This volume reflects on the recent explosion of at-home digital health care. It explores the ethical, legal, and regulatory impacts of this shift away from the 20th-century focus on clinics and hospitals towards a more modern health care model. This title is also available as Open Access on Cambridge Core.
Health care delivery is shifting away from the clinic and into the home. Even prior to the COVID-19 pandemic, the use of telehealth, wearable sensors, ambient surveillance, and other products was on the rise. In the coming years, patients will increasingly interact with digital products at every stage of their care, such as using wearable sensors to monitor changes in temperature or blood pressure, conducting self-directed testing before virtually meeting with a physician for a diagnosis, and using smart pills to document their adherence to prescribed treatments. This volume reflects on the explosion of at-home digital health care and explores the ethical, legal, regulatory, and reimbursement impacts of this shift away from the 20th-century focus on clinics and hospitals towards a more modern health care model. This title is also available as Open Access on Cambridge Core.
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' provides a roadmap toward a twenty-first-century medical model Recommended.' B. A. D'Anna, CHOICE
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Examines the ethical, legal, and regulatory impacts of digital diagnostics and other products on health care outside of clinical settings.
Introduction Carmel Shachar, Julia Adler-Milstein, Daniel B. Kramer and
I. Glenn Cohen; Part I. Questions of Data Governance for Data from Digital
Home Health Products: Introduction Carmel Shachar;
1. In the Medical Privacy
of One's Own Home: Four Faces of Privacy in Digital Home Health Care Barbara
J. Evans;
2. Patient Access to Health Device Data: Toward a Legal Framework
Charles Duan and Christopher J. Morten;
3. Challenges of Remote Patient Care
Technologies Under the General Data Protection Regulation: Preliminary
Results of the TeNDER Project Danaja Fabcic Povse;
4. Renegotiating the
Social Contract for Use of Health Information: Lessons Learned from Newborn
Screening and Implications for At-Home Digital Care Jodyn Platt and Sharon
Kardia; Part II. Digital Home Diagnostics for Specific Conditions:
Introduction Daniel B. Kramer;
5. Patient Self-Administered Screening for
Cardiovascular Disease Using Artificial Intelligence in the Home Patrick
Bächtiger, Mihir A. Kelshiker, Marie E. G. Moe, Daniel B. Kramer and Nicholas
S. Peters;
6. The Promise of Telehealth for Abortion Greer Donley and Rachel
Rebouché;
7. Monitoring (on) Your Mind: Digital Biomarkers for Alzheimer's
Disease Claire Erickson and Emily A. Largent; Part III. The Shape of the
Elephant for Digital Home Diagnostics in the Market: Introduction I. Glenn
Cohen;
8. Physician and Device Manufacturer Tort Liability for Remote Patient
Monitoring Devices David A. Simon and Aaron S. Kesselheim;
9. Post-Market
Surveillance of Software Medical Devices: Evidence from Regulatory Data
Alexander O. Everhart and Ariel D. Stern;
10. Labeling of Direct-to-Consumer
Medical Artificial Intelligence Applications for 'Self-Diagnosis' Sara Gerke;
11. 'Internet Plus Health Care' as an Impetus for China's Health System
Reform Wang Chenguang and Zhang Yi; Part IV. Reimbursement Considerations for
Digital Home Health: Introduction Julia Adler-Milstein;
12. A Pathway for
High-Value Home Hospital Care in the US: Statutory, Reimbursement, and
Cybersecurity Strategies in the Age of Hybrid Care Stephanie Zawada, Nels
Paulson, Margaret Paulson, Michael Maniaci and Bart Demaerschalk;
13. EU
Cross-Border In-Home Digital Diagnostics: Patient Reimbursement Under Threat?
Kaat Van Delm; 14: Digitally Enabled Medicaid Home and Community-Based
Services Kathryn Huber and Tara Sklar.
I. Glenn Cohen is the James A. Attwood and Leslie Williams Professor of Law at Harvard Law School. He is one of the world's leading experts on the intersection of bioethics and the law, as well as health law. He is the author of more than 150 articles and the author, editor, or co-editor of more than fifteen books. Daniel B. Kramer is a clinical cardiac electrophysiologist at Beth Israel Deaconess Medical Center and Associate Professor of Medicine at Harvard Medical School. His research focuses on bioethics, health policy, and clinical outcomes related to the use of cardiovascular devices and procedures. Julia Adler-Milstein is Professor of Medicine at University of California, San Francisco. Her work more than 200 scholarly articles and book chapters sits at the intersection of health policy and health informatics. In particular, she has examined how emerging technologies are shaping opportunities to improve diagnostic processes and outcomes. Carmel Shachar is Assistant Clinical Professor of Law and the Faculty Director of the Health Law and Policy Clinic at Harvard Law School. She was previously Executive Director of Harvard Law's Petrie-Flom Center. Her work focuses on access to care and digital health and she is the co-editor of several volumes including Transparency in Health Care and Disability, Law, Health, and Bioethics.
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