (Orthopedics and Trauma Unit, AOUC Policlinico di Bari, Department DiBraiN, University of Bari “Aldo Moro”, 70121 Bari, Italy)

  • Marcello Benevento

    (Section of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, 70121 Bari, Italy)

  • Maurizio Mastrapasqua

    (Section of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, 70121 Bari, Italy)

  • Michele Telegrafo

    (Section of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, 70121 Bari, Italy)

  • Biagio Solarino

    (Section of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, 70121 Bari, Italy)

  • Alessandro Dell’Erba

    (Section of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, 70121 Bari, Italy)

  • Davide Bizzoca

    (Orthopedics and Trauma Unit, AOUC Policlinico di Bari, Department DiBraiN, University of Bari “Aldo Moro”, 70121 Bari, Italy)

  • Biagio Moretti

    (Orthopedics and Trauma Unit, AOUC Policlinico di Bari, Department DiBraiN, University of Bari “Aldo Moro”, 70121 Bari, Italy)

Abstract

The use of technologies in medicine has great potential to reduce the costs of health care services by making appropriate decisions that provide timely patient care. The evolution of telemedicine poses a series of clinical and medicolegal considerations. However, only a few articles have dealt with telemedicine and orthopedics. This review assesses the ethical and medicolegal issues related to tele-orthopedics. A systematic review was performed including papers published between 2017 and 2021 focusing on the main medicolegal and clinical-governance aspects of tele-orthopedics. Most of the articles were published during the COVID-19 pandemic, confirming the impetus that the pandemic has also given to the spread of telemedicine in the orthopedic field. The areas of interest dealt with in the scientific evidence, almost exclusively produced in the USA, Europe, the UK, and Canada, are quality, patient satisfaction, and safety. The impact of telemedicine in orthopedics has not yet been fully evaluated and studied in terms of the potential medicolegal concerns. Most of the authors performed qualitative studies with poor consistency. Authorizations and accreditations, protection of patient confidentiality, and professional responsibility are issues that will certainly soon emerge.

Suggested Citation

  • Davide Ferorelli & Lorenzo Moretti & Marcello Benevento & Maurizio Mastrapasqua & Michele Telegrafo & Biagio Solarino & Alessandro Dell’Erba & Davide Bizzoca & Biagio Moretti, 2022. "Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review," IJERPH, MDPI, vol. 19(23), pages 1-9, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15653-:d:983561
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    References listed on IDEAS

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    1. Raffaele La Russa & Rocco Valerio Viola & Stefano D’Errico & Mariarosaria Aromatario & Aniello Maiese & Paolo Anibaldi & Christian Napoli & Paola Frati & Vittorio Fineschi, 2021. "Analysis of Inadequacies in Hospital Care through Medical Liability Litigation," IJERPH, MDPI, vol. 18(7), pages 1-10, March.
    2. David Barrett, 2017. "Rethinking presence: a grounded theory of nurses and teleconsultation," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 3088-3098, October.
    3. Davide Ferorelli & Biagio Solarino & Silvia Trotta & Gabriele Mandarelli & Lucia Tattoli & Pasquale Stefanizzi & Francesco Paolo Bianchi & Silvio Tafuri & Fiorenza Zotti & Alessandro Dell’Erba, 2020. "Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
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