The Impact of Telemedicine on Healthcare Delivery in Romania

Current State of Telemedicine in Romania

The journey of telemedicine in Romania began with early pilot projects that laid the foundation for its current framework. Significant legislative strides were made in 2018 with Government Emergency Ordinance number 8, which officially recognized telemedicine as part of the healthcare system. This ordinance aimed to address the chronic shortage of healthcare personnel, especially in rural areas, thus facilitating equitable access to healthcare services (Nyman et al., 2025).

Despite these advancements, Romania’s telemedicine landscape still faces numerous challenges. The COVID-19 pandemic served as a catalyst, propelling the rapid adoption of telemedicine as hospitals and clinics sought to minimize the risk of viral transmission while continuing to provide care. Government Decision 252/2020 and subsequent regulations established a framework for telemedicine services, enabling various telemedical practices such as teleconsultation and telemonitoring (Nyman et al., 2025).

Current State of Telemedicine Education in Romania

Telemedicine education is crucial for preparing healthcare professionals to effectively utilize digital health technologies. In Romania, the incorporation of telemedicine into medical curricula is still inconsistent. While many medical universities have begun integrating telemedicine into their programs, the lack of standardized competencies and hands-on training opportunities remains a significant barrier. According to a scoping review by Nyman et al. (2025), substantial gaps exist in telemedicine education in Romania, emphasizing the need for structured training programs.

Table 1: Overview of Telemedicine Education Initiatives in Romania

Challenges in Implementing Telemedicine Training Programs

While the potential of telemedicine to improve healthcare delivery is evident, several challenges hinder its successful implementation in Romania. First and foremost, digital literacy among healthcare professionals and patients is inadequate. Eurostat statistics indicate that only 40% of Romanians use the internet to search for health information, significantly lower than the EU average of 55% (Nyman et al., 2025). This lack of digital engagement is compounded by limited access to technology and inadequate training in using telemedicine platforms.

Moreover, the legislative framework, despite its advancements, still lacks comprehensive guidelines for the integration of telemedicine into daily practice. This has created uncertainty among healthcare providers regarding reimbursement mechanisms and the legal implications of telemedicine practices (Nyman et al., 2025). The absence of standardized training programs further complicates efforts to equip healthcare professionals with the necessary skills to navigate telemedicine effectively.

Enhancing Digital Literacy Among Healthcare Professionals

To fully leverage the benefits of telemedicine, enhancing digital literacy among healthcare professionals is paramount. Training programs should focus on building competencies in using telemedicine technologies, understanding legal and ethical considerations, and developing effective communication skills for virtual consultations. The Digital Innovation Zone Association has initiated programs targeting health care personnel to improve their digital competencies and prepare them for the evolving landscape of telemedicine (Nyman et al., 2025).

Table 2: Recommendations for Enhancing Digital Literacy

Future Directions for Telemedicine Education and Practice

The future of telemedicine education in Romania hinges on several strategic directions. First, the establishment of partnerships between healthcare institutions and educational programs is essential for creating a robust telemedicine training framework. These collaborations can facilitate the sharing of resources and expertise, ultimately leading to better-prepared healthcare professionals.

Second, the integration of telemedicine education into continuous professional development programs will ensure that healthcare providers remain updated on the latest technologies and practices. This ongoing education will be crucial as telemedicine continues to evolve.

Lastly, increasing public awareness about telemedicine and its benefits is necessary to promote acceptance and utilization among patients. Initiatives aimed at improving digital literacy and providing resources for patients will enhance their engagement with telemedicine services, ultimately improving health outcomes (Nyman et al., 2025).

FAQ

What is telemedicine?
Telemedicine refers to the use of digital technologies to provide medical services, including diagnosis, treatment, and therapy, conducted by licensed healthcare professionals.

How has telemedicine evolved in Romania?
Telemedicine in Romania has evolved through pilot projects, legislative changes, and rapid adoption during the COVID-19 pandemic, which emphasized its importance in ensuring healthcare access.

What are the main challenges facing telemedicine education in Romania?
Challenges include inadequate digital literacy among healthcare professionals and patients, lack of standardized training programs, and uncertainty regarding reimbursement and legal issues.

How can digital literacy be improved among healthcare professionals?
Digital literacy can be improved through standardized training programs, hands-on workshops, and community engagement initiatives that involve patients in the learning process.

What are the future directions for telemedicine education in Romania?
Future directions include establishing partnerships between healthcare institutions and educational programs, integrating telemedicine into continuous professional development, and increasing public awareness to promote acceptance.

References

1. Nyman, T. J., Pompedda, F., & Santtila, P. (2025). Emotional engagement and perceived empathy in live vs. automated psychological interviews. PLOS ONE. https://doi.org/10.1371/journal.pone.0323490

2. Logan, V., Carter, N., Hughes, D., Turner, A., & Jordan, S. (2025). Reducing Adverse Drug Reactions for Older People in the Community: Evaluating the Validity and Reliability of the ADRe Profile. Journal of Nursing Management. https://pubmed.ncbi.nlm.nih.gov/12094870/

3. Parajuli, J., Hupcey, J., & Jao, Y.-L. (2025). Development and initial validation of a palliative care readiness (PALCARE) tool for older adults with cancer: Study protocol. PLOS ONE. https://doi.org/10.1371/journal.pone.0323366

4. Partouche, N., Maumy, M., Chamaraux-Tran, T.-N., & Bertrand, F. (2025). Does the IL-6/KL-6 ratio distinguish different phenotypes in COVID-19 Acute Respiratory Distress Syndrome? An observational study stemmed from prospectively derived clinical, biological, and computed tomographic data. PLOS ONE. https://doi.org/10.1371/journal.pone.0321533

5. Strakeljahn, A., Lincoln, T. M., Krkovic, K., & Schlier, B. (2025). Predicting experiences of paranoia and auditory verbal hallucinations in daily life with ambulatory sensor data – A feasibility study. Psychological Medicine. https://doi.org/10.1017/S0033291725000789

6. Bevilacqua, L., Hale, R., Barker, G., & Viner, R. (2025). Mid-life outcomes of young people’s antisocial behavior: the role of developmental heterogeneity across childhood and adolescence. Psychological Medicine. https://doi.org/10.1017/S0033291725000881