| Telecare and self-management: opportunity to change the paradigm? | |
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MedLine Citation:
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PMID: 19880706 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Telecare, the provision of care through remote interaction enabled by information and communication technology, is quickly developing. Integration with other technological developments is to be expected and will create systems that enable more intense, continuous and unobtrusive monitoring of health, and more personalized feedback and instructions. One of the goals of telecare is enhancing the independence and self-management of patients. In this article three degrees of self-management are described and a distinction is made between compliant and concordant forms of self-management. It is argued that telecare merely promotes forms of self-management in which compliance to medical instructions is central. Technological developments and normative policy considerations may enforce this trend to implement an interpretation of self-management in which compliance to a strict medical regime is prominent. Against this, a plea is made for developing telecare systems that incorporate concordant and collaborative forms of self-management, in which the patient's own perspective is empowered. |
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Authors:
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M Schermer |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of medical ethics Volume: 35 ISSN: 1473-4257 ISO Abbreviation: J Med Ethics Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-11-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7513619 Medline TA: J Med Ethics Country: England |
Other Details:
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Languages: eng Pagination: 688-91 Citation Subset: E; IM |
Affiliation:
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Medical Ethics and Philosophy of Medicine, Room AE 340, Erasmus MC, Rotterdam, The Netherlands. m.schermer@erasmusmc.nl |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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