TELEMEDICINE IN PHTHISIOPULMONOLOGY MOLDOVA: MEDICAL EFFECTS AND LEGAL FRAMEWORK
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.33Keywords:
telemedicine, phthisiopulmonology, Republic of Moldova, tuberculosis, COPD, asthma, criminal liabilityAbstract
Телемедицина, понимаемая как дистанционное оказание медицинской помощи с использованием информационно-коммуникационных технологий, становится эффективным инструментом для улучшения лечения заболеваний легких. В Республике Молдова, где сохраняется высокая заболеваемость туберкулезом, хронической обструктивной болезнью легких (ХОБЛ), астмойимуковисцидозом, внедрение телемедицинских решенийспособно повысить доступность специализированной помощи, улучшить приверженность пациентов к терапии и снизить нагрузку на систему здравоохранения. В статье анализируются международные исследования, национальные нормативные акты и опыт пилотных проектов. Определены преимущества и барьеры, включая недостаточную инфраструктуру, низкий уровень цифровой грамотности, неопределенность правового регулирования и риск уголовной ответственности врачей за халатность. Предлагаются меры по совершенствованию законодательства, модернизации инфраструктуры и созданию системы страхования профессиональной ответственности.
References
Moldova E-Governance Agency. Telemedicine – A new digital concept to be test-launched. AGE, 2022- 09-07. https://www.egov.md/en/node/39631.
Almasi S., Shahbodaghi A., Asadi F. Efficacy of telemedicine for the management of asthma: a systematic review. Tanaffos. 2022, 21(2), pp. 132–145. https://pubmed.ncbi.nlm.nih.gov/36879729/
Bashshur R. L., Shannon G.W., Smith Bruce R. et al. The empirical foundations of telemedicine interventions in primary care. Telemedicine and e-Health. 2016, 22(5), pp. 342–375. DOI 10.1089/ tmj.2016.0045.
Bourne S., Devos R., North M. et al. Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomised controlled trial. BMJ Open. 2017-07-17, 7(7), e014580. DOI 10.1136/bmjopen-2016-014580.
Brodlie M., GARDNER, A. Telemedicine in cystic fibrosis: a review of the current landscape. Paediatric Respiratory Reviews. 2021, 40, pp. 53–58. DOI 10.1016/j.prrv.2021.03.004.
Centers for Disease Control and Prevention (CDC). Electronic directly observed therapy for active TB disease. High-Impact Prevention Case Study. Atlanta, 2023–2024. https://www.cdc.gov/high-impact-prevention/php/case-studies/directly-observed-therapy-tb.html
Central European Initiative (CEI). Cross-border partnership supports health operators in piloting telemedicine in Moldova. Trieste, 2022. https://www.cei.int/news/9076/cross-border-partnership-supports-health-operators-in-piloting-telemedicine-in-moldova
European Commission. eHealth Action Plan 2012– 2020: Innovative healthcare for the 21st century. COM(2012) 736 final. Brussels, 2012. EUR- Lex: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex:52012DC0736
Federal Law of the Russian Federation of July 29, 2017 No. 216-FZ. About the innovative scientific and technology centers and about modification of separate legal acts of the Russian Federation (as amended on 31-07-2025). Accepted by the State Duma on July 21, 2017. Approved by the Federation Council on July 25, 2017. https://cis-legislation.com/document. fwx?rgn=99349
International organization for standardization. ISO/IEC 27001:2013 — Information technology — Security techniques — Information security management systems — Requirements. Geneva: ISO, 2013. https:// www.iso.org/contents/data/standard/05/45/54534.html
Lygidakis Nikolaos A., Ran Angela, Markoglou, Nikos, Rawaf, Salma, Zamagni Alessia, López Mauricio S. et al. Telemedicine for tuberculosis management during COVID-19: a systematic review. Journal of Telemedicine and Telecare. 2023, 29(4), pp. 219–229. DOI 10.1177/1357633X221125827.
McLean S., Nurmatov U., Liu J.L. et al. Telehealthcare for chronic obstructive pulmonary disease: Cochrane Review and meta-analysis. British Journal of General Practice. 2012-11, 62(604), e739–e749. DOI 10.3399/ bjgp12X658269.
Melnikov Victoria. Telemedicine: a comprehensive review of the impact and evolution in the healthcare service. Intellectus (AGEPI). 2024, 1, pp. 167–173. DOI 10.56329/1810-7087.24.1.15. https://agepi.gov.md/sites/default/files/intellectus/Intellectus_1_2024_167. pdf
Ministerul Sănătății al Republicii Moldova. Strategia națională de sănătate „Sănătatea 2030”. Aprobata prin HG nr. 387/2023. Chișinău, 2023. https://faolex.fao.org/docs/pdf/mol223407.pdf
Parlamentul Republicii Moldova. Legea Nr. 133 din 08.07.2011 privind protecţia datelor cu caracter personal. Publicat: 14.10.2011 în Monitorul Oficial Nr. 170–175, art. 492; cu modificări. https://www.legis.md/cautare/getResults?doc_id=144823&lang=ro
Parlamentul Republicii Moldova. Legea Nr. 264 din 27.10.2005 cu privire la exercitarea profesiunii de medic. Publicat: 23.12.2005 în Monitorul Oficial Nr. 172–175, art. 839; cu modificări. https://www.legis.md/cautare/getResults?doc_id=133165&lang=ro
Russian Federation. Federal Law No. 242-FZ of 29 July 2017 on amendments to certain legal acts of the Russian Federation regarding the use of information technology in health care. Moscow, 2017. https://www.dataguidance.com/news/russia-president-signs-telemedicine-bill-law
Scott Richard E., Mars Maurice. Principles and framework for eHealth strategy development. Journal of Medical Internet Research. 2013, 15(7), e155. DOI 10.2196/jmir.2250.
Sundaram Kartik K., Zaki Rafdzah A., Shankar Divya, Hoe Victor; Ahmad Nur Ar Rabiah, Kuan Wong Chee; Anhar Aziezah Binti Norul. Effectiveness of video-observed therapy in tuberculosis management: a systematic review. Cureus. 2024-10-16, 16(10), e71610. DOI 10.7759/cureus.71610.
Technovator & Startup Moldova. White Paper: About Digital Health in Moldova. Chișinău: Technovator World, 2024-06-13. https://technovator.world/wp-content/uploads/2024/06/White-Paper-Digital-Health-2024.pdf
United nations. Roadmap for Digital Cooperation: implementation of the recommendations of the High- Level Panel on Digital Cooperation. New York, 2020 https://www.un.org/en/content/digital-cooperation-roadmap/assets/pdf.Roadmap_for_Digital_Cooperation_EN.pdf
World Health Organization. Global strategy on digital health 2020–2025. Geneva: WHO, 2021. https://www.who.int/docs/default-source/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf
World Health Organization. Global tuberculosis report 2024. Geneva: WHO, 2024-10-29. https://www.who.int/publications/i/item/9789240101531
World Health Organization. Telemedicine: opportunities and developments in Member States. Report on the second global survey on eHealth. Geneva: WHO, 2010. https://apps.who.int/iris/handle/10665/44497/
World health organization. The End TB Strategy: global strategy and targets for tuberculosis prevention, care and control after 2015. Geneva: WHO, 2015. https://www.who.int/publications/i/item/WHO-HTM-TB-2015.19.
Downloads
Published
License
Copyright (c) 2026 Bulletin of the Academy of Sciences of Moldova. Medical Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
