Second, one of the province-regulators in Canada noted that in order not to discourage doctors and — specialists from other Canadian provinces from providing telemedicine services in this province the — licence cost is linked to the number of patients treated remotely. Specifically, no licence fee would apply if a doctor treats fewer than 12 patients, a discounted fee would apply to doctors treating between 12 and 52 patients, and a full fee would be charged for those treating more than 52 patients. Table 4.2: Licensing requirements summary — Jurisdiction Telemedicine only licence Local licence Australia Denmark France New Zealand encouraged Portugal Singapore Alberta British Columbia Newfoundland and Labrador Ontario Saskatchewan California Maine North Carolina Oklahoma Oregon Washington 1 9 Note: Here, and elsewhere in this report, by we mean in the jurisdiction of the patient. ‘local’ Cells with no mark mean the telemedicine regulation does not explicitly mention this issue. Source: Europe Economics. Requirements and standards for the provision of telemedicine We distinguish between three main categories of requirements: general requirements applicable to telemedicine services as a whole; — procedural requirements relevant for the interaction between patient and doctor itself; and — specific requirements relate to particular applications of telemedicine. — we present our key findings for each of these categories in turn. General requirements General requirements predominantly focus on establishing when telemedicine may be used. The key general requirements or standards we identified in our research are listed below. In general these requirements seek to ensure that telemedicine replicates as far as possible traditional face-to-face care. Ensuring the same standard of care is provided via telemedicine as via face-to-face care. This requirement is consistent with the understanding of telemedicine as just another way of providing medical service rather than as a distinct service. Out of the 17 jurisdictions in our core sample, 13 explicitly included this requirement in their policies or standards. Having access to sufficient information be it medical records, medical history or other information — provided by the patient or the referring doctor. Since in telemedicine the patient cannot be physically examined by the doctor, the latter will be more reliant on medical records or other information from the patient’s history. This requirement while more specific and thus limited to a particular aspect of —
Second, one of the province-regulators in Canada noted that — in order not to discourage doctors and specialists from other Canadian provinces from providing telemedicine services in this province — the licence cost is linked to the number of patients treated remotely. Specifically, no licence fee would apply if a doctor treats fewer than 12 patients, a discounted fee would apply to doctors treating between 12 and 52 patients, and a full fee would be charged for those treating more than 52 patients. Table 4.2: Licensing requirements — summary Jurisdiction Telemedicine only licence Local licence Australia Denmark France New Zealand encouraged Portugal Singapore Alberta British Columbia Newfoundland and Labrador Ontario Saskatchewan California Maine North Carolina Oklahoma Oregon Washington 1 9 Note: Here, and elsewhere in this report, by ‘local’ we mean in the jurisdiction of the patient. Cells with no mark mean the telemedicine regulation does not explicitly mention this issue. Source: Europe Economics. Requirements and standards for the provision of telemedicine We distinguish between three main categories of requirements: general requirements — applicable to telemedicine services as a whole; procedural requirements — relevant for the interaction between patient and doctor itself; and specific requirements — relate to particular applications of telemedicine. we present our key findings for each of these categories in turn. General requirements General requirements predominantly focus on establishing when telemedicine may be used. The key general requirements or standards we identified in our research are listed below. In general these requirements seek to ensure that telemedicine replicates as far as possible traditional face-to-face care. Ensuring the same standard of care is provided via telemedicine as via face-to-face care. This requirement is consistent with the understanding of telemedicine as just another way of providing medical service rather than as a distinct service. Out of the 17 jurisdictions in our core sample, 13 explicitly included this requirement in their policies or standards. Having access to sufficient information — be it medical records, medical history or other information provided by the patient or the referring doctor. Since in telemedicine the patient cannot be physically examined by the doctor, the latter will be more reliant on medical records or other information from the patient’s history. This requirement — while more specific and thus limited to a particular aspect of
Regulatory_approaches_to_telemedicine.docx_73978543.docx