Telemedicine services in the work  of a doctor, dentist, nurse and midwife – analysis of legal regulations in Poland and the possibility of their implementation on the example of selected European countries

Flaga-Gieruszyńska, Kinga; Kożybska, Marta; Osman, Tomasz; Radlińska, Iwona; Zabielska, Paulina; Karakiewicz-Krawczyk, Katarzyna; Jurczak, Anna; Karakiewicz, Beata

doi:10.26444/aaem/116587

Cited by 10 publications

(8 citation statements)

References 12 publications

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“…In Poland, it has been possible since 2015 to legally provide remote healthcare services, based on Article 3, paragraph 1 of the Act on Medical Activity, which stipulates that “Medical activity consists in delivering medical services. These services may be provided through ICT(Information and Communication Technology) or communication systems [ 23 ]. Due to the SARS-CoV-2 pandemic, reimbursable teleconsultation can be provided as part of primary care from August 2020” [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

The COVID-19 Pandemic as an Impulse for the Development of Telemedicine in Primary Care in Poland

Furlepa

Śliwczyński

Kamecka

et al. 2022

JPM

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Telemedicine gives a safe and effective way of providing healthcare. During the COVID-19 pandemic, it was possible to offer teleconsultations in primary care (Primary Care Teleconsultation-PCT). The study aimed to present an analysis of the PCTs served in the years 2020–2021 in the field of primary care in Poland to determine how the COVID-19 pandemic contributed to the development of telemedicine in primary care in Poland. The database, containing a list of medical services provided remotely obtained from the National Health Fund, was analyzed. Economic and tax indicators obtained from the Ministry of Finance were also analyzed. Personal Income Tax (PIT) value was used as an indicator of household wealth, and the Corporate Income Tax (CIT) was used as an indicator of economic activity in individual counties for 2019. Along with the COVID-19 pandemic, patients as healthcare beneficiaries can take advantage of previously unserved telemedicine services as part of primary care. The data analysis showed that, along with the introduced recommendations and restrictions in connection with the pandemic, the number of teleconsultations in 2021 increased compared to 2020. In response to the pandemic, an educational campaign targeted older patients. These indicate the most significant percentage of PCTs among patients aged 70 and older. The study shows that the awareness barrier in implementing services for the elderly population decreased significantly. There was a clear correlation between the increase in PCTs and patient age.

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Section: Introductionmentioning

confidence: 99%

The COVID-19 Pandemic as an Impulse for the Development of Telemedicine in Primary Care in Poland

Furlepa

Śliwczyński

Kamecka

et al. 2022

JPM

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“…The Polish health care system reacted quickly and dynamically thanks to its complete preparation for providing remote medical services based on the teleinformatic systems. Since December 2015, TM in Poland is longer anymore understood as a medical experiment, thanks to previously signed legal acts [27,35]. It illustrates the remarkable healthcare transition into telemedicine.…”

Section: Discussionmentioning

confidence: 99%

Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation

Glinkowski

2022

IJERPH

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The COVID-19 pandemic has caused a substantial intensification of the telemedicine transformation process in orthopedics since 2020. In the light of the legal regulations introduced in Poland, from the beginning of the SARS-CoV-2 pandemic, physicians, including orthopedic surgeons, have had the opportunity to conduct specialist teleconsultations. Teleconsultations increase epidemiological safety and significantly reduce the exposure of patients and medical staff to direct transmission of the viral vector and the spread of infections. The study aimed to describe diagnoses and clinical aspects of consecutive orthopedic teleconsultations (TC) during the pandemic lockdown. The diagnoses were set according to the International Classification of Diseases (ICD-10). Hybrid teleconsultations used smartphones and obligatory Electronic Health Record (EHR) with supplemental voice, SMS, MMS, Medical images, documents, and video conferencing if necessary. One hundred ninety-eight consecutive orthopedic teleconsultations were served for 615 women and 683 men (mean age 41.82 years ± 11.47 years). The most frequently diagnosed diseases were non-acute orthopedic disorders “M” (65.3%) and injuries “S” (26.3%). Back pain (M54) was the most frequent diagnosis (25.5%). Although virtual orthopedic consultation cannot replace an entire personal visit to a specialist orthopedic surgeon, in many cases, teleconsultation enables medical staff to continue to participate in providing medical services at a sufficiently high medical level to ensure patient and physician. The unified approach to TC diagnoses using ICD-10 or ICD-11 may improve further research on telemedicine-related orthopedics repeatability. Future research directions should address orthopedic teleconsultations’ practical aspects and highlight legal, organizational, and technological issues with their implementations.

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“…Polish laws and regulations have improved the physician's ability to communicate virtually with the patient to practice, make joint decisions, report progress safely and effectively and receive appropriate compensation for the services rendered [75]. Despite this, teaching telemedicine and e-Health in pre-and postgraduate medical programs in universities remains marginal [76][77][78][79][80][81][82].…”

Section: Telemedicine Training and Educationmentioning

confidence: 99%

“…The easiest way to obtain the legality of telemedicine services is when there is equal responsibility for using stationary and remote services. In Poland, all telemedicine services are based on legal regulations [75,89]. However, they remain for cross-border solutions in telemedicine which require further studies.…”

Section: Technologies In Telemedicinementioning

confidence: 99%

Experiences of the Telemedicine and eHealth Conferences in Poland—A Cross-National Overview of Progress in Telemedicine

et al. 2022

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The progress in telemedicine can be observed globally and locally. Technological changes in telecommunications systems are intertwined with developments in telemedicine. The recent COVID-19 pandemic has expanded the potential of teleconsultations and telediagnosis solutions in all areas of medicine. This article presents: (1) an overview of milestones in the development of telecommunications systems that allow progress in telemedicine and (2) an analysis of the experiences of the last seven conferences of telemedicine and eHealth in Poland. The telemedicine and eHealth conferences have grown steadily in Poland since their inception in the late 1990s. An exemplary conference program content was used to assess the scientific maturity of the conference, measured by the indices of research dissemination and the impact of publications. The overview presents progress in selected areas of telemedicine, looking at local developments and broader changes. The growing interest in telemedicine in the world’s medical sciences is demonstrated by visibility metrics in Google Scholar, Pubmed, Scopus and Web of Science. National scientific events are assumed to raise interest in the population and influence the creation of general policies. As seen in the example of Poland, the activity of the scientific community gathered around the Polish Telemedicine Society led to novel legal acts that allowed the general practice of telemedicine during the SARS-CoV-2 pandemic. Local scientific conferences focusing on telemedicine research can be a catalyst for changes in attitudes and regulations and the preparation of recommendations for the practice of telemedicine and electronic health. On the basis of the results of this study, it can be concluded that the progress in telemedicine cannot be analyzed in isolation from the ubiquitous developments in technology and telecommunications. More research is needed to assess the cumulative impact of long-standing scientific conferences in telemedicine, as exemplified by the telemedicine and eHealth conferences in Poland.

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Telemedicine services in the work of a doctor, dentist, nurse and midwife – analysis of legal regulations in Poland and the possibility of their implementation on the example of selected European countries

Abstract: services in the work of a doctor, dentist, nurse and midwife -analysis of legal regulations in Poland and the possibility of their implementation on the example of selected European countries.

Cited by 10 publications

References 12 publications

The COVID-19 Pandemic as an Impulse for the Development of Telemedicine in Primary Care in Poland

The COVID-19 Pandemic as an Impulse for the Development of Telemedicine in Primary Care in Poland

Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation

Experiences of the Telemedicine and eHealth Conferences in Poland—A Cross-National Overview of Progress in Telemedicine

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