Licensing Telemedicine: The Need for a National System
Authors:
- Peter D. JacobsonPJPeter D. Jacobson
- Elizabeth SelvinESElizabeth Selvin
- 1 December 2000
- journal article
- research article
- Published by SAGE Publications in Telemedicine and e-Health
- Vol. 6 (4) , 429-439
Abstract
The expansion of information technology has shattered geographic boundaries, allowing for extraordinarily increased access to health information and expanded opportunities for telemedicine practice across state boundaries. But despite its recent growth, telemedicine technology remains embedded in a state-based licensure system that places severe limits on its expansion. The current system of medical licensure is based primarily on statutes written at the turn of the 20th century. This system is inadequate to address the emerging medical practices and future uses of medical technology in the telecommunications age. To respond to the changes offered by the telecommunications revolution, we need to design a new regulatory structure for the 21st century. The purpose of this article is to propose a policy of national telemedicine licensure. The primary goal here is not to simply develop a policy proposal, but to discuss the rationale for national licensure and place it on the policy agenda. A national licensure system will expand the market for telemedicine, promote both the use and development of new technologies, and simultaneously eliminate many of the legal and regulatory ambiguities that plague and constrain the present system.Keywords
This publication has 16 references indexed in Scilit:
- ERISA litigation and physician autonomy.JAMA, 2000
- Internet Availability of Prescription Pharmaceuticals to the PublicAnnals of Internal Medicine, 1999
- Legal Issues Concerning Electronic Health InformationJAMA, 1999
- Telemedicine and the National Information Infrastructure: Are the Realities of Health Care Being Ignored?Journal of the American Medical Informatics Association, 1997
- Electronic communication with patients. Evaluation of distance medicine technology1997
- Reliability of Telemedicine ExaminationTelemedicine Journal, 1997
- State Initiatives to Promote TelemedicineTelemedicine Journal, 1996
- Health Care on the Information Highway: The Politics of Telemedicine*Telemedicine Journal, 1996
- Alternative Licensure Systems for TelemedicineTelemedicine Journal, 1996
- Telemedicine effects: Cost, quality, and accessJournal of Medical Systems, 1995