Literature Reviews
doi: 10.25005/2074-0581-2020-22-4-553-557
THE PRACTICE OF USING REMOTE PATIENT CARE WITHIN THE TELEMEDICINE SERVICE

A.B. Zudin

N.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation

Objective: To consider the development of telemedicine as an auxiliary tool for additional diagnostics, treatment correction and disease prevention.

Methods: The research is based on an EY survey of medical organizations conducted for 2018 and 2019 in the framework of a study on the commercial medicine market and the healthcare system in Russia on topical issues and problems of the healthcare sector development. The study was conducted from August to December 2019; top managers of 25 largest private medical organizations, whose geography of activity covers 30 entities of the Russian Federation, took part in the survey.

Results: The study showed that some of the interviews (43%) observed resistance to the development of the health service by doctors and medical personnel who remained a supporter of classical methods of providing medical care at a proper time and nor ready to provide remote counselling to patients. As a reason for the inert participation by medical professionals in telemedicine projects, 33% of respondents indicated low demand by patients and the peculiarities of the Russian’s mentality, 19% noted a misunderstanding of telemedicine. Some respondents (12%) see the telemedicine projects as the State social function for low-income citizens who live in remote areas and where there is no qualified medical staff.

Conclusion: Most of the study participants expressed confidence that telemedicine services in the future will enter everyday life as a patient-friendly element of medical services, but it won’t become a direction that brings great profit to the private medical sector.

Keywords: Remote patient care, telemedicine, healthcare, medical assistance, information technology.

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References
  1. Baranov LI. Telemeditsina. Progress na baze razvitiya informatsionnykh tekhnologiy [Telemedicine. Progress based on information technologies development]. Meditsinskiy vestnik MVD. 2015;6:74-7.
  2. Mikhaylov IV, Shmelyova SV, Khalilov MA, Bonkalo TI, Tuzov IN, Lakhtin AYu. Modernizatsiya sotsial’noy zashity v Rossiyskoy Federatsii: problemy i perspektivy telemeditsiny v praktike mediko-sotsial’noy ekspertizy [Modernization of social protection in the Russian Federation: problems and prospects of telemedicine in the practice of medical-social expertise]. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2020;28(S2):1123-30. Available from: https://doi.org/10.32687/0869-866X-2020-28-s2-1123-1130
  3. Begiev VG, Andreev VB, Potapova KN, Moskvina AN. Telemeditsina v sovershensmtvovanii konsul’tativnoy i diagnosticheskoy pomoshchi vysokospetsializirovannykh tsentrov v usloviyakh Kraynego Severa [Telemedicine in improving the advisory and diagnostic assistance of highly specialized centers in the Far North]. Sovremennye tendentsii razvitiya nauki i tekhnologiy. 2015;1-3:6-8.
  4. Bazhenova SA, Andriyanova AA, Andriyanova LS. Analiz meditsinskogo rynka Rossii za 2016-2018 gg.: osnovnye ekonomicheskie pokazateli i rezul’taty issledovaniy [The analysis of medical market in Russia in 2016-2018: main economic indices and research results]. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2019;27(5):817-21. Available from: https://doi.org/10.32687/0869-866X-2019-27-5-817-821
  5. Baker J, Stanley A. Telemedicine technology: a review of services, equipment, and other aspects. Curr Allergy Asthma Rep. 2018;18(11):60. Available from: https://doi.org/10.1007/s11882-018-0814-6
  6. Ateriya N, Saraf A, Meshram VP, Setia P. Telemedicine and virtual consultation: The Indian perspective. Natl Med J India. 2018;31(4):215-8. Available from: https://doi.org/10.4103/0970-258X.258220
  7. Machado RA, de Souza NL, Oliveira RM, Martelli Júnior H, Bonan PRF. Social media and telemedicine for oral diagnosis and counselling in the COVID-19 era. Oral Oncol. 2020;105:104685. Available from: https://doi.org/10.1016/j. oraloncology.2020.104685
  8. Rajasekaran K. Access to telemedicine – are we doing all that we can during the COVID-19 pandemic? Otolaryngol Head Neck Surg. 2020;163(1):104-6. Available from: https://doi.org/10.1177/0194599820925049
  9. Vasilyev AV. Budushchee telemeditsiny [The future of telemedicine]. Nauka, tekhnika i obrazovanie. 2015;4:190-2.
  10. Yu J, Mink PJ, Huckfeldt PJ, Gildemeister S, Abraham JM. Population-level estimates of telemedicine service provision using an all-payer claims database. Health Aff (Millwood). 2018;37(12):1931-9. Available from: https://doi. org/10.1377/hlthaff.2018.05116
  11. Zingerman BV, Shklovskiy-Kordi NE, Vorobyov AI. O telemeditsine «Patsient- vrach» [About telemedicine “Patient to doctor”]. Vrach i informatsionnye tekhnologii. 2017;1:61-79.
  12. Issledovanie rynka kommercheskoy meditsny v Rossii 2018-2019 gody [Elektronnyy resurs]. [Data obrashcheniya 22.11.2020]. Available from: https://assets. ey.com/content/dam/ey-sites/ey-com/ru_ru/news/2020/03/ey_healthcare_ research_2018-2019_24032020.pdf.
  13. Shiferaw F, Zolfo M. The role of information communication technology (ICT) towards universal health coverage: the first steps of a telemedicine project in Ethiopia. Glob Health Action. 2012;5:1-8. Available from: https://doi. org/10.3402/gha.v5i0.15638
  14. Weinstein RS, Krupinski EA, Doarn CR. Clinical examination component of telemedicine, telehealth, mHealth, and connected health medical practices. Med Clin North Am. 2018;102(3):533-44. Available from: https://doi. org/10.1016/j.mcna.2018.01.002
  15. Combi C, Pozzani G, Pozzi G. Telemedicine for developing countries. A survey and some design issues. Appl Clin Inform. 2016;7(4):1025-50. Available from: https://doi.org/10.4338/ACI-2016-06-R-0089

Authors' information:

Zudin Aleksandr Borisovich
Doctor of Medical Sciences, Director of the N.A. Semashko National Research Institute of Public Health
Scopus ID: 6508336453
ORCID ID: 0000-0002-6966-5559
SPIN: 5954-1170
Author ID: 878732
E-mail: zudin@nptemp.ru

Information about support in the form of grants, equipment, medications

The author did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Zudin Aleksandr Borisovich
Doctor of Medical Sciences, Director of the N.A. Semashko National Research Institute of Public Health

105064, Russian Federation, Moscow, Vorontsovo pole str., 12, building 1

Tel.: +7 (968) 8613810

E-mail: zudin@nptemp.ru

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