The aim of the research is to study the economic aspects of telemedicine technologies application, taking into account the experience of other countries; to develop methodological approaches to evaluating the effectiveness of telemedicine technologies; to analyze the features of evaluating the effectiveness of telemedicine technologies in the conditions of COVID 19 coronavirus spread. Methodological approaches to evaluating the effectiveness of telemedicine technologies are proposed. The additional costs and benefits of using telemedicine technologies are analyzed in the context of the main participants: the state, medical organizations, doctors, and patients. The additional costs of introducing telemedicine technologies are estimated in terms of their belonging to the so-called “necessary costs” or investments that have different economic content. The proposals developed by the authors allow us to more correctly assess the effectiveness of investments in the provision of telemedicine services and, thus, choose the most optimal options.
References
1. Analiticheskij doklad CNIIOIZ: « Vliyanie koronavirusa COVID 19 na situaciyu v rossijskom zdravoohranenii », 2020. (In Russ). Available at: https://mednet.ru/images/materials/news/doklad_cniioiz_po_COVID 19- 202004_26.pdf
2. Artemenko D.A., C h ililov A.M. Finansovye riski v rossijskoj modeli obyazatel'nogo medicinskogo strahovaniya. Finansy. 2019 ; 8 : 58–64. (In Russ).
3. Kadyrov F.N., Kurakova N.G., C h ililov A.M. Pravovye problemy primeneniya telemedicinskih tekhnologij v usloviyah bor'by s rasprostraneniem koronavirusa C OVID - 19. Vrach i informacionnye tekhnologii. 2020 ; 2 : 45–51. (In Russ).
4. Obuhova O.V., C h ililov A.M. Effektivnoe finansirovanie i riski kadrovogo « goloda » v sisteme zdravoohraneniya Rossijskoj Federacii. Upravlenie riskom. 2019 ; 1(89) : 35–41. (In Russ).
5. Starodubov V.I., Kadyrov F.N. Finansovye rezervy gosudarstvennyh ( municipal'nyh ) uchrezhdenij zdravoohraneniya. Menedzher zdravoohraneniya. 2017 ; 10 : 65–73. (In Russ). 6. 2017 Telemedicine and Digital Health Survey. Telemedicine Surges Ahead As Providers, Patients Embrace Technology. Available at: https://www.foley.com/files/uploads/2017-Telemedicine-Survey-Report 11–8–17.pdf 7. Akiyama M., Yoo B. K. A Systematic Review of the Economic Evaluation of Telemedicine in Japan. J Prev Med Public Health. 2016 ; 49(4) : 183–96. 8. Bashshur R. L., Howell J. D., Krupinski E. A. et al. The Empirical Foundations of Telemedicine Interventions in Primary Care. Telemed J E Health. 2016; 22(5): 342-75. doi : 10.1089/tmj.2016.0045. 9. OECD Fast track paper on telemedicine. Is telemedicine leading to more cost-effective, integrated and people- centred care in the OECD? / OECD DELSA/ HEA( 2019)10. 10. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth 2009 (Global Observatory for eHealth Series, 2). 11. WHO. A health telematics policy in support of WHO’s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics, 11–16 December, Geneva, 1997. Geneva, World Health Organization, 1998. 12. Wilson L., Kim A., Szeto D. The evidence for the economic value of ehealth in the united states today: a systematic review. Journal of the International Society for Telemedicine and eHealth. 2016 ; 4 : 1–20.
2. Artemenko D.A., C h ililov A.M. Finansovye riski v rossijskoj modeli obyazatel'nogo medicinskogo strahovaniya. Finansy. 2019 ; 8 : 58–64. (In Russ).
3. Kadyrov F.N., Kurakova N.G., C h ililov A.M. Pravovye problemy primeneniya telemedicinskih tekhnologij v usloviyah bor'by s rasprostraneniem koronavirusa C OVID - 19. Vrach i informacionnye tekhnologii. 2020 ; 2 : 45–51. (In Russ).
4. Obuhova O.V., C h ililov A.M. Effektivnoe finansirovanie i riski kadrovogo « goloda » v sisteme zdravoohraneniya Rossijskoj Federacii. Upravlenie riskom. 2019 ; 1(89) : 35–41. (In Russ).
5. Starodubov V.I., Kadyrov F.N. Finansovye rezervy gosudarstvennyh ( municipal'nyh ) uchrezhdenij zdravoohraneniya. Menedzher zdravoohraneniya. 2017 ; 10 : 65–73. (In Russ). 6. 2017 Telemedicine and Digital Health Survey. Telemedicine Surges Ahead As Providers, Patients Embrace Technology. Available at: https://www.foley.com/files/uploads/2017-Telemedicine-Survey-Report 11–8–17.pdf 7. Akiyama M., Yoo B. K. A Systematic Review of the Economic Evaluation of Telemedicine in Japan. J Prev Med Public Health. 2016 ; 49(4) : 183–96. 8. Bashshur R. L., Howell J. D., Krupinski E. A. et al. The Empirical Foundations of Telemedicine Interventions in Primary Care. Telemed J E Health. 2016; 22(5): 342-75. doi : 10.1089/tmj.2016.0045. 9. OECD Fast track paper on telemedicine. Is telemedicine leading to more cost-effective, integrated and people- centred care in the OECD? / OECD DELSA/ HEA( 2019)10. 10. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth 2009 (Global Observatory for eHealth Series, 2). 11. WHO. A health telematics policy in support of WHO’s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics, 11–16 December, Geneva, 1997. Geneva, World Health Organization, 1998. 12. Wilson L., Kim A., Szeto D. The evidence for the economic value of ehealth in the united states today: a systematic review. Journal of the International Society for Telemedicine and eHealth. 2016 ; 4 : 1–20.
For citation
Documents
Keywords