<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1886-5887</journal-id>
<journal-title><![CDATA[Revista de Bioética y Derecho]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bioética y Derecho]]></abbrev-journal-title>
<issn>1886-5887</issn>
<publisher>
<publisher-name><![CDATA[Observatori de Bioètica i Dret - Cátedra UNESCO de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1886-58872023000100005</article-id>
<article-id pub-id-type="doi">10.1344/rbd2023.57.40833</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Telemedicina e tecnologia assistiva]]></article-title>
<article-title xml:lang="ca"><![CDATA[Telemedicina i tecnologia d'assistència]]></article-title>
<article-title xml:lang="es"><![CDATA[Telemedicina y tecnología de asistencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Telemedicine and assistive technology]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De Meireles]]></surname>
<given-names><![CDATA[Jussara Maria Leal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Schaefer]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="Ab "/>
<xref ref-type="aff" rid="Af2"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontifícia Universidade Católica do Paraná Programa de Pós-Graduação em Direito Econômico e Socioambiental ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UniCuritiba  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="A2b">
<institution><![CDATA[,Curso de Pós-Graduação em Direito Médico e da Saúde Curso de Pós-Graduação em Direito Médico e da Saúde ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="A2c">
<institution><![CDATA[,Ministério Público do Paraná Centro de Apoio Operacional das Promotorias de Justiça de Proteção à Saúde Pública ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<numero>57</numero>
<fpage>53</fpage>
<lpage>66</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1886-58872023000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1886-58872023000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1886-58872023000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Busca-se analisar os desafios da aproximação entre médico e paciente numa relação intermediada pela telemedicina e como a tecnologia assistiva pode (e deve) contribuir para um atendimento satisfatório, com respeito a todas as dimensões do paciente, sua individualidade e autodeterminação. Considera-se verdadeiro retrocesso aos ideais paternalistas o ato de delegar o destino do paciente à tecnologia, sem a devida atenção e respeito às suas limitações e características individuais. E entende-se que a tecnologia assistiva pode ser uma possível solução aos problemas derivados do uso de tecnologias de informação e comunicação. Conclui-se que a integralidade dos serviços de saúde somente é atingida se houver atenção à realidade social dos pacientes e às suas características individuais, para o alcance da igualdade e da equidade; e que o uso puro e simples dos meios tecnológicos não é suficiente para que a integralidade dos serviços de saúde seja alcançada. Foi utilizada a metodologia exploratória, levantamento de dados e informações doutrinárias sobre o objeto de estudo, seguindo-se a respectiva sistematização em caráter triplo (coleta, organização e conservação de documentos), para a sua fundamentação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="ca"><p><![CDATA[Resum Busca analitzar els desafiaments de l'acostament mèdic i pacient en una relació intervinguda per la telemedicina i com les tecnologies asistives poden (i han de) contribuir a una atenció satisfactòria, respectant totes les dimensions del pacient, la seva individualitat i autodeterminació. L'acte de delegar el destí del pacient a la tecnologia, sense la deguda atenció i respecte a les seves limitacions i característiques individuals, és considerat un veritable retrocés als ideals paternalistes. I s'entén que la tecnologia asistiva pot ser una solució possible als problemes derivats de l'ús de les tecnologies de la informació i la comunicació. Es conclou que la integralitat dels serveis de salut només s'aconsegueix si s'atenen la realitat social dels pacients i les seves característiques individuals, a fi d'aconseguir la igualtat i l'equitat; i que l'ús pur i simple dels mitjans tecnològics no és suficient per assolir la integralitat dels serveis de salut. Es va utilitzar metodologia exploratòria, recol·lecció de dades i informació doctrinal sobre l'objecte d'estudi, seguida de la respectiva sistematització en un triple caràcter (recopilació, organització i conservació de documents), per justificar-la.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Busca analizar los desafíos del acercamiento médico y paciente en una relación mediada por la telemedicina y cómo las tecnologías asistivas pueden (y deben) contribuir a una atención satisfactoria, respetando todas las dimensiones del paciente, su individualidad y autodeterminación. El acto de delegar el destino del paciente a la tecnología, sin la debida atención y respeto a sus limitaciones y características individuales, es considerado un verdadero retroceso a los ideales paternalistas. Y se entiende que la tecnología asistiva puede ser una posible solución a los problemas derivados del uso de las tecnologías de la información y la comunicación. Se concluye que la integralidad de los servicios de salud solo se logra si se atiende a la realidad social de los pacientes y sus características individuales, con el fin de lograr la igualdad y la equidad; y que el uso puro y simple de los medios tecnológicos no es suficiente para lograr la integralidad de los servicios de salud. Se utilizó metodología exploratoria, recolección de datos e información doctrinal sobre el objeto de estudio, seguida de la respectiva sistematización en un triple carácter (recopilación, organización y conservación de documentos), para su justificación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract It seeks to analyze the challenges of approaching doctor and patient in a relationship mediated by telemedicine and how assistive technology can (and should) contribute to satisfactory care, with respect to all dimensions of the patient, their individuality and self-determination. The act of delegating the fate of the patient to technology, without due attention and respect to their limitations and individual characteristics, is considered a true setback to paternalistic ideals. And it is understood that assistive technology can be a possible solution to problems arising from the use of information and communication technologies. It is concluded that the integrality of health services is only achieved if there is attention to the social reality of patients and their individual characteristics, in order to achieve equality and equity; and that the pure and simple use of technological means is not enough for the integrality of health services to be achieved. Exploratory methodology was used, data collection and doctrinal information about the object of study, followed by the respective systematization in a triple character (collection, organization and conservation of documents), for its justification.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[telemedicina]]></kwd>
<kwd lng="pt"><![CDATA[tecnologia assistiva]]></kwd>
<kwd lng="pt"><![CDATA[acesso à saúde]]></kwd>
<kwd lng="pt"><![CDATA[integralidade]]></kwd>
<kwd lng="ca"><![CDATA[telemedicina]]></kwd>
<kwd lng="ca"><![CDATA[tecnologia dassistència]]></kwd>
<kwd lng="ca"><![CDATA[accés a la salut]]></kwd>
<kwd lng="ca"><![CDATA[integralitat]]></kwd>
<kwd lng="es"><![CDATA[telemedicina]]></kwd>
<kwd lng="es"><![CDATA[tecnología de asistencia]]></kwd>
<kwd lng="es"><![CDATA[acceso a la salud]]></kwd>
<kwd lng="es"><![CDATA[integralidad]]></kwd>
<kwd lng="en"><![CDATA[telemedicine]]></kwd>
<kwd lng="en"><![CDATA[assistive technology]]></kwd>
<kwd lng="en"><![CDATA[access to health]]></kwd>
<kwd lng="en"><![CDATA[integrality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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