Clinical trial NCT04752553: Pros and Cons of Telemedicine in Diagnosis and Management
Official title: Pros and Cons of Telemedicine in Diagnosis and Management
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: the Study Focus on the Uses of Telephone and Other New Technology in Medicine, Diagnosis and Treatment
Keywords: Telemedicine - malpractice - telehealth
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2021-02-12
Enrollment: 1000
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: all population can be included in the study

Brief summary: Telemedicine "healing at a distance" Telemedicine has many advantages especially in time of pandemics for both doctors and patients, low cost and easily accessibility. Pandemics especially COVID 19 has radically change the medical team thoughts about the telemedicine. It can decrease the exposure of the medical team to infection and expected by some of the medical team to be very beneficial if done in good and legal manner. Although, telemedicine has many advantages, also has many disadvantages and medicolegal problems, breakdown in the relationship between medical teams and patients, mis diagnosis or wrong treatment. There are many legal and ethical aspects of telemedicine.

Detailed description: Telemedicine "healing at a distance" Telemedicine has many advantages especially in time of pandemics for both doctors and patients, low cost and easily accessibility. Pandemics especially COVID 19 has radically change the medical team thoughts about the telemedicine. It can decrease the exposure of the medical team to infection and expected by some of the medical team to be very beneficial if done in good and legal manner. Although, telemedicine has many advantages, also has many disadvantages and medicolegal problems, breakdown in the relationship between medical teams and patients, mis diagnosis or wrong treatment. There are many legal and ethical aspects of telemedicine. These include the medical responsibilities, the confidentiality and privacy of the patients can not be maintained, the jurisdictional problems. Shortage of medical practitioners and specialists, shortage of internet facilities, low education levels in some patients all are problems facing the telemedicine in developing countries. The evolution of telemedicine poses a series of legal problems ranging from the profiles on the subject of authorization and accreditation to those concerning the protection of patient confidentiality, the definition and solution of which, in the absence of specific regulatory provisions, is mainly left to the assessment of compatibility of the practices adopted so far, with the general regulatory framework.

This research will be done to clarify the role of telemedicine, and if it has a share hand or the upper hand if compared with traditional medicine.

Eligibility criteria: Inclusion Criteria:

* doctors of all specialty
* Patients
* police man and who work in law

Exclusion Criteria:

* No exclusion criteria

Primary outcomes:
measure: - To provide an overview about the pros and cons of the telemedicine in Egypt especially in the period of the COVID 19 pandemic.
timeFrame: 6 months
measure: - To assess the impact of telehealth on clinical outcomes from the view of the doctors, patients.
timeFrame: 6 months
Secondary outcomes:
measure: - To evaluate the opinion of the law and the malpractice problems that can face doctors due to the use of telemedicine.
timeFrame: one year
Other outcomes:
Locations:
city: Assiut
country: Egypt
facility: heba Yassa
Study officials:
References:
citation: Ferorelli D, Nardelli L, Spagnolo L, Corradi S, Silvestre M, Misceo F, Marrone M, Zotti F, Mandarelli G, Solarino B, Dell'Erba A. 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 Jan-Dec;11:2150132720985055. doi: 10.1177/2150132720985055.
citation: Durupt M, Bouchy O, Christophe S, Kivits J, Boivin JM. [Telemedicine in rural areas: general practitioners' representations and experiences]. Sante Publique. 2016 Oct 19;28(4):487-497. French.
citation: Ateriya N, Saraf A, Meshram VP, Setia P. Telemedicine and virtual consultation: The Indian perspective. Natl Med J India. 2018 Jul-Aug;31(4):215-218. doi: 10.4103/0970-258X.258220.
citation: Vidal-Alaball J, Acosta-Roja R, Pastor Hernandez N, Sanchez Luque U, Morrison D, Narejos Perez S, Perez-Llano J, Salvador Verges A, Lopez Segui F. Telemedicine in the face of the COVID-19 pandemic. Aten Primaria. 2020 Jun-Jul;52(6):418-422. doi: 10.1016/j.aprim.2020.04.003. Epub 2020 Apr 17.