Evidence map›Paper›PMID 33372570›Full record

ArticleJournal of primary care & community health

Medical Legal Aspects of Telemedicine in Italy: Application Fields, Professional Liability and Focus on Care Services During the COVID-19 Health Emergency.

D Ferorelli, L Nardelli, L Spagnolo, S Corradi, M Silvestre, F Misceo, M Marrone, F Zotti, G Mandarelli, B Solarino and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04752553 (Pros and Cons of Telemedicine in Diagnosis and Management), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04752553 unknown statusnot on this map

Pros and Cons of Telemedicine in Diagnosis and Management

Typeobservational_patient_registrySponsorHeba A YassaRan2021 to 2022Enrolled1,000Conditionsthe Study Focus on the Uses of Telephone and Other New Technology in Medicine, Diagnosis and Treatment
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Patient Satisfaction with Telemedicine during the COVID-19 Pandemic-A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Telemedicine documentation in neurology and telestroke: a global scoping review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Review
  5. Article
  6. Telemedicine and public health-pearls and pitfalls.World journal of methodology · 2025
    Article
  7. Implantable cardiac monitor in heart failure: just a toy or a useful tool?European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Applications and Current Medico-Legal Challenges of Telemedicine in Ophthalmology.International journal of environmental research and public health · 2022
    Review
  16. "Medical Assistance in Contextual Awareness" (AMICO): A Project for a Better Quality of Care for Patients in Cardiac Rehabilitation Unit.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

D FerorelliUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.ORCID 0000-0001-8150-7476
L NardelliUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
L SpagnoloUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
S CorradiUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
M SilvestreUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
F MisceoUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
M MarroneUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
F ZottiUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
G MandarelliUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
B SolarinoUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.
A Dell'ErbaUniversity of Bari-Section of Legal Medicine, Policlinico di Bari Hospital. Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Telemedicine services can be classified into the macro-categories of specialist Telemedicine, Tele-health and Tele-assistance. From a regulatory perspective, in Italy, the first provision dedicated to the implementation of Telemedicine services is represented by the Agreement between the Government and the Regions on the document bearing "Telemedicine-National guidelines," approved by the General Assembly of the Superior Health Council in the session of 10th July 2012 and by the State Regions Conference in the session of 20th February 2014. Scientifically, several studies in the literature state that information and communication technologies have great potential to reduce the costs of health care services in terms of planning and making appropriate decisions that provide timely tools to patients. Another clear benefit is the equity of access to health care. The evolution of telemedicine poses a series of legal problems ranging from the profiles on the subject of authorization and accreditation to those concerning the protection of patient confidentiality, the definition and solution of which, in the absence of specific regulatory provisions, is mainly left to the assessment of compatibility of the practices adopted so far, with the general regulatory framework. In terms of professional liability, it is necessary to first clarify that the telemedicine service is comparable to any diagnostic-therapeutic health service considering that the telemedicine service does not replace the traditional health service, but integrates the latter to improve its effectiveness, efficiency and appropriateness.

Indexed as

Liability, LegalChronic DiseaseCommunicationConfidentialityCOVID-19HumansInpatientsItalyModels, OrganizationalOutpatientsSARS-CoV-2TelemedicineCovid-19legal medicinemedical professional liabilitytelemedicine

Identifiers

PMID33372570
PMCPMC7780315

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.