Pros and cons of telemedicine in diagnosis and management: A cross sectional survey
More details
Hide details
Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Assiut University, Assiut, EGYPT
Pulmonology Department, Faculty of Medicine, Assiut University, Assiut, EGYPT
Tropical Medicine and Gastroenterology Department, Faculty of Medicine, Assiut University, Assiut, EGYPT
Faculty of Medicine, Assiut University, Assiut, EGYPT
Neurosurgery Department, Faculty of Medicine, Assiut University, Assiut, EGYPT
Publication date: 2022-07-16
Electron J Gen Med 2022;19(5):em394
Cost effectiveness, equity, and quality all are problems facing the health care services in both developed and developing countries. Modern technologies as telemedicine tried to help population especially in epidemics. Many malpractice problems facing doctors and other health care workers due to using telemedicine. This study aimed to clarify the pros and cons of telemedicine.

Survey was done and validated to health care worker sectors, patients and judicial workers sectors, to evaluate the telemedicine according to their practice.

about one thousand volunteers shared in this study, 616 (61.3%), 68 (6.8%) judicial workers, and 320 (31.9%) other jobs. Most of doctors 95% of them refuse to use telemedicine in the provisional diagnosis, 77.3% claim that it is very difficult to give accurate diagnosis through media, 75.6% of them convinced that telemedicine and increase the malpractice issues and medical responsibilities. In judicial workers 64.7% of them prove that there is increase in malpractice issues due to use of media. On the other side 55% of the other job sectors agree with the use of telemedicine especially in time of epidemics.

Telemedicine has many pros and cons. The main cons were that the inability to give the actual diagnosis and occurrence of medical errors, while the main pros was that the use of telemedicine to follow up already diagnosed patient. Governments should legalize the using of telemedicine by enacting law that prohibit the use of it except between doctors to take medical decision or exchange opinion.

WHO. Telemedicine opportunities and developments in member states. Report on the second global survey on eHealth. Global Observatory for eHealth Series. 2009. Available at: https://apps.who.int/iris/hand... (Accessed 10 May 2022).
Leite H, Hodgkinson IR, Gruber T. New development: ‘Healing at a distance’–telemedicine and COVID-19. Public Money Manag. 2020;40(6):483-5. https://doi.org/10.1080/095409....
Strehle EM, Shabde N. One hundred years of telemedicine: Does this new technology have a place in pediatrics? Arch Dis Childh. 2020;91(12):956-9. https://doi.org/10.1136/adc.20... PMid:17119071 PMCid:PMC2082971.
Ateriya N, Saraf A, Meshram VP, Setia P. Telemedicine and virtual consultation: The Indian perspective. Natl Med J India. 2018;31(4):215-8. https://doi.org/10.4103/0970-2... PMid:31134926.
Department of Health & Human Services (CDC)-USA. Community mitigationstrategy. 2020. Available at: https://www.cdc.gov/coronaviru... (Accessed 10 May 2022).
Hopwood S. The benefits and challenges of work-ing with remote employees. 2019. Available at: https://www.forbes.com/sites/f... (Accessed 10 May 2022).
Greeven M. Commentary: On sick leave, but China still makes great leap forward in Med Tech. Channel News Asia, 9 March 2020. Available at: https://www.channelnewsasia.co... (Accessed 10 May 2022).
Ferorelli D, Nadrdelli L, Spagnolo L, et al. Medical legal aspects of telemedicine in Italy: Application fields, professional liability and focus on care services during the COVID-19 health emergency. J Prim Care Community Health. 2020;1 1:2150132720985055. https://doi.org/10.1177/215013... PMid:33372570 PMCid:PMC7780315.
Vidal-Alaball J, Acosta-Roja R, Pastor Hernández N, et al.. Telemedicine in the face of the COVID-19 pandemic. Aten Primaria. 2020;52(6):418-22. https://doi.org/10.1016/j.apri... PMid:32402477 PMCid:PMC7164871.
Durupt M, Bouchy O, Christophe S, Kivits J, Boivin JM. Telemedicine in rural areas: General practitioners’ representations and experiences. Sante Publique. 2016;28(4):487-97. https://doi.org/10.3917/spub.1... PMid:28155753.
Anthony B Jnr. Use of telemedicine and virtual care for remote treatment in response to COVID 19 pandemic. J Med Syst. 2020;15;44(7):132. https://doi.org/10.1007/s10916... PMid:32542571 PMCid:PMC7294764.
Raposo VL. Telemedicine: The legal framework (or the lack of it) in Europe. GMS Health Technol Assess. 2016;12:Doc03.
Hjelm NM. Benefits and drawbacks of telemedicine. J Telemed Telecare. 2005;11(2):60-70. https://doi.org/10.1258/135763... PMid:15829049.
Stanberry B. Legal and ethical aspects of telemedicine. J Telemed Telecare. 2006;12(4):166-75. https://doi.org/10.1258/135763... PMid:16774696.
Stanberry B. The legal and ethical aspects of telemedicine. 4: Product liability and jurisdictional problems. J Telemed Telecare. 1998;4(3):132-9. https://doi.org/10.1258/135763... PMid:10321040.
Parimbelli E, Bottalico B, Losiouk E, et al. Trusting telemedicine: A discussion on risks, safety, legal implications and liability of involved stakeholders. Int J Med Inform. 2018;112:90-98. https://doi.org/10.1016/j.ijme... PMid:29500027.
Gioia G, Salducci M. Medical and legal aspects of telemedicine in ophthalmology. Rom J Ophthalmol. 2019;63(3):197-207. https://doi.org/10.22336/rjo.2... PMid:31687620 PMCid:PMC6820487.
Keenan AJ, Tsourtos G, Tieman J. The value of applying ethical principles in telehealth practices systemic review. J Med Internet Res. 2021;23(3):e25698. https://doi.org/10.2196/25698 PMid:33783366 PMCid:PMC8044738.
Kuziemsky C, Hunter I, Gogia S, et al. Ethics in telehealth: Comparison between guidelines and practice based experience the case for learning health systems. Yearb Med Inform. 2020;29(1):44-50. https://doi.org/10.1055/s-0040... PMid:32303097 PMCid:PMC7442533.
Rock Hong Y, Lawrence J, Williams D, Mainous A. Population level interest and telehealth capacity of US hospitals in response to COVID 19: Cross sectional analysis and national Google search and national hospital survey data. JMIR Public Health Sueveill. 2020;6(2):e18961. https://doi.org/10.2196/18961 PMid:32250963 PMCid:PMC7141249.
Journals System - logo
Scroll to top