Articles with tag: «covid-19»
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2020 № 2 Telemedicine and COVID-19: quality of patient-initiated teleconsultations in case of acute respiratory disease
There is a global increase in demand for direct-to-patient telemedicine consultations due to COVID-19 pandemic. We made a quality assessment of the patient-initiated consultations in case of acute respiratory viral infection symptoms (COVID-19). There are 20 teleconsultations of 2 simulated patients in 10 the most popular telehealth services. An incomplete history of the disease was recorded in 50.0% of cases, incomplete allergy anamnesis – in 60.0%, and epidemiology anamnesis – in 35.0%. Information on chronic illnesses (critical for COVID-19 suspected situations) is fully collected only in 50.0% of cases. Due to defects in the history taking the target diagnostic concept was achieved in 30.0% of teleconsultations, target actions were recommended in only 35.0%. Telemedicine services did not provide continuity of medical care. In 60.0% of cases, medications were prescribed, including injectable antibacterial agents, which completely contradicts not only the legislation, but also the accepted international methods and practices of distance counseling. The quality of the direct-to-patient telemedicine services remains unsatisfactory. There is no effective quality control and quality assurance systems.
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2020 № S5 Information exchange system for the implementation of special social payments to medical workers associated with the treatment of Covid-19 coronavirus infection
The government went to provide medical and other workers engaged in the treatment OF covid‑19 coronavirus
infection with a fairly large set of benefits, guarantees and compensation. Among the key and most financially intensive of them were incentive payments, which were replaced with special social payments from November 1, 2020.
At the same time, payments will now be made by the social insurance Fund. The implementation of such a scheme has caused the urgent need to create a complex system of information exchange, in which a large number of subjects participate, large amounts of information are verified and processed.
This article analyzes the emerging system of information exchange, as well as identifying possible risks and threats.