Legal Regulation of the Process of Providing Telemedicine Services: World Experience, Trends and Development Prospects

New technologies and breakthrough inventions at the first stages of their development cause mistrust in society, which is logical; often this mistrust interferes with the rapid development of one or another direction in science and technology. However, information technologies and artificial intelligence systems, despite the fears, concerns, and skepticism of many people, are already rapidly changing the daily life of mankind. The use of wireless networks, software and hardware complexes, databases and robots opens up new opportunities for medicine to find innovative treatment methods, effectively prevent diseases, provide remote medical care to patients, collect anamnesis and analyze it in order to make the right informed decisions. E-health care and telemedicine, thanks to the digital transformation of medical practice, make it possible to provide support to those citizens who cannot attend a face-to-face appointment due to their health condition or distance from a medical institution. Telemedicine today is multifaceted. It is not limited to teleconsultations, but also covers a system of remote patient support, remote collection of up-to-date information about their health status (blood pressure, sugar levels, etc.) and already includes mechanisms for software and intellectual support for doctors making decisions on treatment tactics. However, despite all the positive aspects, the development of telemedicine technologies raises the issue of ensuring the proper level of respect for human rights, in particular constitutional rights to health protection and medical care. Modern states should actively work to improve the legal regulation of this area, because new technological realities require adaptation of the mechanism for ensuring constitutional rights. The purpose of this study is to develop recommendations on overcoming barriers to the development of telemedicine technologies in Russia in the context of improving the system of ways and means to ensure the realization of everyone's right to health protection and medical care (Article 41 of the Constitution of the Russian Federation). The object of the study is social relations that develop in the process of providing telemedicine services to the population. The subject of the study is regulatory and technical requirements, as well as recommendations and standards governing the process of providing medical care and its documentation using information (telecommunication) technologies in Russia and foreign countries. The basic methodology of the study is general scientific methods of logical cognition, in particular, with the help of analysis and synthesis, data from a number of countries were obtained regarding general regulation, the possibility of making a remote diagnosis, technical and local regulation, technical support, authentication, identification and data security in telemedicine. The author offers a number of practical and legal recommendations on leveling the risks of transferring face-to-face medical appointments of patients to remote ones, and also develops ideas for improving Russian legal and technical regulation in the field of medical activity under consideration. The development of recommendations and proposals is based on the analysis of the experience of a number of countries (USA, China, Great Britain, India, Sweden, and Japan) in terms of legal and technical regulation of telemedicine.