In recent years telemedicine is increasingly being introduced into people’s life which
is fraught with serious socially dangerous consequences, for example, if assistance is provided remotely by a doctor who is not entitled to perform such medical actions. In
addition, as a result of providing medical services per Internet the doctor may make a
mistake in making a diagnosis (consultation), which may lead to the death of the patient
or other negative consequences. In regulatory documents telemedicine technologies
are defined as information technologies that provide for remote interaction of medical
workers among themselves, with patients and (or) their legal representatives, identify
and authenticate specified persons, document their actions during consultations, and
remote medical monitoring of the patients health. The study examined the issues of legal
and illegal provision of medical and pharmaceutical care using telemedicine technologies,
especially criminal liability for this type of activity. The author came to the conclusion that
the legislator should take into account by the differentiation of criminal responsibility under
Art. 235 of the Criminal Code of the Russian Federation a heightened degree of public
danger of crimes connected with illegal remote medical and pharmaceutical activities,
as a result of which, due to carelessness, harm to human health or death is caused. For
this purpose, using the qualified corpus delicti, it is necessary to foresee toughening of
punishment for the specified activity.
Associate Professor of the Department of Criminal Law and Criminology of the Vologda Institute
of Law and Economics of the Federal Penal Service of Russia,
PhD. in Law.
, e-mail email@example.com
1. Memorandum o sotrudnichestve gosudarstv – uchastnikov SNG v oblasti sozdaniya sovmestimyh nacional’nyh
telemedicinskih konsul’tacionno-diagnosticheskih system (g. Kishinev, 14 noyabrya 2008 g.) [Memorandum on cooperation
of the CIS member states in the field of creation of compatible national telemedicine consultation and diagnostic systems
(Chisinau, November 14, 2008)]. Access from the reference legal system «ConsultantPlus». (In Russ.).
2. O vnesenii izmenenij v otdel’nye zakonodatel’nye akty Rossijskoj Federacii po voprosam primeneniya informacionnyh
tekhnologij v sfere ohrany zdorov’ya : feder. zakon ot 29.07.2017 № 242-FZ [On Amendments to Certain Legislative Acts of
the Russian Federation on the Application of Information Technologies in the Field of Health Protection : Federal Law from
29.07.2017 No. 242-FL]. Access from the reference legal system «ConsultantPlus». (In Russ.).
3. O licenzirovanii medicinskoj deyatel’nosti (za isklyucheniem ukazannoj deyatel’nosti, osushchestvlyaemoj medicinskimi
organizaciyami i drugimi organizaciyami, vhodyashchimi v chastnuyu sistemu zdravoohraneniya, na territorii innovacionnogo
centra «Skolkovo») : postanovlenie Pravitel’stva Rossijskoj Federacii ot 16.04.2012 № 291 (red. ot 08.12.2016) [On
licensing medical activities (with the exception of the specified activities carried out by medical organizations and other
organizations within the private health care system on the territory of the Skolkovo innovation center) : Decree of the
Government of the Russian Federation from 16.04. 2012 No. 291 (in red. on 08.12.2016)]. Access from the reference legal
system «ConsultantPlus». (In Russ.).
4. Nekotorye voprosy primeneniya ugolovnogo zakonodatel’stva za narusheniya v sfere telemediciny [Some Issues of the
Application of Criminal Law for Violations in the Field of Telemedicine]. YUrid. nauka i praktika. Vestn. Nizhegorod. akad.
MVD Rossii – Legal science and practice. Bulletin of the Nizhny Novgorod Academy of the Ministry of Internal Affairs of
Russia. 2014. Iss. 4. P. 176–178. (In Russ.).
5. Telemedicina s oslozhneniyami. Na novom rynke uzhestochayut pravila igry [Telemedicine with complications. In the new
market the rules of the game are being tightened]. Availablе at: https://www.kommersant.ru/doc/3628107?from=four_
business (accessed 19.01.2019). (In Russ.).