Experience in using telemedicine technologies at paramedic and midwifery stations in rural areas with low population density

Леванов, В.М.; Peresleginа, I.A.; Bezrukova, V.K.; Zhidkov, Ilia

doi:10.29188/2542-2413-2020-6-1-26-35

Cited by 2 publications

(2 citation statements)

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“…Основные современные скрининговые методы в онкологии включают в себя врачебный осмотр (осмотр кожных покровов, слизистой полости рта, пальпация щитовидной железы, осмотр половых органов у мужчин и женщин) и опрос (анкетирование); цитологическое исследование мазка шейки матки у женщин; маммографию обеих молочных желез у женщин; анализ крови на простатаспецифический антиген (ПСА) у мужчин; исследование кала на скрытую кровь (иммунохимическим методом); эндоскопическое исследование желудка (ФГДС). В рамках проводимой диспансеризации часть исследований (ФГДС, ПСА) была недоступна, в связи с чем необходимо решать организационные вопросы маршрутизации граждан и повышать доступность медицинской помощи 7 .…”

Section: Discussionunclassified

“…Это позволяет проводить регистрацию большого объема ЭКГ без использования расходных материалов (термобумаги для электрокардиографов) с передачей данных через Интернет и быстрой их оценки врачом специалистом функциональной диагностики, выезд которого в составе бригады не предусмотрен. При использовании традиционных систем регистрации ЭКГ формируется большой архив бумажных ЭКГ, расшифровка которых производится с опозданием в несколько дней или более, что делает невозможным использование ЭКГ для своевременного выявления заболеваний сердечнососудистой системы [7,8].…”

Section: Discussionunclassified

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Ways to optimize preventive measures in areas remote from the regional center

Bulavko,

Timofeev,

Isakov

et al. 2023

Cardiovasc Ther Prev

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Aim. To identify problems in the management of preventive examinations in remote areas, using the example of the Khvoininsky district of the Novgorod Oblast and ways to improve it. The article reveals the problems of managing preventive measures in the regions of the Russian Federation, remote from the regional center.Material and methods. Observations and experience of preventive measures carried out by the staff of St. Petersburg State Pediatric Medical University within the "University — Region" project, data from electronic medical records of 178 patients were used.Results. A high proportion of loss to follow-up was noted — 99 out of 278 (36%). The bulk was patients over 40 years old, who were assigned to health group IIIa. The difficulty of conducting medical examinations in a sparsely populated area is associated with insufficient awareness of the population, combined with low interest, a shortage of specialists, untimely necessary studies, a significant bureaucratic work, unstable Internet connection, and insufficient cancer awareness among medical workers.Conclusion. Expanding the promotion and information component of preventive measures, increasing patient focus, combining the first and second stages of clinical examination into one with subsequent convenient routing of patients, introducing telemedicine technologies and portable diagnostic complexes, improving the professional knowledge and competencies of primary care physicians — all these activities are aimed at improving coverage of population, increasing the adherence of patients with effective medical follow-up.

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Section: Discussionunclassified

Ways to optimize preventive measures in areas remote from the regional center

Bulavko,

Timofeev,

Isakov

et al. 2023

Cardiovasc Ther Prev

View full text Add to dashboard Cite

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Legal regulation of medical care with the use of telemedical technologies by regulatory acts of the Russian Federation

Blagodareva

Григорьев

Martirosyan

2022

jour

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Introduction. The development of the information component of the health care system, as part of the social security system, is an inevitable process. Since 2018, the possibility of providing medical care using telemedicine technologies has been enshrined at the legislative level in the Russian Federation [1]. The purpose of the study was to determine the regulation of relations for the provision of medical care using telemedicine technologies by the regulations of the Russian Federation. Materials and methods. The authors conducted a system-structural study based on the study of the legislative framework presented in the Consultant Plus system. To ensure the greatest completeness of information by the introduced limitation of the study, a requirement was adopted for the relevance of the action of the legal acts in question. Results. The issues of legal regulation of the provision of medical care using telemedicine technologies at the legislative level are spelled out in detail. The Constitution of the Russian Federation defines the fundamental provisions on medical care and health protection. No. 323-FZ Federal law is a law [9] that regulates the rights of citizens in the field of health care, it contains rules on the use of telemedicine technologies in the provision of medical care [10]. Acts of the Government of the Russian Federation on the provision of medical care using telemedicine technologies can be divided into groups: acts on the management of health care, on the financing of medical care, and acts of a program nature. Discussion. However, the current regulation is not without its shortcomings. Thus, the establishment of many formal requirements for the conditions and procedure for the provision of medical services using telemedicine technologies is seen as ambiguous. Conclusion. The study showed that the system of sources of legal regulation of the provision of medical care using telemedicine technologies: fixed at all levels with the priority of acts of the federal level, regulated by the Constitution of the Russian Federation only in general matters, mainly prescribed by Federal Law No. 323-FZ [1], defined in detail by Order No. 965n [2], needs to maintain the constant relevance of the sources of legal regulation.

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Experience in using telemedicine technologies at paramedic and midwifery stations in rural areas with low population density

Cited by 2 publications

References 0 publications

Ways to optimize preventive measures in areas remote from the regional center

Ways to optimize preventive measures in areas remote from the regional center

Legal regulation of medical care with the use of telemedical technologies by regulatory acts of the Russian Federation

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