Telemedicine and mechanisms of its integration
https://doi.org/10.47093/2713-069X.2021.2.2.21-27
Abstract
Nowadays, the Public Health systemisundergoing a significant digital transformation. Various medical technologies basing on artificial intelligence are being implemented. Such segment of public health as telemedicine is actively developing.
The pandemic of COVID-19 was an important factor, which has initiated the progress of telemedical technologies to rationalize the work of medical staff and change the medical algorithm strategy of patients monitoring. In order to maintain a high level of medical care provided in the conditions of “remote medicine” and to obtain satisfactory treatment outcomes, it is necessary to ensure that patients and medical staff are fully aware of various changes, both legislative and technological in the telemedicine segment.
The paper presents an overview of regulatory documents and measures taken by the Ministry of Health of Russia for the introduction of telemedicine technologies, and also describes the contribution of Sechenov University in the promotion of elemedicine communications using fun learning techniques that help medical professionals to form “digital thinking” and create public confidence in digital healthcare. The new functionality will improve the efficiency of planning and accounting for the training of medical workers in accordance with changes in the digital healthcare ecosystem.
About the Authors
G. S. LebedevRussian Federation
Dr. of Sci. (Technical), Professor, Director of the Institute of Digital Medicine; Head of the Department of Information and Internet Technologies in Healthcare
Trubetskaya str., 8/2, Moscow, 119991, Russia
Dobrolubova str., 11, Moscow, 127254, Russia
N. L. Shepetovskaya
Russian Federation
Cand. of Sci. (Medicine), Head of the Department of Analysis of Educational Programs and Scientific Research of the National Medical Research
Center in the field of anesthesiology and resuscitation (for adults); Associate Professor, Department of Public Health and Healthcare named after N.A. Semashko
Trubetskaya str., 8/2, Moscow, 119991, Russia
V. A. Reshetnikov
Russian Federation
Dr. of Sci. (Medicine), Professor, Head of the Department of Public Health and Healthcare named after N. A. Semashko
Trubetskaya str., 8/2, Moscow, 119991, Russia
References
1. WHO. Recommendations on digital interventions for health system strengthening. URL: https://apps.who.int/iris/bitstream/handle/10665/311941/9789241550505-eng.pdf?ua=1 (accessed 21.10.2021).
2. Yudin V.I., Shirokova O.V. Prospects and role of digital technologies in Russian healthcare reforming. City Healthcare. 2020; 1(1): 72–86 (in Russian). https://doi.org/10.47619/2713-2617. zm.2020.v1i1;72-86
3. Lebedev G.S., Shaderkin I.A., Fomina I.V. Evolution of internet technologies in healthcare. Russian journal of telemedicine and e-health. 2017; 2(4): 63–78 (In Russian). https://doi.org/10.29188/2542-2413-2017-3-2-63-78
4. Kichloo A., Albosta M., Dettloff K. Telemedicine, the current COVID-19 pandemic, and the future: a narrative review and perspectives moving forward in the USA. Family medicine and community health. 2020; 8(3): e000530. https://doi.org/10.1136/fmch-2020-000530
5. Blinov S.V., Kuzmina N.M., Revina S.N. The main approaches towards determination of the content of the term “Telemedicine”. Jurist Magazine. 2019; 5: 58–63 (in Russian). https://doi.org/10.18572/1812-3929-2019-5-58-63
6. Bykhovsky M.L., Vishnevsky A.A. Cybernetic systems in medicine, 1971. Moscow: Nauka, 1971. P. 100–115 (in Russian).
7. Gasparyan S.A., Pashkina E.S. Pages of the history of healthcare informatization in Russia. Moscow, 2002. 304 p. (in Russian).
8. Venediktov D.D. Essays on the system theory and strategy of healthcare. Moscow, 2008. 335 p. ISBN 978-5-9900096-9-1.
9. Zundel K.M. Telemedicine: history, applications, and impact on librarianship. Bull Med Libr Assoc. 1996; 84(1): 71–79. PMCID: PMC226126 PMID: 8938332
10. Ohannessian R., Duong T.A., Odone A. Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action. JMIR Public Health Surveill. 2020; 6(2): e18810. https://doi.org/10.2196/18810
11. Lugovskaya M.V., Zubareva N.N. Telemedicine as a Tool for Remote Marketing Communications in the Healthcare Sector. Practical marketing Founder: BCI-Marketing Agency, Ltd.2020; 12(286): 29–34 (in Russian). https://doi.org/10.24412/2071-3762-2020-12-29-34
12. Flodgren G., Rachas A., Farmer A.J., et al. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews. 2015, Issue 9. CD002098. https://doi.org/10.1002/14651858.CD002098.pub2
13. Mechanic O.J., Persaud Y., Kimball A.B. Telehealth Systems. 2021 Sep 18. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021 Jan. PMID: 29083614
14. Sahin E., Kefeli U., Cabuk D., et al. Perceptions and acceptance of telemedicine among medical oncologists before and during the COVID-19 pandemic in Turkey. Supportive care in cancer. 2021. https://doi.org/10.1007/s00520-021-06290-x
15. Wootton R. Realtime telemedicine. J Telemed Telecare. 2006; 12(7): 328–336. https://doi.org/10.1258/13576330677868.2387. PMID: 17059648
16. Itinson K.S., Chirkova V.M. Application of telemedicine technologies in the process of teaching medical students and advanced training of doctors. Azimuth of scientific research: pedagogy and psychology. 2020; 1(30): 149–151 (in Russian). https://doi.org/10.26140/anip-2020-0901-0034
17. Senkevich Yu.I. From telemedicine to telehealth. Biotekhnosfera. 2012; 2(20): 24–29 (in Russian). ISSN: 2073-4824.
18. Awan O., Dey C., Salts H., et al. Learning Fun: Gaming in Radiology Education. Acad Radiol. 2019; 26(8): 1127–1136. https://doi.org/10.1016/j.acra.2019.02.020. PMID: 31005406
19. Melik-Guseinov D.V., Khodyreva L.A., Emanuel A. Telemedicine: regulatory support, realities and prospects for use in national health care. Medical alphabet. 2019; 21(396): 37–42 (In Russian). https://doi.org/10.33667/2078-5631-2019-2-21(396)-37-42
20. Karpov O. E., Klimenko G. S., Lebedev G. S., et al. Standardization in e-health. Moscow: «Dpk PRESS», 2016. p. 342–369 (In Russian). ISBN: 978-5-91976-088-7
21. Kuznetsova E.Yu., Podolyak O.O., Terentyeva D.N. Digital socially oriented projects within the framework of the sustainable development concept. Fundamental research. 2021; 1: 66–71. https://doi.org/10.17513/fr.42951
22. Chekhonadsky I.I., Shvedova A.A., Skripov V.S. Telemedicine technologies in psychiatry: the opinion of specialists of the Orenburg region. Journal of V. M Bekhterev: Review of Psychiatry and Medical Psychology. 2020; 3: 89–92 (in Russian). https://doi.org/10.31363/2313-7053-2020-3-89-92
23. Kichloo A., Albosta M., Dettloff K., et al. Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA Fam Med Community Health. 2020; 8(3): e000530.2020. https://doi.org/10.1136/fmch-2020-000530. PMCID: PMC7437610. PMID: 32816942
24. Klimenko G.S., Lebedev G.S. Priority projects for the development of the Russian Internet in healthcare. Electronic journal “Social aspects of public health”. 2016; 5(51): 1–15 (in Russian). https://doi.org/10.21045/2071-5021-2016-51-5-9
Review
For citations:
Lebedev G.S., Shepetovskaya N.L., Reshetnikov V.A. Telemedicine and mechanisms of its integration. National Health Care (Russia). 2021;2(2):21-27. (In Russ.) https://doi.org/10.47093/2713-069X.2021.2.2.21-27