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Ethical, Legal, Organisational and Social Issues of Teleneurology: A Scoping Review

Author

Listed:
  • Alezandra Torres-Castaño

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Tenerife, Spain
    Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Tenerife, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain
    The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), 28071 Madrid, Spain)

  • Analía Abt-Sacks

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Tenerife, Spain
    Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Tenerife, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain
    The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), 28071 Madrid, Spain)

  • Ana Toledo-Chávarri

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Tenerife, Spain
    Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Tenerife, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain
    The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), 28071 Madrid, Spain)

  • José Carlos Suarez-Herrera

    (Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Tenerife, Spain
    UNITWIN/UNESCO Chair, Research, Planning and Development of Local Health Systems, Department of Clinical Sciences, University of Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Spain)

  • Janet Delgado-Rodríguez

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Tenerife, Spain
    The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), 28071 Madrid, Spain
    Department of Philosophy I, University of Granada, 18071 Granada, Spain)

  • Beatriz León-Salas

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Tenerife, Spain
    Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Tenerife, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain
    The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), 28071 Madrid, Spain)

  • Yadira González-Hernández

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Tenerife, Spain
    Evaluation Unit of the Canary Islands Health Service (SESCS), 38109 Tenerife, Spain
    Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain
    The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), 28071 Madrid, Spain)

  • Montserrat Carmona-Rodríguez

    (Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 28029 Madrid, Spain
    The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), 28071 Madrid, Spain
    Health Technology Assessment Agency, Instituto de Salud Carlos III, 28029 Madrid, Spain)

  • Pedro Serrano-Aguilar

    (Canary Islands Health Research Institute Foundation (FIISC), 38320 Tenerife, Spain
    Institute of Biomedical Technologies, University of La Laguna, 38200 Tenerife, Spain)

Abstract

Background: Neurological disorders are the leading cause of disability and the second leading cause of death worldwide. Teleneurology (TN) allows neurology to be applied when the doctor and patient are not present in the same place, and sometimes not at the same time. In February 2021, the Spanish Ministry of Health requested a health technology assessment report on the implementation of TN as a complement to face-to-face neurological care. Methods: A scoping review was conducted to answer the question on the ethical, legal, social, organisational, patient (ELSI) and environmental impact of TN. The assessment of these aspects was carried out by adapting the EUnetHTA Core Model 3.0 framework, the criteria established by the Spanish Network of Health Technology Assessment Agencies and the analysis criteria of the European Validate (VALues In Doing Assessments of healthcare TEchnologies) project. Key stakeholders were invited to discuss their concerns about TN in an online meeting. Subsequently, the following electronic databases were consulted from 2016 to 10 June 2021: MEDLINE and EMBASE. Results: 79 studies met the inclusion criteria. This scoping review includes 37 studies related to acceptability and equity, 15 studies developed during COVID and 1 study on environmental aspects. Overall, the reported results reaffirm the necessary complementarity of TN with the usual face-to-face care. Conclusions: This need for complementarity relates to factors such as acceptability, feasibility, risk of dehumanisation and aspects related to privacy and the confidentiality of sensitive data.

Suggested Citation

  • Alezandra Torres-Castaño & Analía Abt-Sacks & Ana Toledo-Chávarri & José Carlos Suarez-Herrera & Janet Delgado-Rodríguez & Beatriz León-Salas & Yadira González-Hernández & Montserrat Carmona-Rodríguez, 2023. "Ethical, Legal, Organisational and Social Issues of Teleneurology: A Scoping Review," IJERPH, MDPI, vol. 20(4), pages 1-19, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3694-:d:1073641
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