Telemedicine consultations in pulmonology
- Авторлар: Avdeev S.N.1, Berikkhanov Z.G.1, Merzhoeva Z.M.1, Titova I.P.1, Sokolov N.A.1, Nikitina L.Y.1, Akhmarova A.S.1, Mullaeva M.M.1
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Мекемелер:
- I.M. Sechenov First Moscow State Medical University
- Шығарылым: Том 68, № 3 (2024)
- Беттер: 179-185
- Бөлім: HEALTH CARE ORGANIZATION
- ##submission.dateSubmitted##: 25.10.2024
- URL: https://hum-ecol.ru/0044-197X/article/view/638092
- DOI: https://doi.org/10.47470/0044-197X-2024-68-3-179-185
- EDN: https://elibrary.ru/gkfkxq
- ID: 638092
Дәйексөз келтіру
Ашық рұқсат
Рұқсат берілді
Тек жазылушылар үшін
Аннотация
Introduction. There are no separate reports devoted to telemedicine consultations in pulmonology. Severe respiratory failure and distance of residence of many patients sometimes makes it impossible to transport them to specialized medical institutions. Telemedicine consultations in such cases make it much easier to receive medical care, conduct a Consilium or coordinate further treatment tactics at the patient’s place of residence. This article analyzes the results of telemedicine consultations of patients with pulmonary pathologies.
Purpose. To evaluate the opportunities and main trends of providing medical care to pulmonary patients by means of telemedicine consultations.
Materials and methods. We retrospectively analyzed the results of seven hundred one telemedicine consultation on pulmonary profile in the “doctor–doctor” format for the period of March–December, 2022 inclusive. The following parameters were analyzed: request type, request region, profile, diagnosis by ICD-10 classes, routing recommendations, and patient hospitalization.
Results. The largest number of requests came from the Central (29.5%), Volga (22.5%) and Siberian (18%) Federal Districts. 302 cases were recommended for routing to federal centers, 57 patients were actually hospitalized. For interstitial lung diseases 266 (38%) telemedicine consultations were performed, pneumonias: 167 (24%), chronic obstructive pulmonary disease: 130 (19%), sarcoidosis: 33 (5%), which in total accounted for more than 85% of all telemedicine consultations performed.
Research limitations: short analysis period (March–December 2022), low or no requests for telemedicine consultations from selected regions.
Conclusion. The use of telemedicine consultations in pulmonology makes medical care more accessible to the population, which undoubtedly affects morbidity and mortality rates.
Compliance with ethical standards: the research does not require the submission of a biomedical ethics committee opinion or other documents.
Contribution of the authors:
Avdeev S.N. — conception and design of the study;
Berikkhanov Z.G. — conception and design of the study, collection and processing of material, writing the text, editing;
Merzhoeva Z.M. — concept and design of the study, editing;
Titova I.P. — collection and processing of material, statistical data processing;
Sokolov N.A. — writing the text, editing;
Nikitina L.Yu. — writing the text, editing;
Akhmarova A.Sh. — compilation of the list of literature, statistical data processing;
Mullaeva M.M. — compilation of the list of literature, statistical data processing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.
Acknowledgment. The study had no sponsorship.
Conflict of interest. The authors declare no conflict of interest.
Received: September 07, 2023 / Accepted: October 19, 2023 / Published: June 28, 2024
Авторлар туралы
Sergey Avdeev
I.M. Sechenov First Moscow State Medical University
Хат алмасуға жауапты Автор.
Email: avdeev_s_n@staff.sechenov.ru
ORCID iD: 0000-0002-5999-2150
Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head, Department of pulmonology, Director of National Medical Research Center in the profile of pulmonology, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation
e-mail: avdeev_s_n@staff.sechenov.ru
РесейZelimkhan Berikkhanov
I.M. Sechenov First Moscow State Medical University
Email: berikkhanov_z_g@staff.sechenov.ru
ORCID iD: 0000-0002-4335-3987
Cand. Sci. (Med.), Assistant Professor, methodist of NMRC in the profile of pulmonology, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation
e-mail: berikkhanov_z_g@staff.sechenov.ru
РесейZamira Merzhoeva
I.M. Sechenov First Moscow State Medical University
Email: merzhoeva_z_m@staff.sechenov.ru
ORCID iD: 0000-0002-3174-5000
Cand. Sci. (Med.), Assistant Professor, Head, Department of National Medical Research Center in the profile of pulmonology, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation
e-mail: merzhoeva_z_m@staff.sechenov.ru
РесейIrina Titova
I.M. Sechenov First Moscow State Medical University
Email: irina-titova-93@mail.ru
ORCID iD: 0009-0003-1898-8547
2nd year Master’s degree, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation
e-mail: irina-titova-93@mail.ru
РесейNikita Sokolov
I.M. Sechenov First Moscow State Medical University
Email: sokolov_n_a@staff.sechenov.ru
ORCID iD: 0000-0002-7275-283X
MD, PhD, DSci, Assistant Professor, Head, Department of NMRC in the profile of anaesthesiology and reanimatology, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federatio
e-mail: sokolov_n_a@staff.sechenov.ru
РесейLidiya Nikitina
I.M. Sechenov First Moscow State Medical University
Email: nikitina_l_yu@staff.sechenov.ru
ORCID iD: 0000-0002-7722-5457
Cand. Sci. (Med.), methodist of NMRC in the profile of pulmonology, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation
e-mail: nikitina_l_yu@staff.sechenov.ru
РесейAisha Akhmarova
I.M. Sechenov First Moscow State Medical University
Email: akhmarova_a_sh@student.sechenov.ru
ORCID iD: 0009-0007-3384-0187
5th year student, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation
e-mail: akhmarova_a_sh@student.sechenov.ru
РесейMedina Mullaeva
I.M. Sechenov First Moscow State Medical University
Email: mullaeva01@mail.ru
ORCID iD: 0009-0005-4740-3143
5th year student, I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation
e-mail: mullaeva01@mail.ru
РесейӘдебиет тізімі
- Lagutin M.D., Chigrina V.P., Samofalov D.A., Tyufilin D.S., Kil’nik A.I., Kobyakova O.S., et al. The analysis of application of telemedicine technologies in the Russian Federation in 2019-2022. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2023; 31(2): 264–9. https://doi.org/10.32687/0869-866X-2023-31-2-264-269 https://elibrary.ru/dgeeru (in Russian)
- Vershinin G.S., Vinyarskaya I.V. Telehealth care: accessibility and value. Rossiyskiy pediatricheskiy zhurnal. 2022; 25(4): 249. https://elibrary.ru/cujyid (in Russian)
- Kilnik A.I., Bagaev G.A., Kuzin E.A. Tele-Medical technologies usage in medical treatment organizations of Federal Medical and Biological Agency. Meditsina katastrof. 2023; (1): 26–8. https://doi.org/10.33266/2070-1004-2023-1-26-28 https://elibrary.ru/dwncbf (in Russian)
- Petrazzuoli F., Kurpas D., Vinker S., Sarkisova V., Eleftheriou A., Żakowicz A., et al. COVID-19 pandemic and the great impulse to telemedicine: the basis of the WONCA Europe Statement on Telemedicine at the WHO Europe 70th Regional Meeting September 2020. Prim. Health Care Res. Devel. 2021; 22: e80. https://doi.org/10.1017/s1463423621000633
- Avdeev S.N., Voznesenskiy N.A., Merzhoeva Z.M., Nikitina L.Yu., Berikkhanov Z.G.M. National Medical Research Center for Pulmonology: experience of the first year of work and development prospects: A review. Consilium Medicum. 2023; 25(3): 218–22. https://doi.org/10.26442/20751753.2023.3.202171 https://elibrary.ru/svbsad (in Russian)
- Vladzimirskiy A.V. Telemedicine: Curatio Sine Tempora et Distantia [Telemeditsina: Curatio Sine Tempora et Distantia]. Moscow: Aegitas; 2016. https://elibrary.ru/wvwfhr (in Russian)
- Yarikov A.V., Ignat’eva O.I., Kalinkin A.A., Lipatov K.S., Kim E.R., Fraerman A.P., et al. Telemedicine in modern health care system. Zdravookhranenie Yugry: opyt i innovatsii. 2022; (3): 56–63. https://elibrary.ru/ybteen (in Russian)
- DeBakey M.E. Telemedicine has now come of age. Telemed. J. 1995; (1): 3–4. https://doi.org/10.1089/tmj.1.1995.1.3
- Ignatova A.I., Spasennikova M.G. Telemedicine: the impact of the pandemic on digital remote care trends. Byulleten’ Natsional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni N.A. Semashko. 2022; (1-2): 100–7. https://doi.org/10.25742/NRIPH.2022.01.011 https://elibrary.ru/vvibie (in Russian)
- Stolbov A.P. About the definition and classification of telemedicine services. Vrach i informatsionnye tekhnologii. 2015; (2): 12–28. https://elibrary.ru/ukjoav (in Russian)
- Shaderkin I.A., Shaderkina V.A. Remote medical consultations of patients: what has changed in Russia in 20 years. Rossiyskiy zhurnal telemeditsiny i elektronnogo zdravookhraneniya. 2021; 7(2): 7–17. https://doi.org/10.29188/2712-9217-2021-7-2-7-17 https://elibrary.ru/rowczd (in Russian)
- Demkina A.E., Bezzubtseva M.V., Samus I.V., Petrovskaya T.P., Bystrova O.V., Yuldasheva A.D., et al. The attitude of medical workers to telemedicine technologies. Multicenter monitoring study. Rossiyskiy zhurnal telemeditsiny i elektronnogo zdravookhraneniya. 2023; 9(2): 16–28. https://doi.org/10.29188/2712-9217-2023-9-2-16-28 https://elibrary.ru/lmpvnt (in Russian)
- Gabdullin N.M., Kirshin I.A., Shulaev A.V. Regulation of interregional differences of the subjects of the Russian Federation in the context of the national projects «Health Care» and «Demography». Uroven’ zhizni naseleniya regionov Rossii. 2020; 16(3): 59–69. https://doi.org/10.19181/lsprr.2020.16.3.5 https://elibrary.ru/vdmpdb (in Russian)
- Bukhtiyarov I.V., Orlova G.P., Andreenko O.N., Zemlyakova S.S. The epidemiology of occupational interstitial lung diseases in Russia. Meditsina truda i promyshlennaya ekologiya. 2022; 62(7): 430–6. https://doi.org/10.31089/1026-9428-2022-62-7-430-436 https://elibrary.ru/baaqlj (in Russian)
- Akopov A.L., Agishev A.S., Dzadzua D.V., Lazarev A.M., Chistyakov I.V. Surgical diagnostics of interstitial lung diseases. Pul’monologiya. 2020; 30(1): 75–80. https://doi.org/10.18093/0869-0189-2020-30-1-75-80 https://elibrary.ru/fdhbak (in Russian)
- Baranov V.A., Pecherskaya E.A., Safronov M.I., Timokhina O.A. Information-measuring system for telehealth monitoring of COVID-19 patient’s condition. Izmerenie. Monitoring. Upravlenie. Kontrol’. 2021; (1): 85–92. https://doi.org/10.21685/2307-5538-2021-1-10 https://elibrary.ru/mdogap (in Russian)
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