The quality of primary direct-to-consumer telemedicine consultations (by results of testing telemedicine services)

Published: 2020-03-16

    Telemedicine
  • The adoption of a number of special regulatory documents has significantly expanded the possibilities of using
    telemedicine technologies in the Russian Federation. A significant number of services have appeared on the market, offering
    direct-to-consumer and patient initiated telemedicine consultations. The explosive growth in the number of such services requires
    a careful study of the telemedicine interaction quality. The research objective is to assess the quality of remote interaction of
    participants in primary telemedicine consultations with simulated patients. For testing, we used descriptions of simulated patients
    basing on real records of patients from the therapeutic department of the municipal clinical hospital. For objectification and
    analysis of the telemedicine interaction process (collection of complaints, questioning, recommendations, etc.) a checklist has been compiled. Initially, the study included such services as “Yandex. Health”, “MMT (OnlineDoctor)”, “TelemedHelp”, “Doctor at work”,
    “DoctorSmart”, “DocDoc”; then, for technical reasons, 2 services were excluded from the study. Two simulated patients were sent
    to 4 services; as results, 8 primary teleconsultations were made. In all cases, incorrect, incomplete collection of anamnesis data
    was recorded. Target diagnosis (in the form of diagnostic concept) was achieved in 25% of cases, and target prescriptions were
    made in 50% of cases. A personal consultation and additional examinations were recommended in 75% of teleconsultations.
    There was no continuity, drugs were somehow prescribed in 62.5% of cases. As results, an urgent development of methods of
    internal and departmental quality control of medical care provided with the use of telemedicine technologies is required.

    Authors: Morozov S. P. [7] Vladzymyrskyy A. V. [7] Simenyura S. S. [2]

    Tags: patient3 quality control1 safety2 telemedicine17 telemedicine technologies5

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