• 2020 № 1 The quality of primary direct-to-consumer telemedicine consultations (by results of testing telemedicine services)

    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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  • Mathematical modeling
  • 2015 № 2 Mathematical model of the transfer of patient's states in the process of treatment on the basis of the neuronet approach

    The model of patient's states is described, which permits to determine any his goal state namely the treatment outcome knowing only severity of a disease, and in this regard the proposed model is universal. During the imitation of the treatment processes the neuronet model has been made. The modeling result is the sequence of the transfers of patient's state during the disease treatment in accordance with the applied medical technology.

    Authors: Borschuk E. L. [1] Gorbachev D. V. [1] Begun D. N. [1] Trofimova. O. V. [1]

    Tags: model1 neuron network1 patient3 treatment and diagnostic process2

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  • Document flow
  • 2015 № 1 Use of Open UMS format for document flow formalization in medicine.

    The question about construction of medical documents by means of AURRORA MIS with the use of the Open UMS format is considered in the work. The approach suggested allows data storage in the electronic form suitable for generation of required statistical reports and different researches and preserves a possibility of correct data interpretation.

    Authors: Ponomarev A. A. [1] Merker E. S. [1] Korneva. I. O. [2]

    Tags: doctor1 electronic medical record4 healthcare8 medical document flow1 medical statistics5 patient3 state services1

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