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NOTÍCIAS

Minuta de Resolução CFM N

RESOLUÇÃO CFM nº 1.643/2002

Define e disciplina a prestação de serviços através da Telemedicina.

O Conselho Federal de Medicina, no uso das atribuições conferidas pela Lei nº 3.268, de 30 de setembro de 1957, regulamentada pelo Decreto nº 44.045, de 19 de julho de 1958, e

CONSIDERANDO que cabe ao Conselho Federal de Medicina disciplinar o exercício profissional médico e zelar pela boa prática médica no país;

CONSIDERANDO o constante desenvolvimento de novas técnicas de informação e comunicação que facilitam o intercâmbio de informação entre médicos e entre estes e os pacientes;

CONSIDERANDO que a despeito das conseqüências positivas da Telemedicina existem muitos problemas éticos e legais decorrentes de sua utilização;

CONSIDERANDO que a Telemedicina deve contribuir para favorecer a relação individual médico-paciente;

CONSIDERANDO que as informações sobre o paciente identificado só podem ser transmitidas a outro profissional com prévia permissão do paciente, mediante seu consentimento livre e esclarecido e sob rígidas normas de segurança capazes de garantir a confidencialidade e integridade das informações;

CONSIDERANDO que o médico tem liberdade e completa independência para decidir se utiliza ou não recomenda o uso da Telemedicina para seu paciente, e que tal decisão deve basear-se apenas no benefício do paciente;

CONSIDERANDO que o médico que exerce a Medicina a distância, sem ver o paciente, deve avaliar cuidadosamente a informação que recebe, só pode emitir opiniões e recomendações ou tomar decisões médicas se a qualidade da informação recebida for suficiente e pertinente para o cerne da questão;

CONSIDERANDO o teor da “Declaração de Tel Aviv sobre responsabilidades e normas éticas na utilização da Telemedicina”, adotada pela 51ª Assembléia Geral da Associação Médica Mundial, em Tel Aviv, Israel, em outubro de 1999;

CONSIDERANDO o disposto nas resoluções CFM nº 1.638/2002 e nº 1.639/2002, principalmente no tocante às normas para transmissão de dados identificados;

CONSIDERANDO o disposto na Resolução CFM nº 1.627/2001, que define e regulamenta o Ato Médico;

CONSIDERANDO o decidido na sessão plenária de 7 de agosto de 2002, realizada em Brasília, com supedâneo no Parecer CFM nº 36/2002,

RESOLVE:

Art. 1º – Definir a Telemedicina como o exercício da Medicina através da utilização de metodologias interativas de comunicação audio-visual e de dados, com o objetivo de assistência, educação e pesquisa em Saúde.

Art. 2º – Os serviços prestados através da Telemedicina deverão ter a infra-estrutura tecnológica apropriada, pertinentes e obedecer as normas técnicas do CFM pertinentes à guarda, manuseio, transmissão de dados, confidencialidade, privacidade e garantia do sigilo profissional.

Art. 3º – Em caso de emergência, ou quando solicitado pelo médico responsável, o médico que emitir o laudo a distância poderá prestar o devido suporte diagnóstico e terapêutico.

Art. 4º – A responsabilidade profissional do atendimento cabe ao médico assistente do paciente. Os demais envolvidos responderão solidariamente na proporção em que contribuírem por eventual dano ao mesmo.

Art. 5º – As pessoas jurídicas que prestarem serviços de Telemedicina deverão inscrever-se no Cadastro de Pessoa Jurídica do Conselho Regional de Medicina do estado onde estão situadas, com a respectiva responsabilidade técnica de um médico regularmente inscrito no Conselho e a apresentação da relação dos médicos que componentes de seus quadros funcionais.

Parágrafo único – No caso de o prestador for pessoa física, o mesmo deverá ser médico e devidamente inscrito no Conselho Regional de Medicina.

Art. 6º – O Conselho Regional de Medicina deverá estabelecer constante vigilância e avaliação das técnicas de Telemedicina no que concerne à qualidade da atenção, relação médico-paciente e preservação do sigilo profissional.

Art. 7º – Esta resolução entra em vigor a partir da data de sua publicação.

 

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