The introduction of information technology is currently the main direction of the healthcare progress. Existing data published by domestic and foreign authors demonstrating the clinical and economic benefits of telemedical and information technologies, doesn’t cover regional practices. This study focused on broadening the knowledge about telemedicine application in the regional health care. The aim is to assess the directions of development and practice of application of telemedicine and information technologies in regional health care (using example of medical organizations of the Kemerovo region — Kuzbass). Materials and methods: online sociological survey using author’s questionnaire, statistical, general scientific methods of analysis and synthesis, logical and system analysis. Results. Telemedicine technologies are used in the practice by 54,1% of the surveyed doctors, 52,9% of administrative staff, and 27,8% of nursing staff and secondary medical personnel. 75,1% of all respondents agreed with the statement that telemedicine technologies can be used as a powerful tool to improve health care delivery. The key factors hindering the use of the technologies in Kuzbass medical institutions include: the need to prepare a large number of documents, low-quality technical equipment, and the lack of time for this type of activity for the medical staff. The conclusions and generalizations made in the study can be used as a basis for the adoption and implementation of management decisions by the organizers of the regional health care system.
References
1. Batsina EA, Popsuyko AN, Artamonova GV. Digitalization of healthcare in the Russian Federation: myth or reality? Physician and Information Technology. 2020; 3: 73-80. (In Russ.) doi: 10.37690/1811-0193-2020-3-73-80.
2. Gruska M, Aigner G, Altenberger J, et al. Working Group Rhythmology of the Austrian Cardiological Society. Recommendations on the utilization of telemedicine in cardiology. Wien Klin Wochenschr. 2020; 132(23-24): 782-800. doi: 10.1007/s00508-020-01762-2.
3. Rusev IT, Fedotkina SA, Khugaeva EV. Development of telemedical technologies as the main vector for prevention of circulatory system diseases (scientific review). Eurasian Scientific Association. 2020; 7-3(65): 189-197. (In Russ).
4. Volkova OA, Budarin SS, Smirnova EV et al. Experience of using telemedicine technologies in healthcare systems of foreign countries and the Russian Federation: systematic review. Farmakoekonomika. Modern Pharmacoeconomics and Pharmacoepidemiology. 2021; 14(4): 549-562. (In Russ.) doi: 10.17749/2070-4909/farmakoekonomika.2021.109.
5. Eze ND, Mateus C, Cravo Oliveira Hashiguchi T. Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation. PLoS One. 2020; 15(8): e0237585. doi: 10.1371/journal.pone.0237585.
6. Kobyakova OS, Kadyrov FN. Problems of development of telemedicine technologies in Russia through the prism of foreign experience. National Health Care (Russia). 2021; 2(2): 13-20. (In Russ). doi: 10.47093/2713-069X.2021.2.2.13-20.
7. Kobyakova OS, Starodubov VI, Kadyrov FN et al. Telemedicine technologies: prospects and limitations. Physician and Information Technology. 2020; S5: 76-85. (In Russ.) doi: 10.37690/1811-0193-2020-5-76-85.
8. Akulin IM, Chesnokova EA, Presnyakov RA, et al. Telemedicine: legal regulation in some subjects of the Russian Federation, prospects for development. Health Care Standardization Problems. 2020; 5-6: 15-22. (In Russ.) doi: 10.26347/1607-2502202005-06015-022.
9. Rusman GS. Legal regulation of introduction and implementation of telemedicine in an industrial region. Bulletin of the South Ural State University. Ser. Law. 2021; 21(3): 68-74. (In Russ.) doi: 10.14529/law210311.
10. Badaev IF, Vakhrushev AP. The state of telemedicine in the Russian Federation: Russian and regional experience. e-FORUM. 2021; 5(2). (In Russ.)
11. Lyapina IN, Zvereva TN, Pomeshkina SA. Modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases. Complex Issues of Cardiovascular Diseases. 2022; 11(1): 112-123. (In Russ.) doi: 10.17802/2306-1278-2022-11-1-112-123.
12. Kalinina AM, Gornyy BE, Dubovoy II, et al. The attitude of primary care physicians to the use of telemedicine technologies in dispensary observation of patients with chronic diseases (medical and sociological research). Profilakticheskaya Meditsina. 2020; 23(6): 8-13. (In Russ.) doi: 10.17116/profmed2020230628.
13. Kaplan B. Revisiting health information technology ethical, legal, and social issues and evaluation: telehealth/Telemedicine and COVID-19. Int J Med Inform. 2020; 143: 104239. doi: 10.1016/j.ijmedinf.2020.104239.
14. Jha AK, Sawka E, Tiwari B, et al. Telemedicine and Community Health Projects in Asia. Dermatol Clin. 2021; 39(1): 23-32. doi: 10.1016/j.det.2020.08.003.
15. Lee SJ, Jung TY, Lee TR, et al. Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: patients’ and health professionals’ perception of real-time electrocardiogram monitoring. BMC Health Serv Res. 2018; 18(1): 293. doi: 10.1186/s12913-018-3105-y.
16. Medical portal Medvestnik.ru: Moscow doctors rated the accuracy of their digital assistant at 65% [cited 2023 Jan 16]. Available from: https://medvestnik.ru/content/news/Moskovskie-vrachi-ocenili-tochnost-svoego-cifrovogo-pomoshnika-v-65.html. [cited 16.01.2023] (In Russ.)
2. Gruska M, Aigner G, Altenberger J, et al. Working Group Rhythmology of the Austrian Cardiological Society. Recommendations on the utilization of telemedicine in cardiology. Wien Klin Wochenschr. 2020; 132(23-24): 782-800. doi: 10.1007/s00508-020-01762-2.
3. Rusev IT, Fedotkina SA, Khugaeva EV. Development of telemedical technologies as the main vector for prevention of circulatory system diseases (scientific review). Eurasian Scientific Association. 2020; 7-3(65): 189-197. (In Russ).
4. Volkova OA, Budarin SS, Smirnova EV et al. Experience of using telemedicine technologies in healthcare systems of foreign countries and the Russian Federation: systematic review. Farmakoekonomika. Modern Pharmacoeconomics and Pharmacoepidemiology. 2021; 14(4): 549-562. (In Russ.) doi: 10.17749/2070-4909/farmakoekonomika.2021.109.
5. Eze ND, Mateus C, Cravo Oliveira Hashiguchi T. Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation. PLoS One. 2020; 15(8): e0237585. doi: 10.1371/journal.pone.0237585.
6. Kobyakova OS, Kadyrov FN. Problems of development of telemedicine technologies in Russia through the prism of foreign experience. National Health Care (Russia). 2021; 2(2): 13-20. (In Russ). doi: 10.47093/2713-069X.2021.2.2.13-20.
7. Kobyakova OS, Starodubov VI, Kadyrov FN et al. Telemedicine technologies: prospects and limitations. Physician and Information Technology. 2020; S5: 76-85. (In Russ.) doi: 10.37690/1811-0193-2020-5-76-85.
8. Akulin IM, Chesnokova EA, Presnyakov RA, et al. Telemedicine: legal regulation in some subjects of the Russian Federation, prospects for development. Health Care Standardization Problems. 2020; 5-6: 15-22. (In Russ.) doi: 10.26347/1607-2502202005-06015-022.
9. Rusman GS. Legal regulation of introduction and implementation of telemedicine in an industrial region. Bulletin of the South Ural State University. Ser. Law. 2021; 21(3): 68-74. (In Russ.) doi: 10.14529/law210311.
10. Badaev IF, Vakhrushev AP. The state of telemedicine in the Russian Federation: Russian and regional experience. e-FORUM. 2021; 5(2). (In Russ.)
11. Lyapina IN, Zvereva TN, Pomeshkina SA. Modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases. Complex Issues of Cardiovascular Diseases. 2022; 11(1): 112-123. (In Russ.) doi: 10.17802/2306-1278-2022-11-1-112-123.
12. Kalinina AM, Gornyy BE, Dubovoy II, et al. The attitude of primary care physicians to the use of telemedicine technologies in dispensary observation of patients with chronic diseases (medical and sociological research). Profilakticheskaya Meditsina. 2020; 23(6): 8-13. (In Russ.) doi: 10.17116/profmed2020230628.
13. Kaplan B. Revisiting health information technology ethical, legal, and social issues and evaluation: telehealth/Telemedicine and COVID-19. Int J Med Inform. 2020; 143: 104239. doi: 10.1016/j.ijmedinf.2020.104239.
14. Jha AK, Sawka E, Tiwari B, et al. Telemedicine and Community Health Projects in Asia. Dermatol Clin. 2021; 39(1): 23-32. doi: 10.1016/j.det.2020.08.003.
15. Lee SJ, Jung TY, Lee TR, et al. Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: patients’ and health professionals’ perception of real-time electrocardiogram monitoring. BMC Health Serv Res. 2018; 18(1): 293. doi: 10.1186/s12913-018-3105-y.
16. Medical portal Medvestnik.ru: Moscow doctors rated the accuracy of their digital assistant at 65% [cited 2023 Jan 16]. Available from: https://medvestnik.ru/content/news/Moskovskie-vrachi-ocenili-tochnost-svoego-cifrovogo-pomoshnika-v-65.html. [cited 16.01.2023] (In Russ.)
For citation
Popsuiko A.N., Danilchenko Ya.V., Agienko A.S., Trauther M.K., Makarov S.A., Artamonova G.V. Telemedicine and information technologies in medicine: the experience of application and development directions in regional health care. Medical doctor and information technology. 2023; 2: 80-90. doi: 10.25881/18110193_2023_2_80.
Documents
Keywords