Using Telemedicine Technologies in Radiology for Low-Density Area

The article describes the main problems of managing medical care for industrial enterprises’ staff, including remote industrial sites (RIS), and the options for health care for this category of the employed population. The search for publications was conducted on all available bibliographic and abstract databases (The Russian Science Citation Index, Scopus, Web of Science, CyberLeninka, eLibrary, PubMed) containing the Russian publications. The data of industrial injuries and the country’s working population’s occupational morbidity in recent years are given. As a result, the authors point out the need to transition to risk management in the workplace. The disadvantages of the assessment system of the health status of employees during routine medical examinations are identified. The main problems of creating a medical support system for RIS workers were analyzed, and the relevance of creating a remote industrial healthcare system in the Russian Federation is substantiated. The paper presents the existing disadvantages in the current legislative framework. In particular, it is established that today in Russia, there is no standard for the provision of medical care for RIS workers, no algorithm for the actions of medical staff, no sanitary rules for managing health posts at RIS. The characteristics of the problems in medical evacuation and the ways of their solution are presented. The necessity of the introduction of telemedicine technologies and conditions for ensuring this process nationwide is substantiated. The spectrum of factors negatively affecting the health of RIS workers is characterized. The need to take these factors into account when creating a health care system for this category of the working population is substantiated.

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Results of the work of the Reference center for diagnostic radiology with using telemedicine technology

Vasilev,

Kozhikhina,

Vladzymyrskyy

et al. 2024

Zdravoohran. Ross. Fed.

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Introduction: the main goal of the Moscow Reference Center (MRC) for Diagnostic Radiology is to optimize study reporting by using teleradiology with a team of highly qualified specialists. Purpose: to evaluate the effectiveness of diagnostic radiology centralization in the capital health care system. Materials and methods. We analyzed the results of telemedicine-based MRC consultations in diagnostic radiology examinations between 08.2020 and 10.2022. Results. The radiologists of MRC reported four million two hundred thousand eighty one study (84.1% first reading, and 15.9% second reading). For the majority of modalities, except for computed tomography (CT), there was a positive correlation between the number of primary descriptions and the number of radiologists. There was a trend towards shorter description times for magnetic resonance imaging (MRI), fluorography, densitometry, and radiography. An audit among MRC employees showed a significantly higher number of fully compliant reports without discrepancies, lower number of general comments, and clinically significant errors compared to the audit of on-site radiologists at medical institutions. Research limitations: no data on (i) anatomical regions of the examinations, (ii) the balance of “normal/pathological” conclusion classes, (iii) the number of examinations with contrast enhancement, making establishing the changes in reporting time impossible. Conclusion. The unification of diagnostic radiology at the MRC has improved report quality and reduced time costs.

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Using Telemedicine Technologies in Radiology for Low-Density Area

Cited by 3 publications

References 55 publications

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Problems of organizing of medical care at remote industrial sites in the Russia

Results of the work of the Reference center for diagnostic radiology with using telemedicine technology

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