Problems of development of telemedicine technologies in Russia through the prism of foreign experience
https://doi.org/10.47093/2713-069X.2021.2.2.13-20
Abstract
The use of telemedicine technologies in the Russian Federation has been allowed legally only since 2018. Such a small experience is objectively insufficient for a development of a serious practice of using telemedicine technologies. Given the global trend of unification of medical and information technologies, it would be illogical to ignore the experience of foreign countries, in many of which the right to use telemedicine technologies was secured earlier than in the Russian Federation and experience has been gained in solving a number of problems arising in this area. Moreover, a detailed analysis allows us to identify the main emerging trends in this area.
A review of foreign practice shows that most countries have followed the path of both legislative regulation of the use of telemedicine technologies, and more detailed regulation in the standards of medical care or similar documents. Moreover, in many cases, this regulation is carried out by medical associations or insurance companies. This is especially true for the United States. The experience of this country is also interesting because each state has its own legislation in the field of telemedicine technologies, reflecting different approaches to solving emerging problems.
About the Authors
O. S. Kobyakova
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Dr. of Sci. (Medicine), Professor, Director
Dobrolyubova str., 11, Moscow,127254, Russia
F. N. Kadyrov
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Dr. of Sci. (Economics), Professor, Deputy Director for Health Economics
Dobrolyubova str., 11, Moscow,127254, Russia
References
1. Shaderkin I. A., Shaderkina V. A. Remote medical consultations of patients: what has changed in Russia in 20 years. Russian Journal of Telemedicine and E-Health. 2021; 7(2): 7–17 (in Russian). https://doi.org/10.29188/2712-9217-2021-7-2-7-17
2. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth 2009. (Global Observatory for eHealth Series, 2). https://apps.who.int/iris/bitstream/handle/10665/44497/9789241564144_eng.pdf?sequence=1&isAllowed=y (accessed 26.09.2021).
3. Akiyama M., Yoo B.K. A Systematic Review of the Economic Evaluation of Telemedicine in Japan. J Prev Med Public Health. 2016; 49 4: 183–196. www.jpmph.org/journal/view.php?doi=10.3961/jpmph.16.043
4. Pattynama P.M. Legal aspects of cross-border teleradiology. European Journal of Radiology, 2010; 73(1): 26–30. https://doi.org/10.1016/j.ejrad.2009.10.017
5. Wilson L., Kim A., Szeto D. The evidence for the economic value of health in the united states today: a systematic review. Journal of the International Society for Telemedicine and eHealth. 2016; 4: 1–20. https://doi.org/10.1371/journal.pone.0170581
6. Stanberry B. Legal and ethical aspects of telemedicine. Journal of Telemedicine and Telecare 2006; 12(4): 166–175. https://doi.org/10.1258/135763306777488825
7. Kobyakova O. S. Starodubov V. I., Kadyrov F. N., et al. Economic aspects of medical care with the use of telemedicine technologies. Physician and IT. 2020; 3: 60–66 (in Russian). https://doi.org/10.37690/1811-0193-2020-3-60-66
8. Kobyakova O. S. Starodubov V. I., Kadyrov F. N., et al. Telemedicine technology: prospects and limitations. Physician and IT. 2020; 5: 76–85 (in Russian). https://doi.org/10.37690/1811-0193-2020-5-76-85
9. Hashiguchi T.C.O. Bringing health care to the patient: an overview of the use of telemedicine in OECD countries 2020.OECD Health Working Paper No. 116. https://read.oecd-ilibrary.org/social-issues-migration-health/bringing-health-care-to-thepatient_8e56ede7-en#page1 (дата обращения 12.10.2021).
10. Martínez O., Jometón A., Lázaro E., et al. Effectiveness of teleassistance on the improvement of health related quality of life in people with neuromuscular diseases. International Journal of Integrated Care. 2012; 12(4): 1–9. http://doi.org/10.5334/ijic.926
11. Kotb A., Cameron C., Hsieh S., Wells G. Comparative Effectiveness of Different Forms of Telemedicine for Individuals with Heart Failure (HF): A Systematic Review and Network Meta-Analysis. PLoS ONE. 2015; 10(2): e0118681. https://doi.org/10.1371/journal.pone.0118681
12. Mareev Yu.V., Zinchenko A.O., Myasnikov R.P., et al. Telemonitoring in patients with chronic heart failure. Kardiologiia. 2019; 59(9S): 4–15 (in Russian). https://doi.org/10.18087/cardio.n530
13. Potapov A.P., Yartsev S.E., Lagutova E.A. Remote monitoring of patients with chronic heart failure using blood pressure telemonitoring and ECG Russian Journal of Telemedicine and E-Health 2021; 7(3): 42–51 (in Russian). https://doi.org/10.29188/2712-9217-2021-7-3-42-51
14. Telemedicine: opportunities and development in the Member States. WHO report on the results of the second global e-health survey. Series Global Observatory on e-Health. Vol. 2. 2009; 11 (in Russian). ttps://apps.who.int/iris/handle/10665/112505 (accessed 26.09.2021).
Review
For citations:
Kobyakova O.S., Kadyrov F.N. Problems of development of telemedicine technologies in Russia through the prism of foreign experience. National Health Care (Russia). 2021;2(2):13-20. (In Russ.) https://doi.org/10.47093/2713-069X.2021.2.2.13-20
Views:
3289
Email this article 