ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM
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| Formato: | Online |
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Universidad Nacional, Costa Rica, Escuela de Filosofía
2019
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| Acceso en línea: | https://www.revistas.una.ac.cr/index.php/praxis/article/view/12876 |
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PRAXIS12876 |
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PRAXIS128762020-05-22T19:05:07Z ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM ASPECTOS ÉTICOS PARA LA IMPLEMENTACIÓN DEL EXPEDIENTE DIGITAL EN SALUD POR PARTE DE LA CAJA COSTARRICENSE DE SEGURO SOCIAL González Estrada, Allan philosophy of technology; applied ethics; health system, confidentiality; digital data; in line medicine; data protection filosofía de la tecnología; ética aplicada; sistema de salud; confidencialidad; beneficencia; datos digitales; medicina en línea; protección de datos The rapid developments of information technologies such as servers, data bases, storage devices, programming language, internet platforms, and so on has made the introduction of so-called “online medicine” possible in the last several years, leading to the creation of the Electronic Healthcare Record. In Costa Rica, the use of such technologies is recent, and their implementation in-house has been quite challenging for the Costa Rican public healthcare system Caja Costarricense del Seguro social (CCSS). However, the use of this system is tech- nologically as well as ethically risky. This article, which is the result of a research project in the aforementioned field, deals with the ensuing ethical issues, though the technological aspect is not disconnected from it. Some of the ethical problems that can be mentioned are those concerning the relationship between physicians and patients, or physicians and management, the technological implementation, ethical training for health care and information technology professionals, issues related to data security and privacy, internet coverage for the population, as well as human rights, participation and citizen vigilance. The necessity of health and in- formation technology professionals receiving ethical training is presented, as well as the need to discuss with them concepts such as autonomy, public service and making ethical choices. El rápido desarrollo de tecnologías de información, tales como servidores, bases de datos, dispositivos de almacenamiento, lenguajes de programación, plataformas de internet, ha hecho posible en los últimos años la implementación de la llamada “medicina en línea”, la cual ha llevado a la creación del Expediente Electrónico en Salud. En Costa Rica, este fenómeno es reciente, y su ejecución “in-house” ha sido todo un reto para la Caja Costarricense del Seguro Social (CCSS). Sin embargo, implementar este sistema no está exento de riesgos, tanto en el nivel tecnológico como ético. Este escrito, resultado de una investigación en dicho campo, se ocupará de los problemas de carácter ético que esto conlleva, si bien el aspecto técnico no está desligado de ello. Entre los problemas éticos se pueden mencionar los relativos a las relaciones usuario-médico, médico-gerencia, implementación tecnológica, preparación ética de profesionales en salud y de tecnologías de la información, aspectos relacionados con la seguridad y privacidad de la información, nivel de acceso a internet de la población, así como derechos humanos, participación y vigilancia ciudadana. Se expone el porqué de la necesidad de que los profesionales de salud e informática cuenten con preparación ética y que se discuta con ellos conceptos como autonomía, beneficencia y toma de decisiones éticas. Universidad Nacional, Costa Rica, Escuela de Filosofía 2019-11-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo revisado por pares application/pdf text/html application/epub+zip https://www.revistas.una.ac.cr/index.php/praxis/article/view/12876 10.15359/80.2 Praxis; No. 80 (2019): Revista Praxis; 1-18 Revista PRAXIS; Núm. 80 (2019): Revista Praxis; 1-18 2215-3659 1409-309X spa https://www.revistas.una.ac.cr/index.php/praxis/article/view/12876/17941 https://www.revistas.una.ac.cr/index.php/praxis/article/view/12876/17942 https://www.revistas.una.ac.cr/index.php/praxis/article/view/12876/17943 |
| institution |
Universidad Nacional de Costa Rica |
| collection |
Praxis |
| language |
spa |
| format |
Online |
| author |
González Estrada, Allan |
| spellingShingle |
González Estrada, Allan ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM |
| author_facet |
González Estrada, Allan |
| author_sort |
González Estrada, Allan |
| title |
ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM |
| title_short |
ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM |
| title_full |
ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM |
| title_fullStr |
ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM |
| title_full_unstemmed |
ETHICAL ISSUES CONCERNING THE IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN THE COSTA RICAN PUBLIC HEALTHCARE SYSTEM |
| title_sort |
ethical issues concerning the implementation of the electronic health record in the costa rican public healthcare system |
| title_alt |
ASPECTOS ÉTICOS PARA LA IMPLEMENTACIÓN DEL EXPEDIENTE DIGITAL EN SALUD POR PARTE DE LA CAJA COSTARRICENSE DE SEGURO SOCIAL |
| publisher |
Universidad Nacional, Costa Rica, Escuela de Filosofía |
| publishDate |
2019 |
| url |
https://www.revistas.una.ac.cr/index.php/praxis/article/view/12876 |
| work_keys_str_mv |
AT gonzalezestradaallan ethicalissuesconcerningtheimplementationoftheelectronichealthrecordinthecostaricanpublichealthcaresystem AT gonzalezestradaallan aspectoseticosparalaimplementaciondelexpedientedigitalensaludporpartedelacajacostarricensedesegurosocial |
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