title: Ethical considerations regarding the use of technology for older adults. The case of telehealth.
abstract: Life expectancy increases and ongoing growth of the population older than 65 have led to new models of aging research aimed at promoting independence and empowerment of older adults. Advances in information technology have introduced numerous ways to enhance or expand health care and support service research and development. The purpose of this article is to discuss ethical considerations associated with the use of technology with older adults in research and practice and to present a framework for such ethical parameters. Specifically, we focus on the case of telehealth and discuss examples from the Native People for Cancer Control Telehealth Network to exemplify the framework. The proposed framework includes the concepts of privacy, informed consent, equity of access, patient-provider communication, and usability. These issues constitute a roadmap for researchers, practitioners, system designers, policy makers, and administrators who aim to conduct ethical research that results in improved care and support services to older adults and increase health care access for rural and underserved populations.
authors.affiliation: School of Nursing, University of Washington, BNHS-Box 357266, Seattle, WA 98195-7266, USA. gdemiris@u.washington.edu
authors.forename: George
authors.initials: G
authors.lastname: Demiris
authors.forename: Ardith Z
authors.initials: AZ
authors.lastname: Doorenbos
authors.forename: Cara
authors.initials: C
authors.lastname: Towle
mesh_terms: D003219:Confidentiality / Q000941:ethics; D026689:Ethical Analysis; D005851:Geriatric Nursing / Q000941:ethics / Q000458:organization & administration; D006297:Health Services Accessibility / Q000941:ethics; D006801:Humans; D007198:Indians, North American / Q000208:ethnology; D007258:Informed Consent / Q000941:ethics; D009369:Neoplasms / Q000208:ethnology / Q000517:prevention & control; D009723:Nurse-Patient Relations / Q000941:ethics; D015399:Nursing Research / Q000193:education / Q000458:organization & administration; D018579:Patient Selection / Q000941:ethics; D018907:Privacy; D012107:Research Design; D013673:Technology Assessment, Biomedical / Q000941:ethics / Q000458:organization & administration; D055817:Telenursing / Q000941:ethics / Q000458:organization & administration; D014481:United States