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The State of Healthcare Policy, Law, and Medical Frameworks in...
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The State of Healthcare Policy, Law, and Medical Frameworks in the Era of Digital Health

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Health Policy".

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 10513

Special Issue Editor

Dr. Giovanna Ricci

E-Mail Website
Guest Editor
Section of Legal Medicine, School of Law, University of Camerino, 62032 Camerino, Italy
Interests: bioethics; criminology; legal medicine; social health; telemedicine; informed consent; rights of the patients; deontology

Special Issue Information

Dear Colleagues,

Public health has changed profoundly in recent years, accompanied by a new vision of the relationship between citizens and health. However, health professionals represent the element of continuity over time, continuing to play a valuable role as a guarantor of the quality and centrality of people in the appropriateness and safety of medical care. The aspects of healthcare inequality, new challenges dictated by migration, prevention policies, gender medicine, the difficult relationship between communication and citizens, the use of social media, telemedicine and the fight against pandemics seem to be the greatest challenges that must be strengthened and deepened in the pursuit of responsible healthcare. These issues, to be addressed from an ethical, health, regulatory and social point of view, will be the fundamental points of the research contained within this Special Issue.

Dr. Giovanna Ricci
Guest Editor

Filippo Gibelli
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • bioethics
  • public health
  • law
  • medical and health profession education

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (4 papers)

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Editorial

Jump to: Research, Review

8 pages, 223 KiB  
Editorial
Telemedicine as a Strategic Tool to Enhance the Effectiveness of Care Processes: Technological and Regulatory Evolution over the Past Two Decades
by Giovanna Ricci, Anna Maria Caraffa and Filippo Gibelli
Healthcare 2023, 11(5), 734; https://doi.org/10.3390/healthcare11050734 - 2 Mar 2023
Cited by 4 | Viewed by 2427
Abstract
Digital innovation represents one of the largest areas of investment in healthcare [...] Full article
(This article belongs to the Special Issue The State of Healthcare Policy, Law, and Medical Frameworks in the Era of Digital Health)

Research

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14 pages, 249 KiB  
Article
The Impact of Leadership and Management on the Implementation of Electronic Health Record Systems in the Primary Healthcare Centers
by Haitham Alzghaibi and Hayley A. Hutchings
Healthcare 2024, 12(20), 2013; https://doi.org/10.3390/healthcare12202013 - 10 Oct 2024
Viewed by 1525
Abstract
Background: In the last three decades, Electronic Health Records Systems (EHRSs) have become one of the top priorities of policymakers globally. Nowadays, EHRS reform is fast becoming a priority in developed countries. The introduction of EHRSs in Saudi healthcare organizations is considered one [...] Read more.
Background: In the last three decades, Electronic Health Records Systems (EHRSs) have become one of the top priorities of policymakers globally. Nowadays, EHRS reform is fast becoming a priority in developed countries. The introduction of EHRSs in Saudi healthcare organizations is considered one of the highest priorities of policymakers. Saudi Arabian e-health strategy pays reasonable attention to the EHRS implementation project. According to Saudi Vision 2030, the e-health transformation will be on top of IT projects in the country. However, an estimated 50% of EHRS implementations have failed. Project leadership and type of project management have been found to be crucial components of effective EHRS implementation. Aim of the study: To evaluate the role of centralized project management (CPM) in the implementation of large-scale EHRSs in Primary Healthcare Centers (PHCs) in Saudi Arabia (SA). Methods: A sequential explanatory mixed-methods approach involving a survey and semi-structured qualitative interview methods were utilized. Results: A total of 39 (75%) out of 53 policymakers at the Saudi Ministry of Health completed the survey, and 14 project team members were interviewed. Findings from both illustrated that adopting centralized project management approaches to implementation was beneficial in facilitating large-scale EHRS implementation and helped to overcome barriers that may have otherwise led to the failure of the project. EHRS interoperability and software selection were the factors that CPM influenced most positively. Full article
(This article belongs to the Special Issue The State of Healthcare Policy, Law, and Medical Frameworks in the Era of Digital Health)
19 pages, 469 KiB  
Article
Core Legal Challenges for Medical 3D Printing in the EU
by Ante B. V. Pettersson, Rosa Maria Ballardini, Marc Mimler, Phoebe Li, Mika Salmi, Timo Minssen, Ian Gibson and Antti Mäkitie
Healthcare 2024, 12(11), 1114; https://doi.org/10.3390/healthcare12111114 - 29 May 2024
Cited by 3 | Viewed by 3338
Abstract
3D printing has been adopted into routine use for certain medical applications, but more widespread usage has been hindered by, among other things, unclear legislation. We performed an analysis, using legal doctrinal study and legal informatics, of relevant EU legislation and case law [...] Read more.
3D printing has been adopted into routine use for certain medical applications, but more widespread usage has been hindered by, among other things, unclear legislation. We performed an analysis, using legal doctrinal study and legal informatics, of relevant EU legislation and case law in four issues relevant to medical 3D printing (excluding bioprinting or pharmacoprinting): pre-market approval, post-market liability, intellectual property rights, and data protection. Several gaps and uncertainties in the current legislation and interpretations were identified. In particular, we regard the current EU regulatory framework to be quite limiting and inflexible, exemplifying a cautionary approach common in EU law. Though the need to establish high safety standards in order to protect patients as a disadvantaged population is understood, both legal uncertainties and overregulation are seen as harmful to innovation. Hence, more adaptive legislation is called for to ensure continuous innovation efforts and enhanced patient outcomes. Full article
(This article belongs to the Special Issue The State of Healthcare Policy, Law, and Medical Frameworks in the Era of Digital Health)
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Review

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13 pages, 674 KiB  
Review
Informed Consent in Paediatric Telemedicine: Challenge or Opportunity? A Scoping Review
by Giovanna Ricci, Filippo Gibelli, Paolo Bailo, Anna Maria Caraffa, Giulio Nittari and Ascanio Sirignano
Healthcare 2023, 11(10), 1430; https://doi.org/10.3390/healthcare11101430 - 15 May 2023
Cited by 3 | Viewed by 2211
Abstract
The fundamental importance of informed consent as a prerequisite for the lawfulness of the medical act is an indisputable cornerstone of clinical practice. However, the provision of effective information and the collection of informed consent presents important critical issues in the underage patient, [...] Read more.
The fundamental importance of informed consent as a prerequisite for the lawfulness of the medical act is an indisputable cornerstone of clinical practice. However, the provision of effective information and the collection of informed consent presents important critical issues in the underage patient, even considering that in general terms he or she does not have the power to directly express consent, which must be provided by parents or legal guardians. These critical issues are amplified in the context of telemedicine. The present study aims, through a scoping review of the literature of the past 10 years, to outline the operational practices adopted in the collection of informed consent from children in the context of telemedicine and to identify solutions devised to address the critical issues related to the provision of adequate information to the child in this particular care setting. The results of the research show that the activity of delivering adequate information to the child, itself complex, is made even more complex by the particular setting of telemedicine, which, however, could be effectively exploited to facilitate communication with the child patient. Full article
(This article belongs to the Special Issue The State of Healthcare Policy, Law, and Medical Frameworks in the Era of Digital Health)
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