Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»314410.69541/NRIPH.2026.01.009Научная статьяA comparative analysis of the regulatory framework for telemedicine technologies in the Russian FederationKostinPhilipp Nikolaevichphilkostin13@gmail.comDmitry Rogachev National Medical Research Center Of Pediatric Hematology, Oncology and Immunology, 117997, Russian Federation, Moscow, st. Samory Mashela 1.230320261636725032026Copyright © 1970,1970This article provides a comparative analysis of two regulations governing the use of telemedicine technologies in Russia: Order No. 965n of the Russian Ministry of Health dated November 30, 2017, and the new Order No. 193n dated April 11, 2025, which entered into force on September 1, 2025. The aim of the study is to identify the key changes introduced by the new regulation and analyze the potential impact of these changes on the accessibility, quality, and effectiveness of medical care. The study includes an assessment of continuity and innovation in approaches to patient identification, forms of interaction between healthcare professionals and patients, and information security requirements for the use of telemedicine technologies. Based on the analysis, practical recommendations have been formulated aimed at optimizing the implementation of the new legal framework and increasing the effectiveness of telemedicine services in the healthcare system.telemedicine technologies, telemedicine, medical care, remote technologiesтелемедицинские технологии, телемедицина, оказание медицинской помощи, дистанционные технологии[Клименко МС, Лучкина АД. К вопросу о телемедицине. Вопросы науки и образования. 2020;(2):24—29.][Макаров ВО. Правовое регулирование телемедицины в России. RUDN Journal of Law. 2025;29(2):562—581. DOI: 10.22363/2313-2337-2025-29-2-562-581][Савченко ДО, Наумов ПЮ. В фокусе правовых изменений: трансформация организационно-правовых основ организации первичной медико-санитарной помощи. Первичная медико-санитарная помощь. 2025;2(2):45—63. DOI: 10.15829/3034-4123-2025-57]