Table A1.1. Justifications of the purposes of the major objectives of an IS in healthcare in terms of the real-world environmental parameters
| Justifications of the purposes of the major objectives of an IS in healthcare | Real-world environmental parameters | Fundamental ethical principles |
| – Supporting medical decision-making by the healthcare professional – Promoting quality, organization, management and planning of the patient’s care – Working for the good of the patient – Sharing common, transparent and accessible information – Ensuring quality and choice of the information transmitted – Improving continuity of care – Supporting the monitoring of all healthcare activities – Helping the Health Ministry to serve the expectations and treatment of cancer for the healthcare user – Establishing legitimacy of the law and of information processing – Establishing a duty of security, integrity, traceability and medical data protection | Strategic and methodological Organizational and regulatory Relational and cultural Strategic and methodological Structural and technological Strategic and methodological Strategic and methodological Relational and cultura Organizational and regulatory Structural and technological | Beneficence |
| – Evaluating performance and defining the domains where action is required, listing the points of dysfunction – Steering the healthcare structure efficiently while keeping costs under control – Improving and strengthening interactivity with the actors outside the healthcare structure – Increasing the availability of the healthcare actors – Facilitating access to medical information for all users: reducing social inequality – Respecting the same rule of access to and distribution of the information irrespective of the patient’s profile or status: idea of social fairness – Distributing the advantages and disadvantages of such a tool equitably in the workload of the healthcare staff – Sharing the same information and the same medical decision-support tool with all the healthcare professionals in the structure involved in the patient’s healthcare circuit – Developing and sharing information that is precise and appropriate for everyone – Facilitating epidemiological or statistical analysis (SAE) | Strategic and methodological Relational and cultural Relational and cultural Organizational and regulatory Structural and technological Organizational and regulatory Strategic and methodological Strategic and methodological Strategic and methodological Structural and technological | Fairness |
Table A1.2. Justifications of the limitations of the major objectives of an IS in healthcare in terms of the real-world environmental parameters
| Justifications of the limitations of the major objectives of an IS in healthcare | Real-world environmental parameters | Fundamental ethical principles |
| – Putting the patient back at the center of the decision-making process by providing him or her with more complete medical information, more quickly: better patient autonomy – Ensuring the patient consents and sticks to the plan – Respecting private life, and the right to medical secrecy and confidentiality – Respecting the right to prior information, rectification and opposition described in the “ICT and Freedom” law – Establishing individual and/or collective use of medical information – Reducing the asymmetry of information between the doctor and the patient: establishing a better balance in the doctor–patient relationship – Adapting the way in which the IS works to suit the organization of the healthcare structure – Establishing a management/piloting policy concerning the use of medical information – Increasing transversality of services within the healthcare structure – Adapting a technology to the knowledge and savoir-faire of the healthcare professional | Structural and technological Relational and cultural Relational and cultural Organizational and regulatory Structural and technological Relational and cultural Organizational and regulatoryStrategic and methodological Organizational and regulatory Structural and technological | Autonomy |
| – Making the whole collective responsible for the conduct of the healthcare user – Developing an organization oriented toward collective performance – Obeying the legislative regulation of medical data – Respecting the rules concerning storage, hosting and distribution established by the CNIL or similar authorities – Maximizing the ethical quality of the decision, the aim of efficiency and organizational efficacy in the usage of the medical information – Minimizing or eliminating harm done to patients because of incorrect information – Ensuring the reliability of the medical data collection and its permanence – Ensuring that the resources employed do not exceed what is necessary to achieve the desired objectives – Reducing unnecessary or misjudged risks – Ensuring the technical relevance and human appropriateness of the IS | Relational and cultural Organizational and regulatory Organizational and regulatory Organizational and regulatory Organizational and regulatory Relational and cultural Structural and technological Strategic and methodological Strategic and methodological Structural and technological | Non-malfeasance |