Telemedicine in Italy: Healthcare authorization profiles in the modern medico-legal reading.

IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Vittorio Bolcato, Giuseppe Basile, Luca Bianco Prevot, Giovanni Fassina, Silvia Rapuano, Enrico Brizioli, Livio P Tronconi
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引用次数: 0

Abstract

Background: The ruling n. 38485, 20 June 2019, of the Italian Supreme Court, III criminal section, addressed by the perspective of the law the very sensitive and new issue of telemedicine.

Objective: This commentary deals with the issue of authorization of telemedicine activities by the health authority, starting from the Italian Court of Criminal Cassation, III section, decision n. 38485/2019. The case law explored the authorization of a health point, which carries out telemedicine services.

Methods: Starting from the perspective discussed by Italian health regulations, the paper examines how the health act could be defined, with the possibilities offered by telecommunications, and how it now relates legally to the physical place where it takes place.

Results: Even if telemedicine opens the way to virtual spaces of health practice, the Ministry of Health Italian Guidelines pose functional and logistical issues to guarantee users' safety and health care system accountability. Then, functional requirements for health legitimate practice, and their continuous monitoring, together with the responsibilities of the service centers, health professionals and health facilities, are discussed.

Conclusion: The questioning of States' health law, in a broad health system such as that of the Europe, characterized by autonomous health regulations, is extremely important for cross-border health policy with telemedicine, as overall regulatory compliance in health care is the ground criterion for risk prevention and patient safety, to be properly verified.

意大利的远程医疗:现代医学法律阅读中的医疗授权概况。
背景:意大利最高法院第三刑事科2019年6月20日第38485号裁决从法律的角度处理了远程医疗这一非常敏感的新问题。目的:本评注涉及卫生当局对远程医疗活动的授权问题,从意大利刑事上诉法院第三节第38485/2019号决定开始。案例法探讨了开展远程医疗服务的医疗点的授权问题。方法:本文从意大利卫生条例所讨论的角度出发,探讨了如何界定卫生法,利用电信提供的可能性,以及它现在如何在法律上与发生卫生法的实际地点联系起来。结果:即使远程医疗为卫生实践的虚拟空间开辟了道路,意大利卫生部指南也提出了功能和后勤问题,以保证用户的安全和卫生保健系统的责任。然后,讨论了卫生合法执业的功能要求及其持续监测,以及服务中心、卫生专业人员和卫生设施的责任。结论:在欧洲这样一个以自主卫生法规为特征的广泛卫生系统中,对国家卫生法的质疑对于远程医疗的跨境卫生政策极为重要,因为卫生保健的总体法规合规性是风险预防和患者安全的基本标准,必须得到适当核实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE
INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
17.60%
发文量
102
期刊介绍: The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed. This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety.
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