The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices

Detalhes bibliográficos
Autor(a) principal: Garcia, Marco Aurélio Fernandes
Data de Publicação: 2022
Outros Autores: Costa, José Augusto Fontoura
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Direito Sanitário (Online)
DOI: 10.11606/issn.2316-9044.rdisan.2022.173191
Texto Completo: https://www.revistas.usp.br/rdisan/article/view/173191
Resumo: The present work seeks to provide subsidies for the regulation of telemedicine in Brazil. With the outbreak of Covid-19, new normative instruments were created in a hurry to regulate the offer remote medical attention, with the use of synchronous information technologies. However, both the Brazilian Law on Telemedicine, and the Brazilian Federal Council of Medicine Regulation that followed it and authorized the use of telemedicine, were silent in relation to the limits and parameters applicable for the offer of telemedicine services. Although telemedicine services are not a new phenomenon in Brazil, they have historically been provided in an environment of strong legal uncertainty. This scenario is detrimental both for the companies that lose the opportunity to invest into capacities to offer these services, and for the patients who are obliged to use  telemedicine services in a lightly regulated and potentially damaging regulatory environment. Based on these considerations, we present certain sensitive points that deserve further attention from legislators and main stakeholders concerning the regulation of telemedicine, including themes such as telephysician-patient relations, telephysician responsibility, electronic medical records, among others. The regulation of these topics can increase legal certainty and regulatory clarity and step into the Direction of the construction of a healthy regulatory environment for these new telemedicine practices.
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spelling The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine PracticesO (novo) marco civil da telemedicina: a construção de um ambiente regulatório saudável para as novas práticas telemédicasDigital PlatformsRegulationTelemedicineTelehealthPlataformas DigitaisRegulaçãoTelemedicinaTelessaúdeThe present work seeks to provide subsidies for the regulation of telemedicine in Brazil. With the outbreak of Covid-19, new normative instruments were created in a hurry to regulate the offer remote medical attention, with the use of synchronous information technologies. However, both the Brazilian Law on Telemedicine, and the Brazilian Federal Council of Medicine Regulation that followed it and authorized the use of telemedicine, were silent in relation to the limits and parameters applicable for the offer of telemedicine services. Although telemedicine services are not a new phenomenon in Brazil, they have historically been provided in an environment of strong legal uncertainty. This scenario is detrimental both for the companies that lose the opportunity to invest into capacities to offer these services, and for the patients who are obliged to use  telemedicine services in a lightly regulated and potentially damaging regulatory environment. Based on these considerations, we present certain sensitive points that deserve further attention from legislators and main stakeholders concerning the regulation of telemedicine, including themes such as telephysician-patient relations, telephysician responsibility, electronic medical records, among others. The regulation of these topics can increase legal certainty and regulatory clarity and step into the Direction of the construction of a healthy regulatory environment for these new telemedicine practices.O presente trabalho teve como objetivo principal fornecer subsídios para a regulamentação da telemedicina no Brasil. Com o advento da pandemia de covid-19, instrumentos normativos foram elaborados às pressas para regular a oferta de atenção médica a distância, com o uso de tecnologias da informação sincrônicas. Contudo, tanto a Lei da Telemedicina quanto a resolução do Conselho Federal de Medicina n. 2.227/2018 que a seguiu, autorizando o uso da telemedicina, foram omissas em relação às balizas e aos parâmetros que a oferta de serviços telemédicos deveriam seguir. Embora não seja propriamente um fenômeno novo no Brasil, a telemedicina historicamente se deu em um ambiente de forte insegurança jurídica. Esse cenário é deletério tanto para as empresas, que deixam de se capacitar para prestar serviços telemédicos, como para os pacientes, que se veem obrigados a desfrutar desses serviços em um ambiente pouco regulado e potencialmente lesivo. Com base nisso, este artigo elencou pontos sensíveis que merecem atenção do legislador e das partes interessadas para que haja regulamentação da telemedicina, incluindo temas como a relação telemédico-paciente, responsabilidade telemédica e das plataformas, prontuário telemédico  eletrônico, entre outros. Essa regulamentação pode proporcionar mais segurança jurídica e clareza  regulatória,apontando para a construção de um ambiente regulatório saudável para as novas práticas telemédicas.Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário2022-09-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresPeer-reviewed articleapplication/pdfhttps://www.revistas.usp.br/rdisan/article/view/17319110.11606/issn.2316-9044.rdisan.2022.173191Revista de Direito Sanitário; v. 22 n. 2 (2022); e0003Journal of Health Law; Vol. 22 No. 2 (2022); e0003Revista de Direito Sanitário; Vol. 22 Núm. 2 (2022); e00032316-9044reponame:Revista de Direito Sanitário (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rdisan/article/view/173191/186235Copyright (c) 2022 Revista de Direito Sanitáriohttp://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessGarcia, Marco Aurélio FernandesCosta, José Augusto Fontoura2023-02-01T15:51:01Zoai:revistas.usp.br:article/173191Revistahttps://www.revistas.usp.br/rdisanPUBhttp://www.revistas.usp.br/rdisan/oaisdallari@usp.br||revdisan@usp.br2316-90441516-4179opendoar:2023-02-01T15:51:01Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
O (novo) marco civil da telemedicina: a construção de um ambiente regulatório saudável para as novas práticas telemédicas
title The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
spellingShingle The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
Garcia, Marco Aurélio Fernandes
Digital Platforms
Regulation
Telemedicine
Telehealth
Plataformas Digitais
Regulação
Telemedicina
Telessaúde
Garcia, Marco Aurélio Fernandes
Digital Platforms
Regulation
Telemedicine
Telehealth
Plataformas Digitais
Regulação
Telemedicina
Telessaúde
title_short The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
title_full The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
title_fullStr The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
title_full_unstemmed The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
title_sort The (New) Civil Telemedicine Framework: Construction of a Healthy Regulatory Environment for New Telemedicine Practices
author Garcia, Marco Aurélio Fernandes
author_facet Garcia, Marco Aurélio Fernandes
Garcia, Marco Aurélio Fernandes
Costa, José Augusto Fontoura
Costa, José Augusto Fontoura
author_role author
author2 Costa, José Augusto Fontoura
author2_role author
dc.contributor.author.fl_str_mv Garcia, Marco Aurélio Fernandes
Costa, José Augusto Fontoura
dc.subject.por.fl_str_mv Digital Platforms
Regulation
Telemedicine
Telehealth
Plataformas Digitais
Regulação
Telemedicina
Telessaúde
topic Digital Platforms
Regulation
Telemedicine
Telehealth
Plataformas Digitais
Regulação
Telemedicina
Telessaúde
description The present work seeks to provide subsidies for the regulation of telemedicine in Brazil. With the outbreak of Covid-19, new normative instruments were created in a hurry to regulate the offer remote medical attention, with the use of synchronous information technologies. However, both the Brazilian Law on Telemedicine, and the Brazilian Federal Council of Medicine Regulation that followed it and authorized the use of telemedicine, were silent in relation to the limits and parameters applicable for the offer of telemedicine services. Although telemedicine services are not a new phenomenon in Brazil, they have historically been provided in an environment of strong legal uncertainty. This scenario is detrimental both for the companies that lose the opportunity to invest into capacities to offer these services, and for the patients who are obliged to use  telemedicine services in a lightly regulated and potentially damaging regulatory environment. Based on these considerations, we present certain sensitive points that deserve further attention from legislators and main stakeholders concerning the regulation of telemedicine, including themes such as telephysician-patient relations, telephysician responsibility, electronic medical records, among others. The regulation of these topics can increase legal certainty and regulatory clarity and step into the Direction of the construction of a healthy regulatory environment for these new telemedicine practices.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-12
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
Peer-reviewed article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/173191
10.11606/issn.2316-9044.rdisan.2022.173191
url https://www.revistas.usp.br/rdisan/article/view/173191
identifier_str_mv 10.11606/issn.2316-9044.rdisan.2022.173191
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/173191/186235
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista de Direito Sanitário
http://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista de Direito Sanitário
http://creativecommons.org/licenses/by-nc-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
dc.source.none.fl_str_mv Revista de Direito Sanitário; v. 22 n. 2 (2022); e0003
Journal of Health Law; Vol. 22 No. 2 (2022); e0003
Revista de Direito Sanitário; Vol. 22 Núm. 2 (2022); e0003
2316-9044
reponame:Revista de Direito Sanitário (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Direito Sanitário (Online)
collection Revista de Direito Sanitário (Online)
repository.name.fl_str_mv Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv sdallari@usp.br||revdisan@usp.br
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dc.identifier.doi.none.fl_str_mv 10.11606/issn.2316-9044.rdisan.2022.173191

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