Submitted by SPH DIGITAL on
Analysis Domain
Domain
Regulations on telemedicine exist
Documents
Law No. 203/2021 on telehealth
Regulation number
45
Domain
The regulatory framework establishes definitions on the use of telemedicine
Regulation number
30
Domain
The regulatory framework lists the principles relevant to the practice of telemedicine
Regulation number
30
Domain
The regulatory framework considers telemedicine to be a right of patients and lists the conditions necessary for its practice
Regulation number
0
Domain
The regulatory framework establishes a specific responsibility for telemedicine services
Regulation number
10
Domain
The regulatory framework requires the telemedicine tool to establish secure communication channels
Regulation number
15
Domain
The regulatory framework establishes telemedicine as a complementary or alternative service to in-person/traditional care
Regulation number
0
Domain
The regulatory framework requires informed consent for telemedicine procedures in the same cases as those legally required for in-person procedures
Regulation number
30
Domain
The regulatory frameworks establish telemedicine care modalities (synchronous/asynchronous)
Regulation number
20
Domain
The regulatory framework provides for specific telemedicine programs according to the needs of the population
Regulation number
0
Domain
The regulatory framework establishes parameters and conditions to determine the jurisdictional status of telemedicine services
Regulation number
0
Domain
The regulations establish a specialized authority for telemedicine
Regulation number
15
Domain
The regulations provide for a budget item and personnel assigned to the area
Regulation number
7
Domain
The regulatory framework establishes the rules and authorities for certification, authorization (physical and technical infrastructure), accreditation, and monitoring of professionals, facilities, and technological developments relevant to the practice of
Regulation number
0
Domain
Telemedicine services are integrated with the national health strategy
Documents
Broadband Strategic Plan
Agenda Digital
Regulation number
10
Domain
The regulatory framework includes quality standards for telemedicine
Regulation number
20
Domain
The public administration has a digital agenda in which telemedicine is a key component
Regulation number
3
Domain
The regulatory framework establishes the requirement that healthcare teams undergo continuous education and training in digital skills for providing telemedicine services
Regulation number
10
Domain
The regulatory framework establishes authorities in charge of educating citizens about their rights and obligations in relation to telemedicine services
Regulation number
0
Domain
Telemedicine is planned for all levels of health care
Regulation number
0
Domain
Includes regulatory frameworks for the protection of personal data
Documents
Law No. 81 on personal data protection, Article 4.11

Health data is classified as sensitive data The Telehealth Act addresses data quality and availability, Article 12 with implementing regulations in Executive Decree No. 285/2021

Digital Official Gazette
Regulation number
60
Domain
The regulatory framework places health data in a special category of protection within personal data
Regulation number
60
Domain
The regulatory framework requires the consent of the owner to process their health data
Regulation number
60
Domain
The regulatory framework provides for the processing of personal health data
Regulation number
60
Domain
The regulatory framework grants citizens ownership and specific rights regarding their personal data
Regulation number
30
Domain
The regulatory framework includes provisions related to the assignment and/or transfer of personal data
Regulation number
20
Domain
The regulatory framework defines processes to ensure the confidentiality of health data
Regulation number
30
Domain
The regulatory framework establishes the duty to inform patients of the ways in which their data will be used
Regulation number
30
Domain
The regulatory framework regulates secondary uses of personal health data
Regulation number
10
Domain
The regulatory framework provides for the cross-border transfer of personal health data
Regulation number
15
Domain
The regulatory framework defines processes to ensure the security of health data
Regulation number
30
Domain
The regulatory framework establishes a maximum storage time (temporary retention period) for health data
Regulation number
15
Domain
The regulatory framework establishes the relevant jurisdiction for matters related to custody and storage of personal health data
Regulation number
0
Domain
The regulatory framework provides for the creation of a authority responsible for ensuring data protection
Regulation number
15
Domain
The regulatory frameworks establish actions to develop the infrastructure needed for the practice of telemedicine
Documents
Decree

Provides for the use of the electronic health record/clinical file - Article 46 ff.

Health Information System Regulations
Regulation number
15
Domain
The regulatory frameworks establish actions to develop the connectivity needed for the practice of telemedicine
Documents
Electronic Prescriptions

Provided for in the amendment to the Medicines Act. Authorization of electronic prescriptions - Article 16 of Law No. 97/2019.

Law No. 51

Electronic signatures (amended by Law No. 82 creating the Public Registry of Panama), with implementing regulations in Decree No. 684

Regulation number
15
Domain
Express consent to the terms and conditions of use is required in order to access the telemedicine service
Documents
Decree No. 684
Law No. 90 of December 26, 2017

Law No. 90 of December 26, 2017 on medical devices and related products (amended by Law No. 92 of 2019)

Regulation number
60
Domain
There are standards or procedures to ensure the identification of the parties involved in the telemedical care process
Documents
Law No. 92 of 2019
Panama regulates medical devices and related products
Regulation number
15
Domain
The regulatory frameworks require the registration of telemedicine activities
Regulation number
15
Domain
The regulatory framework provides for authorizations and levels of access to telemedicine platforms
Regulation number
0
Domain
The regulatory framework provides for the use of electronic and/or digital health records for telemedicine services
Regulation number
20
Domain
The regulatory framework provides for the use of digital signatures for telemedicine services
Regulation number
30
Domain
The regulatory framework provides for the use of digital prescriptions for telemedicine services
Regulation number
20
Domain
The regulatory frameworks regulate and define interoperability standards for health systems (exchange of information recorded during the telemedicine service with other institutions and providers in the health system)
Regulation number
10
Domain
The regulatory frameworks provide for the possibility of interoperability between telemedicine services and medical devices
Regulation number
0
Domain
There is a law or provision that authorizes telemedicine for health care teams
Documents
System for certifying and recertifying health professionals, specialists, and t…
Regulation number
60
Domain
The legal framework prohibits the health care team from providing virtual care
Regulation number
60
Domain
The regulatory framework provides for a specific registry for the health team providing telemedicine services
Regulation number
0
Domain
There are established rights and obligations for the health care team in relation to the practice of telemedicine
Regulation number
15
Domain
Provides for the participation of scientific, professional, or trade associations in the development of specific protocols for telemedicine services
Regulation number
0
Domain
There are rules of conduct for telemedicine services
Regulation number
0
Domain
The regulatory framework establishes that fees for telemedicine consultations are to be set in a manner equivalent to an in-person/traditional consultation
Regulation number
0
Domain
Requires an insurance policy for the provision of telemedicine services in professional practice
Regulation number
0
Domain
The regulatory framework regulates the provision of interjurisdictional telemedicine services (professionals in other jurisdictions in the same country or in another country)
Regulation number
15
Domain
The regulatory framework regulates interjurisdictional consultations with colleagues (professionals consulting colleagues located in a different jurisdiction in the same country or in another country)
Regulation number
0
Domain
The regulatory framework regulates the provision of interjurisdictional telemedicine services (patients in the same country or in another country)
Regulation number
0
Domain
The regulatory framework promotes actions to humanize telemedicine services
Regulation number
0
Domain
The regulatory framework requires specific consent in the case of highly sensitive personally identifiable data (voice and image)
Documents
Law No. 68 on the rights of patients regarding information and free and informe…
Executive Decree No. 1458
Regulation number
30
Domain
Guarantees access to telemedicine to the population without any distinction based on coverage and/or health insurance to ensure equity
Documents
Law No. 4 of January 20, 1995

Amends Articles 485, 564, 577, and 578 of Law No. 3 of May 17, 1994 (which promulgates the Family Code)

Regulation number
30
Domain
The regulatory framework establishes patients' right to access their personal health data obtained through telemedicine services
Regulation number
15
Domain
The regulatory framework recognizes patients’ rights and obligations in relation to telemedicine services
Regulation number
0
Domain
The regulatory framework guarantees patients' right to autonomy and self-determination with respect to telemedicine consultations
Regulation number
0
Domain
The regulatory framework requires that the patient be informed of the conditions for eligibility for and carrying out the virtual consultation (technology, rules of conduct)
Regulation number
15
Domain
The regulatory framework aims to close digital gaps to enable access to telemedicine
Documents
Law No. 203/2021 on telehealth
Regulation number
30
Domain
The regulatory framework promotes access to telemedicine without discrepancies based on patients' socioeconomic conditions
Regulation number
30
Domain
The regulatory framework ensures respect for cultural diversity, beliefs, and personal values in the practice of telemedicine
Regulation number
0
Domain
The regulatory framework identifies vulnerable groups deserving special treatment or reasonable accommodation in telemedicine services
Regulation number
0
Domain
The regulatory framework ensures telemedicine services that uphold the rights of children and adolescents
Regulation number
0
Domain
The regulatory framework ensures telemedicine services that uphold the rights of the elderly
Regulation number
0
Domain
The regulatory framework ensures telemedicine services that uphold the rights of people with disabilities
Regulation number
0
Domain
The regulatory framework ensures gender-sensitive telemedicine services
Regulation number
0
Domain
The regulatory framework incorporates environmental sustainability into its telemedicine regulations
Regulation number
0
Domain
The regulatory framework establishes the bioethical principles relevant to telemedicine consultations
Regulation number
0
Domain
There are regulatory frameworks for implementing temporary telemedicine services for the duration of the COVID-19 pandemic
Regulation number
0
Dashboard Country
Panama
Total
1180
Domain totals
Regulation number
202
Domain
Regulatory aspects of telemedicine
Max
360
Regulation Avg
0.56
Total porc
56.11
Regulation number
43
Domain
Telemedicine governance
Max
135
Regulation Avg
0.32
Total porc
31.85
Regulation number
435
Domain
Personal data protection in telemedicine
Max
480
Regulation Avg
0.91
Total porc
90.63
Regulation number
200
Domain
Technological aspects of telemedicine
Max
345
Regulation Avg
0.58
Total porc
57.97
Regulation number
150
Domain
Role of health institutions and teams in telemedicine
Max
375
Regulation Avg
0.40
Total porc
40.00
Regulation number
90
Domain
Role of patients in telecare
Max
225
Regulation Avg
0.40
Total porc
40.00
Regulation number
60
Domain
Core principles and human rights in telemedicine
Max
300
Regulation Avg
0.20
Total porc
20.00
Regulation number
0
Domain
Impact of the COVID-19 pandemic on the development of telemedicine
Max
100
Regulation Avg
0.00
Total porc
0.00
Total Avg
0.53
Total max
2220
Total porc
53.15