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

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.