The DOI matches its Crossref record; 60 of the 61 references it cites were found in a registry or an index.
Trusting telemedicine: A discussion on risks, safety, legal implications and liability of involved stakeholders
Open accessAbstract
Objectives The main purpose of the article is to raise awareness among all the involved stakeholders about the risks and legal implications connected to the development and use of modern telemedicine systems. Particular focus is given to the class of "active" telemedicine systems, that imply a real-world, non-mediated, interaction with the final user. A secondary objective is to give an overview of the European legal framework that applies to these systems, in the effort to avoid defensive medicine practices and fears, which might be a barrier to their broader adoption.Methods We leverage on the experience gained during two international telemedicine projects, namely MobiGuide (pilot studies conducted in Spain and Italy) and AP@home (clinical trials enrolled patients in Italy, France, the Netherlands, United Kingdom, Austria and Germany), whose development our group has significantly contributed to in the last 4 years, to create a map of the potential criticalities of active telemedicine systems and comment upon the legal framework that applies to them. Two workshops have been organized in December 2015 and March 2016 where the topic has been discussed in round tables with system developers, researchers, physicians, nurses, legal experts, healthcare economists and administrators.Results We identified 8 features that generate relevant risks from our example use cases. These features generalize to a broad set of telemedicine applications, and suggest insights on possible risk mitigation strategies. We also discuss the relevant European legal framework that regulate this class of systems, providing pointers to specific norms and highlighting possible liability profiles for involved stakeholders.Conclusions Patients are more and more willing to adopt telemedicine systems to improve home care and day-by-day self-management. An essential step towards a broader adoption of these systems consists in increasing their compliance with existing regulations and better defining responsibilities for all the involved stakeholders.
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“Scholars also commented on patients' need for assistance and education to navigate the new ways to get care and implications of using the services [34,[38], [39]].”
From REVISITING HEALTH INFORMATION TECHNOLOGY ETHICAL, LEGAL, and SOCIAL ISSUES and EVALUATION: TELEHEALTH/TELEMEDICINE and COVID-19 (2020) · cites this paper as [39]
Citations
Cites
Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B. B., & Ginsburg, A. S. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3951 · Cited by 1,149 · cited 1×
“In the last 10–15 years, telemedicine has become more pervasive and debate about its legal and security implications has arisen in the communities of several clinical domains including telepathology [8], teleradiology [9], chronic diseases management [10,11] and even in the less common application of telepsychiatry [1…”
What Is Telemedicine? A Collection of 104 Peer-Reviewed Perspectives and Theoretical Underpinnings
Sood, S., Mbarika, V., Jugoo, S., Dookhy, R., Doarn, C. R., Prakash, N., & Merrell, R. C. (2007) · Telemedicine and e-Health · doi:10.1089/tmj.2006.0073 · Cited by 627 · cited 1×
“Over the years a number of different definitions of telemedicine have been proposed [1], but almost all of them share the key elements identified by the American Telemedicine Association: Telemedicine is the use of medical information exchanged from one site to another via”
Empirical Studies on Usability of mHealth Apps: A Systematic Literature Review
Zapata, B. C., Fernández-Alemán, J. L., Idri, A., & Toval, A. (2015) · Journal of Medical Systems · doi:10.1007/s10916-014-0182-2 · Cited by 585 · cited 1×
“The sheer number of available medical or health-related apps have raised debates involving legal implications and security requirements [14,15], highlighting the low level of maturity of this area.”
Determinants of successful telemedicine implementations: a literature study
Broens, T. H. F., Huis in't Veld, R. M. H. A., Vollenbroek-Hutten, M. M. R., Hermens, H. J., van Halteren, A. T., & Nieuwenhuis, L. J. M. (2007) · Journal of Telemedicine and Telecare · doi:10.1258/135763307781644951 · Cited by 466 · cited 1×
“[17] highlighted legislation and policy as one of the five main determinants for successful telemedicine adoption and a similar result was obtained in the analysis of the Information Technology Supplement to the American Hospital Association’s 2012 annual survey [18].”
Telemedicine: Pediatric Applications
Burke, B. L., Hall, R. W., CARE, T. S. O. T., Dehnel, P. J., Alexander, J. J., Bell, D. M., Bunik, M. E., Burke, B. L., & Kile, J. R. (2015) · PEDIATRICS · doi:10.1542/peds.2015-1517 · Cited by 461
Ryu, S. (2012) · Healthcare Informatics Research · doi:10.4258/hir.2012.18.3.231 · Cited by 451 · cited 1×
“int), mobile devices, such as smartphones, wearable devices or personal digital assistants, are the new way to support the medical and public health practice [13].”
Guidelines for the Clinical Use of Electronic Mail with Patients
Kane, B., Sands, D. Z., & for the AMIA Internet Working Group, T. F. O. G. F. T. U. O. C.-P. E. M. (1998) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.1998.0050104 · Cited by 427 · cited 1×
“The first applications that involved consultation of a doctor who was not physically present, even using the simplest forms of communication such as telephone or email, already raised concerns about the modification of the doctor-patient relationship [6] and legal jurisdiction to apply in the case of litigation [7].”
Privacy and Security in Mobile Health Apps: A Review and Recommendations
Martínez-Pérez, B., Díez, I. D. L. T., & López-Coronado, M. (2014) · Journal of Medical Systems · doi:10.1007/s10916-014-0181-3 · Cited by 350
The fetal and maternal consequences of gestational diabetes mellitus
Reece, E. A. (2010) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767050903550659 · Cited by 316 · cited 1×
“GDM can directly affect both mother and fetus [59] who, for example, can grow overweight due to high blood glucose levels or be at a higher risk of developing type 2 diabetes later in life if the GDM was not properly managed.”
mHealth and Mobile Medical Apps: A Framework to Assess Risk and Promote Safer Use
Lewis, T., & Wyatt, J. C. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3133 · Cited by 281 · cited 2×
“A risk assessment model for mHealth has been discussed by Lewis and colleagues in a recent paper [22].”
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Bioética em tecnologias de informação em telessaúde: uma revisão sistemática
dos Santos, W. O. M., Gonçalves, I. C. D. M., Duarte, G. G., Osis, S. L., de Farias, A. S., Santos, D. M., & Sachett, J. D. A. G. (2025) · Revista Bioética · doi:10.1590/1983-803420253475pt
Wang, W., Chang, A., Ma, X., & Liu, M. T. C. (2025) · doi:10.2196/preprints.84818
Adnyani, N. L. S. S., Govindaraju, R., Muslim, K., & Yudhistira, T. (2026) · IEEE Access · doi:10.1109/access.2026.3658139
“From this set of tasks, the initial requirements were identified that telemedicine applications should provide to support them based on the literature, among others [31], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45].”
Trust Barriers and Vulnerabilities in Older Adults’ Telemedicine Adoption: Scoping Review
Wang, W., Ma, X., Liu, M. T., & Chang, A. (2026) · Interactive Journal of Medical Research · doi:10.2196/84818 · Cited by 1
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de Andrade, J. B. C., Novoa, C. G., Pisa, I. T., Carneiro, T. S., de Oliveira, N. S., Rodriguez, C. E. L., & Mendes, G. N. N. (2026) · Neurological Sciences · doi:10.1007/s10072-026-09165-3
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Evaluating a nurse-coordinated hybrid telehealth for stable post-kidney transplant care.
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Metadata
- Authors
- Parimbelli, E., Bottalico, B., Losiouk, E., Tomasi, M., Santosuosso, A., Lanzola, G., Quaglini, S., & Bellazzi, R.
- Affiliations
- University of Pavia (IT)
- Free University of Bozen-Bolzano (IT)
- Corresponding author
- Parimbelli, E.
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 112
- Pages
- 90-98
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2794434368
- Cited by
- 110
- References
- 61
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 18 · 2023: 14 · 2022: 21 · 2021: 11 · 2020: 13 · 2019: 7 · 2018: 5
- FWCI
- 8.57
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Iris (University of Trento) (submittedVersion, cc-by-nc-nd)
- Padua Research Archive (University of Padova) (submittedVersion)
- Funders
- European Union’s Seventh Framework Programme (287811, 247138)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Law › Medical Malpractice and Liability Issues
- Social Sciences › Law › Medical and Health Sciences Research
- Keywords
- telemedicine, risk mitigation, legal framework, liability, stakeholder responsibility, home care, self-management, European regulation, telehealth adoption
- MeSH terms
- Stakeholder Participation, Delivery of Health Care, Europe, Humans, Risk Management, Liability, Legal, Telemedicine, Patient Safety
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