Telemedicine and uberization of health: doctors as workers or consumers?

Objectives: the article aims to analyze changes in the legal categorization of doctors due to possible changes in the medical profession caused by telemedicine. It envisions a possible precariousness of medical work relationships and the uberization of medicine. Methods: the methodological approach...

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Detalles Bibliográficos
Autores: Fontoura Costa, José Augusto, Sola, Fernanda, Fernandes Garcia, Marco Aurélio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Cadernos Ibero-Americanos de Direito Sanitário (Online)
Idioma:portugués
OAI Identifier:oai:ojs.cadernos.prodisa.fiocruz.br:article/699
Acceso en línea:https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/699
Access Level:acceso abierto
Palabra clave:Telemedicine
eHealth policies
Consumer advocacy
Occupational groups
Telemedicina
Políticas de eSalud
Defensa del consumidor
Grupos profesionales
Políticas de eSaúde
Defesa do consumidor
Categorias de trabalhadores
Descripción
Sumario:Objectives: the article aims to analyze changes in the legal categorization of doctors due to possible changes in the medical profession caused by telemedicine. It envisions a possible precariousness of medical work relationships and the uberization of medicine. Methods: the methodological approach starts from the concepts of transaction costs and information developed by the neoinstitutional economy and from the sociological legal analysis made to define a possible scenario of the medical profession and its legal structure. The ideal type of telemedicine mediated by a dominant digital platform is the starting point for the legal analysis of possible categorization of doctors and health services. Based on this ideal model, several considerations are outlined about its possible consequences for the exercise of the medical profession. Results: the main contribution is the legal discussion of the rivalry between categorization as worker or consumer, as well as a possible double incidence of legal regimes. Conclusions: the future roles of doctors as professionals, workers, or consumers will depend not only on the dynamics of the market, but centrally on the legal framework. The control of the quality and social benefits of health services depends on the legal framework, insofar as they are linked to the roles of professionals.