Telehealth Good Practice

Telehealth Ethical Guidelines (HPCSA)
These ethical guidelines for healthcare practitioners in South Africa regarding the practice of telehealth, emphasising professional conduct, patient care, and the use of technology in healthcare delivery.
The Spirit of Professional Guidelines
The HPCSA emphasizes the importance of trust and ethical practice in healthcare.
- Good clinical practice is rooted in a trust relationship between patients and healthcare professionals.
- Practitioners must commit to ethical standards and prioritize patient well-being.
- These guidelines serve as a framework for evaluating professional conduct.
Definitions of Key Terms
The document defines essential terms related to Telehealth and healthcare practice.
- Telehealth refers to healthcare services delivered through electronic means across distances.
- Social media encompasses various online platforms for sharing content.
- Key roles include “practitioner in charge” and “consulting practitioner,” each with specific responsibilities.
Introduction to Telehealth Guidelines
The HPCSA outlines the purpose and objectives of the Telehealth guidelines.
- The HPCSA regulates healthcare provision to ensure qualified practitioners deliver services.
- The term “Telehealth” is preferred over “Telemedicine” for inclusivity.
- The guidelines aim to improve healthcare access, especially in underserved areas.
Applicability and Use of Telehealth
Telehealth is applicable in various contexts, emphasizing secure communication.
- Telehealth replicates traditional consultations using secure technology.
- Practitioners must adhere to principles of patient consent, confidentiality, and record-keeping.
- Social media is discouraged for patient interactions due to ethical concerns.
Types of Telehealth Services
Different categories of Telehealth services are identified based on their context.
- Routine Telehealth involves established practitioner-patient relationships and is an adjunct to traditional care.
- Specialist Telehealth addresses capacity challenges in rural areas, ensuring ethical guidelines are followed.
- Emergency Telehealth focuses on immediate patient care and stabilization.
Ethical Guidelines for Telehealth Practice
The guidelines provide a framework for ethical Telehealth practices.
- Practitioners must be registered and competent to provide Telehealth services.
- The practitioner-patient relationship is established through informed consent.
- Practitioners are responsible for maintaining detailed records and ensuring quality care.
Considerations for Remote Consultations
Key factors must be evaluated before offering Telehealth consultations.
- The severity of symptoms and the need for physical examination should be assessed.
- Previous knowledge of the patient and their medical history is crucial.
- Social circumstances may necessitate face-to-face consultations.
Evaluation and Treatment Protocols
Protocols for evaluating and treating patients via Telehealth are outlined.
- A documented medical evaluation is required before treatment.
- Treatment based solely on online questionnaires is inadequate.
- Informed consent must be obtained for prescriptions issued through Telehealth.
Professional Duties in Telehealth
Practitioners must uphold their professional duties while engaging in Telehealth.
- Duties include acting in the patient’s best interest and maintaining confidentiality.
- Informed consent is mandatory before providing treatment.
- Verification of practitioner and patient identities is essential.
Informed Consent Requirements
Informed consent is critical for Telehealth practices.
- Consent can be obtained in writing or recorded orally.
- Documentation must include patient identities, consent for Telehealth, and security measures.
- Patients should be informed about who accesses their information and the implications of Telehealth.
Ensuring Patient Confidentiality
Confidentiality must be maintained during Telehealth consultations.
- Patient confidentiality is protected under various laws and guidelines.
- Policies for documentation and transmission of records must meet face-to-face standards.
- Electronic communications must be secure and stored appropriately.
Quality, Security, and Safety of Patient Information
Practitioners are responsible for the quality and security of patient information.
- Quality assurance measures must be in place for Telehealth services.
- Patient information should be transmitted securely and only with consent.
- Safety protocols must prevent accidental loss or alteration of patient data.
Compliance with POPIA Regulations
Practitioners must adhere to the Protection of Personal Information Act (POPIA).
- Adequate safety measures for patient information processing are required.
- Compliance with POPIA ensures the protection of personal data in Telehealth practices.
Brought to you courtesy of Better Practice Management.