Saratov JOURNAL of Medical and Scientific Research

Telemedicine in solving the problem of restricting the availability of medical care in remote areas: legal barriers of implementation and operation (review)

Year: 2021, volume 17 Issue: №4 Pages: 755-760
Heading: public health Article type: Review
Authors: Barashkov G.M., Eremina M.G., Subbotina V.G.
Organization: Saratov State Medical University
Summary:

In the healthcare system digital technology has tremendous potential. In order to identify the legal lack of regulation in the solution to the implementation and effective functioning of telemedicine, the authors analyzed a number of regulatory legal acts in the field of telemedicine, indicated legal barriers (impossibility to conduct remote diagnosis of diseases and treat patients, imperfection of legislation in the field of personal data protection, lack of legal confidentiality, lack of confidentiality when transferring, storing and exchanging information between medical professionals located in different jurisdictions, the issues of authentication of medical workers and the risks of medical responsibility of specialists, the lack of comprehensive standardization), to overcome which it is necessary to change and adopt a number of federal regulations that can provide legal support and normal functioning of telemedicine in our country. The authors analyzed 42 publications from domestic and foreign scientometric, abstract and full-text databases (eLibrary, SCOPUS, Web of Science, Medline, PubMed, Scientific Electronic Library, ciberleninka.ru, and others) for the period 2001-2021. The authors of the publications cited in the article record the legal lack of regulation in the provision of telemedicine services, which slows down its implementation and distribution.

Bibliography:
1. Fedorov VF, Joiner VL. Problems of Russian Telemedicine and Ways to Solve Them (a Brief Expert Assessment). Telemedicine 2008; (5): 43-51.
2. The Constitution of the Russian Federation. URL: http://duma.gov.ru/(22 July 2021).
3. Chirkin VE. Constitution and welfare state: legal and factual indicators. Journal of Russian Law 2008; (12): 24-33.
4. Talapina EV. Evolution of human rights in the digital age. Proceedings of the Institute of State and Law of the Russian Academy of Sciences 2019; 14 (3): 122-40.
5. Message of the President of the Russian Federation to the Federal Assembly dated 01 December 2016. Parliamentary newspaper 2016; (45).
6. Zubarev SM. Implementation of the National Technology Initiative: on the relationship between the concepts of "administrative barriers" and "legal barriers". Administrative Law and Process 2018; (10): 4-9.
7. Tretyakova ЕР. Legal aspects of telemedicine regulation. Digital Law 2020; 1 (2): 58.
8. Melik-Huseynov DV, Khodyreva LA, Turzin PS, et al. Telemedicine: regulatory support, realities and prospects of application in domestic healthcare. Medical Alphabet. The series "Review" 2019; (2): 40).
9. Gleiss A, Lewandowski S. Removing barriers for digital health through organizing ambidexterity in hospitals. Journal of Public Health: From Theory to Practice 2021; (2021): 1-15. DOI: https://doi.Org/10.1007/sl 0389-021 -01532-y.
10. Korobkova OK. Digitalization as a new stage in the genesis of healthcare services. Business. Education. Law 2020; 1 (50): 255-61.
11. Egorova AV. Digitalization of the regional healthcare system in the digital economy. Scientific Yearbook of the Center for Analysis and Programming 2018; 2 (1): 256-61.
12. Puzin SN, Sertakova OV, Reshetov DN. Telemedicine as a vector of innovative development of the system of providing services in the healthcare sector. Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and Rehabilitation Industry 2018; (2): 65-73.
13. Maksimov IB, Diashev AN, Sinopalnikov VI, et al. History, analysis, state and prospects of development of telemedicine. Journal of Telemedicine and eHealth 2018; 8 (3): 103-10.
14. Borodin MV On the terms and principles in the field of electronic document management. Actual Problems of Russian Law 2016; (2): 102-9.
15. Kundryukov VA. Digitalization of healthcare: achievements and challenges. In: National concept of quality: state and public protection of consumer rights: Collection of abstracts of the international scientific and practical conference. St. Petersburg: Cult-inform-press, 2019; p. 197-200.
16. Nohl-Deryk Р, Brinkmann J, Gerlach F, et al. Hurdenbei der Digitalisierung der Medizinin Deutschland (Barriers for Digitalization in the German Medicine Sector). Gesundheitswesen 2018; (80): 939-45. DOI: 10.1055/S-0043-121010.
17. Ovchinnikov VV Telemedicine: problems of legal regulation. Pacific Medical Journal 2013; 53 (3): 12-5.
18. Popova AV Telemedicine in Russia and abroad: on the issue of legal regulation. Bulletin of the Moscow City Pedagogical University. Series: Legal Sciences 2019; 33 (1): 53-60.
19. Sokolenko NN, Bagnyuk ME, Bagnyuk DV Provision of medical care using telemedicine technologies: some problems of legal regulation. Medical Law 2018; (4): 14-7.
20. SmyshlyaevAV, Melnikov YY, Platonova Nl. Telemedicine technologies in the system of primary health care in the Russian Federation at the present stage: legal aspect. Medical Law 2018; (4): 16-21.
21. On approval of the Concept of development of telemedicine technologies in the Russian Federation and its implementation plan: Order of 27 Aug 2001 №344/76. URL: https://docs.cntd.ru/document/901796267 (22 July 2021).
22. Shaidullina VK. Problems of legal regulation of telemedicine in the digital economy. Society: politics, economics, law 2018; 61 (8): 92-6.
23. On approval of the concept of creating a unified state information system in the field of health care: Order of the Ministry of Health and Social Development of Russia of 28 Apr 2011 №364. URL: https://docs.cntd.ru/document/902276660 (22 July 2021).
24. OnAmendmentsto Certain Legislative Acts of the Russian Federation on the Application of Information Technologies in the Field of Health Protection: Federal Law dated 29 July 2017 №242. URL: http://www.consultant.ru/document/cons_doc_ LAW_221184/(22 July 2021).
25. On the basics of public health protection in the Russian Federation: Federal Law dated 21 Nov 2011 №323-FZ. URL: http://www.consultant.ru/document/cons_doc (27 July 2021).
26. On approval of the procedure for organizing and providing medical care using telemedicine technologies: Order of the Ministry of Health of Russia dated 30 Nov 2017 №965n. URL: http://www.consultant.ru/document/cons_doc_LAW_287515/(27 July 2021).
27. Bazina 00, Simenyura SS. Telemedicine: advantages, disadvantages, realities (legal analysis and practical application). Medical Law 2020; (3): 32-8. URL: http://juridcons.com/article/28881/(27 July 2021).
28. Putilo NV, Volkova NS. Telemedicine: the needs of society and the possibilities of legislation. Journal of Russian Law 2018; 258 (6): 124-35.
29. Rashchupkina El. On the issue of some definitions of the Federal Law "On the Fundamentals of Health Protection of Citizens of the Russian Federation". Siberian Legal Bulletin 2012; 56 (1): 41-45.
30. Smirnova ЕА, Shishanova АА. Telemedicine in the new legal realities. URL: httpsV/cyberleninka.ru/article/n/telemedit-sina-v-novyh-pravovyh-realiyah (4 Nov 2021).
31. Baranov АА, Vishneva ЕА, Namazova-Baranova LS. Telemedicine — prospects and difficulties before a new stage of development. Pediatric Pharmacology 2013; 10 (3): 6-11.
32. Smirnova KM. The problem of information security in the context of using the "Internet of Things" in medicine. Medical Law 2019; (1): 31-7.
33. Pospelova SI, Sergeev YD, Pavlova YV, Kamenskaya NA. The legal regime for the use of telemedicine technologies and the introduction of electronic document management: the current state of legal regulation and development prospects. Medical Law 2018; (5): 24-33.
34. Stolbov АР. On the definition and classification of telemedicine services. Medical Doctor and IT 2015; (2): 12-28.

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