Russia: Telemedicine is not for everyone
Participants in the promising new online market face severe restrictions in the provision of remote medical services. The Telemedicine Act entered into force on January 1, 2018, allowing in principle for the provision of medical care through remote consultation and monitoring. However, the mechanism for the remote provision of medical services has not been fully implemented due to a number of pitfalls in the regulations.
Participants in the online medicine market have already faced severe restrictions in the provision of services. The National Telemedicine Association (NTMA) has asked the Ministry of Health to clarify some items of the Ministry’s order on the procedure for the provision of medical care using telemedicine technologies.
In response to the NTMA’s letter, the Ministry of Health explained that online care services are part of the work of doctors. In this regard, all medical care should be carried out in a room equiped for consultations. The doctor must also have a permit for each referral for telemedicine consultations.
“In other words, the telemedicine services are possible only in the licensed premises of the clinic,” — said the NTMA Chairman of the Board Ivan Kartovitski. He believes that the procedure could increase costs due to the fact that doctors will not work directly with patients, but through medical institutions.
Mikhail Varyushin, Head of Corporate and Medical Legal Practice at the law firm Aronov and Partners, believes that doctors will be able to provide services at home.
The Ministry of Health also confirmed that companies are required to use the unified identification and authentication system when providing paid medical services, although the services may provide anonymous remote services. That is, anonymity will be respected at the doctor-patient level, but not at the clinic-patient or provider-patient levels, explained Kartovitski.
“From the regulator’s response, we see the lack of a differentiated approach in the issue of user identification,” said MMT General Director Denis Yudchits. According to Ivan Kartovitski, normative laws regulating the activity of telemedical organizations are constantly updated, complementing each other.
It is difficult for companies to understand how they should work, and they are trying to adapt to existing norms, he said. Mr. Kartovitski concludes that the excessively rigid barriers reduce the attractiveness of the market for business. The Ministry of Health only reported that in 2018,”it is planned to polish the activities of telemedicine systems.”
Translated from RoskomSvoboda: https://roskomsvoboda.org/38853/
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