Foreign experience
  • 2020 № 10 Telemedicine in the EAEU countries: reality and prospects

    This article is devoted to a comprehensive analysis of telemedicine in the countries of the Eurasian Economic Union:
    its legal regulation, methods of implementation and development prospects. The authors pay attention not only to a comparative legal analysis of telemedicine regulation in the EAEU countries, but also to determining the possibility of creating a general agreement on telemedicine between the Russian Federation, the Republic of Belarus, the Republic of Armenia, the Republic of Kazakhstan and the Kyrgyz Republic. Identifying gaps in the national regulation of telemedicine in these countries, the authors point out the aspects in which it is necessary to harmonize the regulatory framework for telemedicine consulting, and also provide for those provisions that must be necessarily disclosed in the agreement on telemedicine within the EAEU.

    Authors: Akulin I. M. [4] Chesnokova E. A. [4] Presnyakov R. A. [4] Guryanova N. E. [5] Letova A. D. [2] Zimina E. I. [2]

    Tags: cross-border telemedicine1 telemedicine5 telemedicine consultation1 telemedicine technologies2 the eurasian economic union1

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  • Information management
  • 2020 № 9 Regional medical information systems in the field of healthcare: directions of development and legal problems

    The article analyzes the development trends of regional medical information systems in the field of health care.
    The authors pay special attention to the peculiarities of the development of regional medical systems, identify individual
    and general problems of these systems, and finally draw conclusions about the ongoing development of the legal framework of the Russian Federation in the field of e-health, and as a solution to the identified problems, they propose to form
    unified rules at the federal level containing general principles and provisions on regional medical information systems,
    including the electronic health records.

    Authors: Akulin I. M. [4] Chesnokova E. A. [4] Presnyakov R. A. [4] Guryanova N. E. [5] Pryadko A. E. 3 [1] Zimina E. I. [2]

    Tags: electronic health records1 legal problems of e-health1 regional medical information systems1 unified health care system1

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  • 2020 № 7 Possibility of transboundary transfer of health-personal

    In the article, the authors analyze the possibility of cross-border transfer of personal data related to health, separately considering
    the possibility of such a transfer within the EAEU. The authors pay special attention to the analysis of the correlation of the concepts of medical confidentiality and personal data related to the state of health, the peculiarities of regulating the cross-border transfer of this information according to Russian legislation, as well as the consideration of the Unified State Information System in the field of health care created in the Russian Federation (hereinafter – the Unified State Health Insurance System, a unified system). The authors also consider the possibility of using a single system for cross-border data transfer, indicate the main risks of such use, and also determine the set of necessary additions for Russian legislation in order to use the EGISP in cross-border data transfer. Separately, the authors analyze the possibility of transferring personal data related to the state of health in the framework of the Eurasian Economic Union, which is often discussed within the EAEU digital agenda. The authors analyzed the permissibility of such transfer under the EAEU as a whole, the proposals put forward in its support, namely the adoption of a separate agreement about the delivery of health care by participating countries of the EAEU any citizens of member States of the Union, the adoption of the act on transfer of personal data about the health of the citizens of the EAEU member States and the creation of a single digital platform for the provision of such transfer (including, subject to the establishment
    of safety requirements the transfer of such data and penalties for violation of these requirements), as well as the identification of
    specially authorized state bodies in each of the EAEU countries in order to ensure responsibility for the transfer of this category of data.

    Authors: Akulin I. M. [4] Chesnokova E. A. [4] Presnyakov R. A. [4] Guryanova N. E. [5] Letova A. D. [2]

    Tags: cross-border transfer of personal data1 eurasian economic union2 medical confidentiality1 personal data2 unified health information system1

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  • 2020 № 1 Application of distributed registry technology and smart contracts in medicine

    Аuthors consider the technology of distributed registries and, in particular, blockchain as one of the potential technical solutions that can ensure the protection of patient data. According to the authors, the technology of distributed registers should be used to collect primary data, verify the interaction of various institutions, work with electronic medical records. The use of blockchain technology can lead to the creation of a comprehensive system of «health», within which it will be possible to make the transition to personalized medicine.

    Authors: Akulin I. M. [4] Chesnokova E. A. [4] Svirkin M. V. [1] Balykina Y. E. [1] Presnyakov R. A. [4] Vasin A. G. [1] Guryanova N. E. [5]

    Tags: blockchain2 chi1 data security1 decentralized networks1 distributed registry1 electronic medical card1 emr1 hybrid networks1 information technology2 medical information systems7 medicine2 public and private blockchains1 scaling1 single digital health circuit1 smart contracts1 vmi1

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  • Personnel management
  • 2020 № 5 Availability and staffing of gastroenterologists in the Russian Federation and in pilot regions, 2013–2017

    Human resource issues are of high relevance for accessibility of the quality of health care. The aim of the study was to conduct analyses of actual staffing of health care facilities for provision of gastroenterological care on an outpatient basis in the Russian Federation and its subjects. Materials and methods: calculation of occupied positions and physicians-gastroenterologists rate, extensive indicators, method of descriptive statistics. Results. Multidirectional levels and trends in physicians-gastroenterologists coverage rates in the constituent entities of the Russian Federation have been established. In a number of federal districts there is an increase in the studied indicators, in some – levelling. Conclusions. An analysis of the availability of gastroenterologists roviding health care an outpatient basis showed that the supply of gastroenterologists in the federal districts increased or levelled. Moreover, in six of them there was a decrease in the staffing rate by these specialists. The results of the study could be used for the human resources planning and for decision-making.

    Authors: Guryanova N. E. [5]

    Tags: coverage1 gastroenterologists1 outpatient care4 russian federation3 staffing7 subjects1

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