Key result
The review outlines the legal and regulatory framework of telemedicine in the Russian Federation and provides a list of domestic Internet portals currently used for remote medical rehabilitation.
Why the study?
Interruption of recovery and lack of home activity after hospital discharge cause loss of rehabilitation gains, highlighting the need for remote rehabilitation.
Remote rehabilitation in the Russian Federation is supported by a regulatory framework and domestic internet platforms, but requires further randomized comparative studies to establish long-term effectiveness and safety.
Guides regulatory adherence for Russian telemedicine rehabilitation; leaves open prospective outcome validation.
INTRODUCTION. The interruption of the recovery process and the absence of patients’ activities at home after discharge from a medical institution leads to the loss of results achieved at various stages of medical rehabilitation. In this regard, the remote (telemedicine) form of rehabilitation assistance is of particular importance. AIM. To present up-to-date data on the legal and regulatory framework for telemedicine in the Russian Federation, as well as an overview of domestic Internet platforms in the field of remote medical rehabilitation. MATERIALS AND METHODS. The search for normative legal acts was carried out on the “The official Internet portal of Legal Information” (www.pravo.gov.ru). The literature review was performed using the databases eLibrary, Cyberleninka, PubMed, Scopus, Web of Science (Core Collection) and Google Scholar by July 31, 2023 for the following keywords: telemedicine, remote physical rehabilitation, medical rehabilitation, functional recovery. RESULTS. The article elaborates on the legal and regulatory framework of telemedicine in the Russian Federation, provides a list of domestic Internet portals that are now being employed to provide remote medical care. CONCLUSION. The remote form of arranging rehabilitation is supported by the regulatory and legal framework and has promising outlooks for development due to the advent of new information technologies that allow for active communication between a medical worker and a patient. Nevertheless, the issues of effectiveness and safety of remote physical rehabilitation remain insufficiently studied, therefore, it is necessary to conduct randomized comparative studies analyzing long-term results.
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Sheiko et al. (2023) conducted a review in Need for medical rehabilitation. Remote medical rehabilitation (telemedicine) was evaluated. The review outlines the legal and regulatory framework of telemedicine in the Russian Federation and provides a list of domestic Internet portals currently used for remote medical rehabilitation.
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